keyword
https://read.qxmd.com/read/38546317/ultrasound-guided-mid-forearm-median-nerve-block-for-relief-of-carpal-tunnel-syndrome-pain-in-the-emergency-department-a-case-report
#1
JOURNAL ARTICLE
Daniel L Puebla, Ilya Luchitsky, Roman Montes De Oca, Michael Shalaby, Robert A Farrow
INTRODUCTION: Carpal tunnel syndrome (CTS) is a common complaint in the emergency department (ED) and accounts for approximately 90% of all peripheral neuropathies.6 Pain control from injection with corticosteroids into the carpal tunnel space is associated with multiple possible complications including atrophy, iatrogenic median nerve injury, and skin changes. Ultrasound (US)-guided mid-forearm median nerve block is an ED procedure that can be used to avoid direct injection into the carpal tunnel space...
February 2024: Clinical Practice and Cases in Emergency Medicine
https://read.qxmd.com/read/38545646/student-training-in-administering-inferior-alveolar-nerve-block-anesthesia-with-a-simple-manufactured-simulation-model
#2
JOURNAL ARTICLE
Matias Garcia-Blanco, Juan M Ruffini, Lorena Salomone, Ariel F Gualtieri, Sebastian A Puia
OBJECTIVE: To compare the effectiveness of administering inferior alveolar nerve blocks (IANB) for the first time with or without a previous practical lesson using a simple manufactured simulator. METHODS: This was a study designed to compare students' first administration of IANB anesthesia during 2022, with or without a previous practical lesson. Students were randomized into two groups. The experimental group attended both theoretical lessons and a practical lesson with a simulator device, while the control group attended only theoretical lessons...
March 28, 2024: Journal of Dental Education
https://read.qxmd.com/read/38545358/postoperative-pulmonary-complications-in-awake-video-assisted-thoracoscopic-surgery-our-10-year-experience
#3
JOURNAL ARTICLE
Özlem Turhan, Nükhet Sivrikoz, Salih Duman, Murat Kara, Zerrin Sungur
BACKGROUND: The aim of this study was to evaluate the effect of awake video-assisted thoracoscopic surgery on postoperative pulmonary complications among patients with different risk scores using the Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT). METHODS: Between January 2011 and August 2021, a total of 246 patients (158 males, 88 females; mean age: 59.1±13.6 years; range, 25 to 84 years) who underwent awake video-assisted thoracoscopic surgery were retrospectively analyzed...
January 2024: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/38542011/the-impact-of-regional-anesthesia-in-masking-acute-compartment-syndrome-after-limb-trauma
#4
REVIEW
Nicole Hilber, Anna Dodi, Stephan Blumenthal, Heinz Bruppacher, Alain Borgeat, José Aguirre
Regional anesthesia has shown to be successful in controlling major pain in trauma patients. However, the possibility of masking acute compartment syndrome (ACS) after peripheral nerve blocks for limb injuries is still controversially discussed. Therefore, we aimed to summarize the current literature regarding this topic to shed light on the impact of peripheral regional anesthesia on the diagnosis of ACS in trauma patients. We searched Pubmed, Google Scholar and the Cochrane Library for literature following the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines...
March 20, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541209/evaluating-the-clinical-utility-of-brachial-plexus-block-for-reducing-opioid-exposure-in-pediatric-elbow-fracture-surgery-a-retrospective-cohort-study
#5
JOURNAL ARTICLE
Kunhyung Bae, Yeon Ju Kim, Hyo Won Lim, Michael Seougcheol Kang, Ha-Jung Kim, Won Uk Koh, Young-Jin Ro, Jooyeon Cho, Hwa Jung Kim, Soo-Sung Park, Yoon Hae Kwak, Hyungtae Kim
Background and Objectives : Reducing opioid exposure in common pediatric surgeries is of paramount importance. This study aimed to assess the efficacy of regional nerve blocks in reducing opioid exposure while preserving high success rates. Materials and Methods : We conducted a retrospective matched cohort study (1:1) including patients with elbow fractures < 12 years old who underwent treatment with percutaneous pinning. Patients were divided into general-anesthesia (GA) and GA-followed-by-supraclavicular-brachial-plexus-block (GA-SCB) groups...
