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Ultrasound anesthesia

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https://www.readbyqxmd.com/read/29908296/sonographically-guided-plantaris-tendon-release-a-cadaveric-validation-study
#1
Jay Smith, Håkan Alfredson, Lorenzo Masci, Jacob L Sellon, Charonn D Woods
BACKGROUND: The plantaris tendon (PT) has been implicated in the pathogenesis of symptoms in a subset of patients with Achilles region pain syndromes and has been traditionally managed via open surgical resection. Although the PT can be visualized on ultrasound, a minimally invasive technique for sonographically guided PT release has not been formally described. OBJECTIVE: To validate a technique to perform sonographically guided PT release in an unembalmed cadaveric model...
June 13, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29905631/ultrasound-guided-selective-versus-conventional-block-of-the-medial-brachial-cutaneous-and-the-intercostobrachial-nerves-a-randomized-clinical-trial
#2
Philippe Magazzeni, Denis Jochum, Gabriella Iohom, Gérard Mekler, Eliane Albuisson, Hervé Bouaziz
BACKGROUND AND OBJECTIVES: For superficial surgery of anteromedial and posteromedial surfaces of the upper arm, the medial brachial cutaneous nerve (MBCN) and the intercostobrachial nerve (ICBN) must be selectively blocked, in addition to an axillary brachial plexus block. We compared efficacy of ultrasound-guided (USG) versus conventional block of the MBCN and the ICBN. METHODS: Eighty-four patients, undergoing upper limb surgery, were randomized to receive either USG (n = 42) or conventional (n = 42) block of the MBCN and the ICBN with 1% mepivacaine...
June 13, 2018: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29901598/the-effect-of-interscalene-block-on-ipsilateral-shoulder-pain-and-pulmonary-function-in-patients-undergoing-lung-lobectomy-a-randomized-controlled-trial
#3
Jae Hee Woo, Youn Jin Kim, Kwan Chang Kim, Chi Hyo Kim, Jeeyoung Jun
BACKGROUND: Postoperative ipsilateral shoulder pain occurs in 37% to 68% of patients undergoing a thoracotomy. We examined whether interscalene brachial plexus block using a lower concentration of local anesthetic would reduce the incidence of post-thoracotomy ipsilateral shoulder pain with assessment of pulmonary function in patients who underwent a lung lobectomy. METHODS: Forty-four patients who underwent a lung lobectomy were randomly assigned to either the control or the interscalene block group...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901585/abdominal-peripheral-nerve-block-as-the-only-anesthetic-technique-for-totally-extraperitoneal-endoscopic-inguinal-hernia-repair-two-case-reports
#4
Woojin Kwon, Seunguk Bang, Hyojung Soh, Won Jun Jeong, Sang Chul Lee, Byung Jo Choi
RATIONALE: Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair is a rapidly evolving, minimally invasive treatment modality for inguinal hernia. Compared with open hernia repair, this method requires a smaller incision, has cosmetic advantages, and facilitates rapid recovery and early return to daily activities because of less postoperative pain. Because general anesthesia is essential for TEP hernia repair, it cannot be performed on patients who have an increased risk of developing complications when placed under general anesthesia...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29894344/peripheral-nerve-block-provides-effective-analgesia-for-a-patient-with-peripheral-nerve-hyperexcitability-syndrome-isaacs-syndrome-case-report
#5
Akinori Asai, Eisuke Kako, Tatsuya Hasegawa, Kazuya Sobue
Isaacs syndrome is a rare peripheral nerve hyperexcitability syndrome. The painful discharges in Isaacs syndrome are abolished by the blockade of the neuromuscular junction but not by peripheral nerve blocks (PNB). However, the efficacy of PNB for intraoperative and postoperative analgesia among those with Isaacs syndrome is unknown. A 41-year-old woman with Isaacs syndrome underwent open reduction and internal fixation of radius fractures. Ultrasound-guided bilateral axillary brachial plexus blocks were performed, followed by general anesthesia...
June 11, 2018: A&A practice
https://www.readbyqxmd.com/read/29889631/use-of-tricaine-methanesulfonate-or-propofol-for-immersion-euthanasia-of-goldfish-carassius-auratus
#6
Julie A Balko, Ayako Oda, Lysa P Posner
OBJECTIVE To substantiate current AVMA guidelines for immersion euthanasia of goldfish (Carassius auratus) with tricaine methanesulfonate (TMS), determine whether immersion in propofol at 5 times its immersion anesthesia concentration for 30 minutes is sufficient for euthanasia of goldfish, and quantify the duration of myocardial contraction following immersion of goldfish in TMS and decapitation. DESIGN Prospective clinical trial. ANIMALS 36 healthy, adult goldfish. PROCEDURES Goldfish were randomly assigned to be immersed in 1 of 6 test solution treatments (n = 6/treatment): TMS (500 mg/L) for 15 minutes followed by placement in anesthetic agent-free water (T15W), placement out of water (T15A), or decapitation (T15D); TMS (1,000 mg/L) for 15 minutes followed by placement in anesthetic agent-free water (T15XW); TMS (500 mg/L) for 30 minutes followed by placement in anesthetic agent-free water (T30W); or propofol (25 mg/L) for 30 minutes followed by placement in anesthetic agent-free water (P30W)...
June 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29886206/short-term-efficacy-of-inguinal-reoperation-for-recurrent-saphenofemoral-incompetence-using-the-stump-suture-technique
#7
Stefania Aglaia Gerontopoulou, Wilhelm Kath, Knuth Rass
OBJECTIVES: Neovascularization from the saphenofemoral junction (SFJ) is regarded to be an important cause of clinical recurrence. The ideal treatment of SFJ recurrence is still matter of debate. Barrier strategies have been implemented to improve surgical outcome by reducing neovascularization. This study analyses the value of inguinal reoperation for recurrent SFJ incompetence using a combined approach of stump suture technique, removal of neovasculates, cauterization of free endothelium and additional tumescent local anesthesia...
June 7, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29875910/-giant-bladder-stone
#8
Yaya Ouattara, Joseph Koné
A 67 years old patient has consulted for hypogastric pain, associated with a pollakiuria running for more than 12 months. The medical story reported genital prolapse, some episodes of haematuria and dysuria. Pelvic ultrasound showed a voluminous image of lithiasic appearance with irregular borders. A cystotomy was performed under perimedullary anesthesia allowing the extraction of a giant bladder stone measuring 7.2 cm as major axis and 5.5 cm for small axis.
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29873117/submucosal-tunneling-endoscopic-resection-of-a-large-esophageal-leiomyoma-using-endoscopy-with-near-focus-mode
#9
Wei Peng, Xiaowei Tang, Xiangsheng Fu
A 53-year-old man presented with nausea and dysemesia underwent gastroscopy, which revealed a submucosal tumor arising from the esophagus at 25 cm from the incisors, approximately 3.0×3.0 cm in size. Endoscopic ultrasound showed that the lesion originated from the muscularis propria (Figure 1). Submucosal tunneling endoscopic resection [1] was carried out under general anesthesia using a videoendoscope equipped with near-focus function (EVIS-HQ290, Olympus Medical Systems Co. Ltd., Tokyo, Japan) with a transparent cap (D-201-10704, Olympus) attached to the tip...
June 5, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29866484/neonatal-echocardiogram-in-duodenal-obstruction-is-unnecessary-after-normal-fetal-cardiac-imaging
#10
Caroline Q Stephens, Stephanie Dukhovny, Kathryn J Rowland, Nicholas A Hamilton
BACKGROUND: Duodenal obstruction (DO) is associated with congenital cardiac anomalies that may complicate the delivery of anesthesia during surgical repair. As most infants undergo fetal ultrasounds that identify cardiac anomalies, our aim was to determine the utility of obtaining preoperative neonatal echocardiograms in all DO patients. METHODS: We conducted a retrospective cohort study of all DO patients treated at two tertiary care children's hospitals between January 2005 and February 2016...