March 14, 2024: Medicina
https://read.qxmd.com/read/38541179/transforaminal-epidural-block-and-erector-spinae-plane-block-to-manage-acute-zoster-associated-pain-a-retrospective-case-control-study
#6
JOURNAL ARTICLE
Hyojung Soh, Yeona Ko, Jungwon Shin, Eung Don Kim
Background and Objectives: Achieving adequate pain reduction in the acute phase of herpes zoster is essential for preventing postherpetic neuralgia (PHN). For this purpose, appropriate antiviral medications, oral analgesic medications, and various nerve block methods could be applied. Erector spinae plane block (ESPB) is a simple, novel ultrasound-guided block technique, and its use has increased because the procedure is convenient and relatively safe. Although several cases have reported the zoster-associated pain (ZAP) control effect of ESPB, the efficacy of ESPB has not been compared with that of other types of nerve blocks for managing ZAP...
March 9, 2024: Medicina
https://read.qxmd.com/read/38541000/use-of-bioelectrical-impedance-analysis-to-explore-the-effectiveness-of-stellate-ganglion-block-in-patients-with-post-stroke-complex-regional-pain-syndrome-a-retrospective-pilot-study
#7
JOURNAL ARTICLE
Jin-Whan Ryu, In-Su Hwang, Seung-Kyu Lim
Post-stroke complex regional pain syndrome (CRPS) poses challenges in pain assessment for survivors. Stellate ganglion block (SGB) is a treatment, but evaluating its effectiveness is difficult for patients with communication limitations. Edema, a prominent symptom, can serve as an evaluation marker. Bioelectrical impedance analysis (BIA), assessing body composition and fluid status, is used independently of patient cooperation. This retrospective, observational pilot study aims to explore BIA's utility as an assessment tool post-SGB, revealing the effects and time courses of a single SGB on the bodily composition of post-stroke CRPS patients...
February 28, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38540227/msr405-inhibiting-neuroinflammation-after-spinal-cord-injury-in-rats
#8
JOURNAL ARTICLE
Yu Liu, Yu Xiao, Jimeng Gao, Jiaxin Gao, Ruicheng Li, Zhongquan Qi, Xiaocun Liu
The treatment of spinal cord injury (SCI) is often ineffective. Additionally, SCI-induced inflammation leads to secondary injury. Current anti-inflammatory hydrophilic drugs fail to reach the nerve injury site due to the blood-brain barrier. Here, we synthesized MSR405, a new lipophilic unsaturated fatty acid derivative of Radix Isatidis and investigated its therapeutic effect in SCI model rats. Furthermore, we systematically investigated its structure, toxicity, anti-inflammatory effect, and the underlying mechanism...
March 8, 2024: Biomedicines
https://read.qxmd.com/read/38540109/phillygenin-suppresses-glutamate-exocytosis-in-rat-cerebrocortical-nerve-terminals-synaptosomes-through-the-inhibition-of-ca-v-2-2-calcium-channels
#9
JOURNAL ARTICLE
Ming-Yi Lee, Tzu-Yu Lin, Ya-Ying Chang, Kuan-Ming Chiu, Su-Jane Wang
Glutamate is a major excitatory neurotransmitter that mediates neuronal damage in acute and chronic brain disorders. The effect and mechanism of phillygenin, a natural compound with neuroprotective potential, on glutamate release in isolated nerve terminals (synaptosomes) prepared from the rat cerebral cortex were examined. In this study, 4-aminopyridine (4-AP), a potassium channel blocker, was utilized to induce the release of glutamate, which was subsequently quantified via a fluorometric assay. Our findings revealed that phillygenin reduced 4-AP-induced glutamate release, and this inhibitory effect was reversed by removing extracellular Ca2+ or inhibiting vesicular transport with bafilomycin A1...
February 22, 2024: Biomedicines
https://read.qxmd.com/read/38539403/utilizing-peripheral-nerve-blocks-for-pain-management-in-pediatric-patients-during-embolization-and-sclerotherapy-for-vascular-malformations
#10
JOURNAL ARTICLE
Matthew Kocher, Maria Evankovich, Danielle R Lavage, Sabri Yilmaz, Senthilkumar Sadhasivam, Mihaela Visoiu
Vascular anomalies are a diverse group of abnormal blood vessel developments that can occur at birth or shortly afterward. Embolization and sclerotherapy have been utilized as a treatment option for these malformations but may cause moderate-to-severe pain. This study aims to evaluate the utilization of peripheral nerve blocks in opioid consumption, pain scores, and length of stay. A retrospective chart review was conducted at the UPMC Children's Hospital of Pittsburgh for all patients who underwent embolization and sclerotherapy between 2011 and 2020...