May 6, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29866441/bilateral-single-shot-erector-spinae-plane-block-for-pectus-excavatum-and-pectus-carinatum-surgery-in-2-pediatric-patients
#11
M A Nardiello, M Herlitz
Numerous publications have emerged on the application of erector spinae plane block in adult population. There are few reports of the use of this block in pediatric patients. The objective is to report 2 cases of adolescents, one diagnosed with pectus excavatum and the other one with pectus carinatum undergoing reconstructive surgery in which a bilateral single-shot erector spinae plane block was performed as an analgesic technique. The block was performed before surgery under general anesthesia in lateral decubitus position, guided by ultrasound using 20ml of 0...
June 1, 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29863605/risks-and-benefits-of-ultrasound-nerve-stimulation-and-their-combination-for-guiding-peripheral-nerve-blocks-a-retrospective-registry-analysis
#12
Hagen Bomberg, Laura Wetjen, Stefan Wagenpfeil, Jakob Schöpe, Paul Kessler, Hinnerk Wulf, Thomas Wiesmann, Thomas Standl, André Gottschalk, Jens Döffert, Werner Hering, Jürgen Birnbaum, Bernd Kutter, Jörg Winckelmann, Simone Liebl-Biereige, Winfried Meissner, Oliver Vicent, Thea Koch, Hartmut Bürkle, Daniel I Sessler, Thomas Volk
BACKGROUND: Ultrasound, nerve stimulation, and their combination are all considered acceptable ways to guide peripheral nerve blocks. Which approach is most effective and associated with the fewest complications is unknown. We therefore used a large registry to analyze whether there are differences in vascular punctures, multiple skin punctures, and unintended paresthesia. METHODS: Twenty-six thousand seven hundred and thirty-three cases were extracted from the 25-center German Network for Regional Anesthesia registry between 2007 and 2016 and grouped into ultrasound-guided puncture (n = 10,380), ultrasound combined with nerve stimulation (n=8173), and nerve stimulation alone (n = 8180)...
May 31, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29861803/efficacy-of-pectoral-nerve-block-type-ii-for-breast-conserving-surgery-and-sentinel-lymph-node-biopsy-a-prospective-randomized-controlled-study
#13
Doo-Hwan Kim, Sooyoung Kim, Chan Sik Kim, Sukyung Lee, In-Gyu Lee, Hee Jeong Kim, Jong-Hyuk Lee, Sung-Moon Jeong, Kyu Taek Choi
Objectives: The pectoral nerve block type II (PECS II block) is widely used for postoperative analgesia after breast surgery. This study evaluated the analgesic efficacy of PECS II block in patients undergoing breast-conserving surgery (BCS) and sentinel lymph node biopsy (SNB). Methods: Patients were randomized to the control group ( n =40) and the PECS II group ( n =40). An ultrasound-guided PECS II block was performed after induction of anesthesia. The primary outcome measure was opioid consumption, and the secondary outcome was pain at the breast and axillary measured using the Numerical Rating Scale (NRS) 24 hours after surgery...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29858144/use-of-ultrasound-guided-superficial-cervical-plexus-block-for-pain-management-in-the-emergency-department
#14
Ben Ho, Michael De Paoli
BACKGROUND: Although use of the superficial cervical plexus block (SCPB) by anesthesia for perioperative indications is well described, there is a paucity of research on use of SCPB in the emergency department (ED). OBJECTIVE: This prospective observational study aims to prospectively characterize the feasibility, potential for efficacy, and safety of ultrasound-guided SCPB in a convenience sample of ED patients presenting with painful conditions of the "cape" distribution of the neck and shoulder...
May 29, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29851190/choosing-wisely-in-pediatric-anesthesia-an-interpretation-from-the-german-scientific-working-group-of-paediatric-anaesthesia-wakka
#15
Karin Becke, Christoph Eich, Claudia Höhne, Martin Jöhr, Andreas Machotta, Markus Schreiber, Robert Sümpelmann
Inspired by the Choosing Wisely initiative, a group of pediatric anesthesiologists representing the German Working Group on Paediatric Anaesthesia (WAKKA) coined and agreed upon 10 concise positive ("dos") or negative ("don'ts") evidence-based recommendations. (i) In infants and children with robust indications for surgical, interventional, or diagnostic procedures, anesthesia or sedation should not be avoided or delayed due to the potential neurotoxicity associated with the exposure to anesthetics...