March 20, 2024: Children
https://read.qxmd.com/read/38539078/prevention-of-postoperative-nausea-and-vomiting-after-orthognathic-surgery-a-scoping-review
#11
JOURNAL ARTICLE
Peng-Fei Gao, Le Zhao, Shi-Yue Li, Yue Li, Ming-Kai Chen, Jing Fu, Yang Ji
INTRODUCTION: Postoperative nausea and vomiting (PONV) is one of the most common adverse events following orthognathic surgery. It's a distressing feeling for patients and continues to be the cause of postoperative complications such as bleeding, delayed healing, and wound infection. This scoping review aims to identify effective PONV prophylaxis strategies during orthognathic surgery that have emerged in the past 15 years. METHODS: We searched Pubmed, Cochrane Controlled Register of Trials, and Embase from 2008 to May 2023...
March 28, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38533590/comment-on-comparison-of-the-pericapsular-nerve-group-block-with-the-intra-articular-and-quadratus-lumborum-blocks-in-primary-total-hip-arthroplasty-a-randomized-controlled-trial
#12
JOURNAL ARTICLE
Anju Gupta, Nitin Choudhary, Nishkarsh Gupta
No abstract text is available yet for this article.
March 27, 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38532258/optimized-microburst-vns-elicits-fmri-responses-beyond-thalamic-specific-response-from-standard-vns
#13
JOURNAL ARTICLE
Jerzy P Szaflarski, Jane B Allendorfer, Jason Begnaud, Giovanni Ranuzzi, Elhum Shamshiri, Ryan Verner
OBJECTIVE: In parallel to standard vagus nerve stimulation (VNS), microburst stimulation delivery has been developed. We evaluated the fMRI-related signal changes associated with standard and optimized microburst stimulation in a proof-of-concept study (NCT03446664). METHODS: Twenty-nine drug-resistant epilepsy patients were prospectively implanted with VNS. Three 3T fMRI scans were collected 2 weeks postimplantation. The maximum tolerated VNS intensity was determined prior to each scan starting at 0...
March 26, 2024: Annals of Clinical and Translational Neurology
https://read.qxmd.com/read/38531584/intercostal-nerve-cryoablation-versus-thoracic-epidural-analgesia-for-minimal-invasive-nuss-repair-of-pectus-excavatum-a-protocol-for-a-randomised-clinical-trial-ice-trial
#14
JOURNAL ARTICLE
Nicky Janssen, Jean H T Daemen, Aimée J P M Franssen, Elise J van Polen, Lori M van Roozendaal, Karel W E Hulsewé, Yvonne Vissers, Erik R de Loos
INTRODUCTION: Epidural analgesia is currently considered the gold standard in postoperative pain management for the minimally invasive Nuss procedure for pectus excavatum. Alternative analgesic strategies (eg, patient-controlled analgesia and paravertebral nerve block) fail in accomplishing adequate prolonged pain management. Furthermore, the continuous use of opioids, often prescribed in addition to all pain management strategies, comes with side effects. Intercostal nerve cryoablation seems a promising novel technique...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38529872/-neuropathy-in-n-hexane-poisoning
#15
JOURNAL ARTICLE
E S Druzhinina, A A Kozyreva, R T Bembeeva, A S Kozlovsky, V E Sokolova, I V Isaev, A G Narbutov, N N Zavadenko, O A Tikhonova
N-Hexane is a solvent widely used in manufacturing as a cleaner, degreaser and component of rubber cement. Chronic exposure to n -hexane either through contact with unprotected skin or inhalation can lead to the development of clinical symptoms and electrophysiological changes similar to those of inflammatory demyelinating polyneuropathy which requires careful differential diagnosis. This article presents three cases of severe predominantly motor polyneuropathy with demyelinating features in 15- and 16-year-old adolescents...