May 30, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29850461/accidental-insertion-of-a-peritoneal-dialysis-catheter-in-the-urinary-bladder
#16
Shivraj Riar, Mohammed Abdulhadi, Christine Day, Bhanu Prasad
Percutaneous insertion of a peritoneal dialysis (PD) catheter has inherent risks of complications, more so if done "blind" (without fluoroscopy and ultrasound guidance). Despite the perceived disadvantages, there are very few reported cases of mechanical complications after PD catheter insertion. We present an 81-year-old man who underwent percutaneous insertion of dual-cuffed coiled Tenckhoff PD catheter under local anesthesia by a trained nephrologist. The procedure was uneventful, and the patient was discharged 45 min later in a stable state...
January 2018: Case Reports in Nephrology and Dialysis
https://www.readbyqxmd.com/read/29849332/ultrasound-guided-femoral-nerve-block-to-facilitate-the-closed-reduction-of-a-dislocated-hip-prosthesis
#17
Edward Carlin, Brendon Stankard, Ashley Voroba, Mathew Nelson
Prosthetic hip dislocation is a common but unfortunate complication in patients who have undergone total hip arthroplasty. Successful closed reduction in the emergency department leads to a reduced length of stay and rate of hospitalization.1,2 The use of regional anesthesia by femoral nerve block represents a novel approach for controlling pain in patients with hip pathologies.3 Ultrasound-guided approaches have been used with great success for controlling pain in patients with hip fractures.4,5 Here we report the case of a 90-year-old male who presented with a dislocated hip prosthesis, which was subsequently corrected with closed reduction following delivery of regional anesthesia to the femoral nerve under ultrasound guidance...
November 2017: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29848599/ultrasound-guided-oblique-sub-costal-transversus-abdominis-plane-block-as-the-principal-anesthesia-technique-in-peritoneal-dialysis-catheter-implantation-and-plasma-ropivacaine-concentration-evaluation-in-esrd-patients-a-prospective-randomized-double-blinded
#18
Zi Li, Xiao Hong Tang, Qi Li, Wen-Juan Zhang, Tian Tao, Tao Zhu
BACKGROUND: The ultrasound-guided transversus abdominis plane (TAP) block is generally used for analgesia but not for anesthesia. A TAP block has a partial analgesic effect on the parietal peritoneum in abdominal surgeries. We hypothesized that an ultrasound-guided oblique subcostal TAP block, used as the principal anesthesia technique, could provide a better anesthetic effect on peritoneum stimulation in peritoneal dialysis catheter (PDC) implantation in end-stage renal diseases (ESRD) patients than local anesthetic infiltration (LAI)...
May 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/29808972/anesthesia-and-analgesia-for-total-knee-arthroplasty-a-narrative-review
#19
Ellen M Soffin, Stavros G Memtsoudis
BACKGROUND: The demand for total knee arthroplasty (TKA) is rising worldwide. Controversy persists in the literature regarding the benefits of general vs. neuraxial anesthesia and which anesthetic is associated with the best outcomes. Likewise, the abundance of analgesic options for post-TKA pain have led to debate regarding the safest, most effective regimens. METHODS: In this narrative review, we evaluated a selection of recent publications regarding anesthetic and analgesic choices for TKA...
May 28, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/29804406/-impacts-of-different-methods-in-laryngeal-mask-airway-positioning-on-the-airway-management-of-elderly-patients-with-general-anesthesia
#20
F Yan, J Li, H J Wang, X Yang, J B Yang, X J Tu
Objective: By observing the clinical effect of ultrasound, fiberoptic bronchoscopy and traditional standard in positioning the general anesthesia of laryngeal mask ventilation in elderly patients, the superiority of laryngeal mask positioning with visualization technique of ultrasound and fiberoptic bronchoscope on airway management in elderly patients with general anesthesia was analyzed. Methods: One hundred and twenty cases of elderly patients with general anesthesia of laryngeal mask ventilation from the People's Hospital of Yuyao city from October 2016 to October 2017 were selected and randomly divided into 3 groups( n =40)according to American Society of Anesthesiologists (ASA) grading criteria Ⅰ-Ⅲ...
May 15, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
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