2024: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://read.qxmd.com/read/38529553/huperzine-a-ameliorates-neurological-deficits-after-spontaneous-subarachnoid-hemorrhage-through-endothelial-cell-pyroptosis-inhibition
#16
JOURNAL ARTICLE
Qiang Hu, Rong Zhang, Xiaoqiao Dong, Dingbo Yang, Wenhua Yu, Quan Du
Spontaneous subarachnoid hemorrhage (SAH) is a kind of hemorrhagic stroke which causes neurological deficits in survivors. Huperzine A has a neuroprotective effect, but its role in SAH is unclear. Therefore, we explore the effect of Huperzine A on neurological deficits induced by SAH and the related mechanism. In this study, Evans blue assay, TUNEL staining, immunofluorescence, western blot analysis, and ELISA are conducted. We find that Huperzine A can improve neurological deficits and inhibit the apoptosis of nerve cells in SAH rats...
March 26, 2024: Acta Biochimica et Biophysica Sinica
https://read.qxmd.com/read/38528325/functional-outcomes-following-surgery-for-spastic-hip-adductor-muscles-in-ambulatory-and-non-ambulatory-adults
#17
JOURNAL ARTICLE
Daphnée Brun, Olivier Hamel, Emmeline Montané, Marino Scandella, Evelyne Castel-Lacanal, Xavier De Boissezon, Marque Philippe, Gasq David, Camille Cormier
OBJECTIVE: To evaluate functional outcomes of surgery of spastic hip adductor muscles (obturator neurotomy with or without adductor longus tenotomy) in ambulatory and non-ambulatory patients, using preoperatively defined personalized goals. DESIGN: Retrospective observational descriptive study. PATIENTS: Twenty-three patients with adductor spasticity who underwent obturator neurotomy between May 2016 and May 2021 at the Clinique des Cèdres, Cornebarrieu, France, were included...
March 22, 2024: Journal of Rehabilitation Medicine
https://read.qxmd.com/read/38528172/efficacy-and-safety-of-cryoablation-compared-with-cooled-radiofrequency-ablation-of-genicular-nerves-in-advanced-osteoarthritis-of-the-knee-a-study-protocol-of-single-centric-assessor-blinded-randomized-parallel-group-non-inferiority-study
#18
JOURNAL ARTICLE
Gautam Das, Amol Singam, Vivek Chakole, Sushpa Das, Vikas Sharma
PURPOSE: In patients with symptomatic osteoarthritis knee (OAK), cryoneurolysis (CRYO) and cooled radiofrequency ablation (C-RFA) are reported to be effective and safe; however, they have not been compared directly. The objective of this study is to compare CRYO and C-RFA of the genicular nerve (GN) in terms of efficacy and safety profile in patients with Kellgren and Lawrence (KL) grade ≥ 3 OAK. METHODS: This single-centric, assessor-blinded, randomized, parallel-group, non-inferiority study will include 80 patients with KL grade ≥ 3 OAK...
March 25, 2024: Cardiovascular and Interventional Radiology
https://read.qxmd.com/read/38526119/stimulated-single-fiber-electromyography-sfemg-for-assessing-neuromuscular-junction-transmission-in-rodent-models
#19
JOURNAL ARTICLE
Arsh Ketabforoush, Meifang Wang, W David Arnold
As the final connection between the nervous system and muscle, transmission at the neuromuscular junction (NMJ) is crucial for normal motor function. Single fiber electromyography (SFEMG) is a clinically relevant and sensitive technique that measures single muscle fiber action potential responses during voluntary contractions or nerve stimulations to assess NMJ transmission. The assessment and quantification of NMJ transmission involves two parameters: jitter and blocking. Jitter refers to the variability in timing (latency) between consecutive single-fiber action potentials (SFAPs)...
March 8, 2024: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38525705/pulsed-radiofrequency-for-auriculotemporal-neuralgia-a-case-report
#20
Yan Tereshko, Enrico Belgrado, Christian Lettieri, Simone Dal Bello, Giovanni Merlino, Gian Luigi Gigli, Mariarosaria Valente
Auriculotemporal neuralgia is a rare facial pain disorder with no therapeutic evidence for refractory cases. We described a male patient with right auriculotemporal neuralgia, refractory to anesthetic nerve blocks and botulinum toxin type A injections, who was successfully treated with pulsed radiofrequency without adverse events. Pulsed radiofrequency may be an effective and safe treatment for refractory auriculotemporal neuralgia.
March 12, 2024: Neurology International
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