keyword
https://read.qxmd.com/read/38504220/comparison-of-diffusion-ranges-at-different-local-anesthetic-volumes-during-superior-laryngeal-nerve-block
#21
JOURNAL ARTICLE
Yin Bao, Huijun Wang, Lifeng Li, Hongbo Xu, Yun Li, Guyan Wang
OBJECTIVES: Ultrasound-guided superior laryngeal nerve (SLN) block is a practical and painless approach to avoid the hemodynamic stress response during endotracheal intubation and relieve sore throat after laryngeal surgery. The main purpose of this study was to establish an optimal dosage of local anesthetic when performing SLN block to help anesthetists balance analgesia and side effects. METHODS: Twenty fresh larynx specimens were obtained immediately after resection and then injected with 2-, 3-, 4-, or 5- mL of a lidocaine-blue dye mixture at bilateral SLN puncture sites...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38503051/doppler-ultrasound-is-more-accurate-than-pulse-oximeter-plethysmography-in-the-measurement-of-systolic-arterial-pressure-from-the-median-caudal-artery-in-anesthetized-dogs
#22
JOURNAL ARTICLE
John H Whittaker, Nathaniel Kapaldo, Eduarda M Bortoluzzi, David C Rankin
OBJECTIVE: To compare the accuracy of doppler ultrasound (DOP) and pulse oximeter plethysmography (POP) in the measurement of systolic arterial pressure (SAP) to invasive blood pressure (IBP) in anesthetized dogs. ANIMALS: 40 client-owned healthy dogs > 10 kg. METHODS: Dogs were anesthetized for surgical procedures in dorsal recumbency. Invasive blood pressure was measured from a dorsal pedal artery. DOP and POP device probes were placed over the median caudal artery with a flow-occluding cuff for noninvasive blood pressure measurement...
March 23, 2024: American Journal of Veterinary Research
https://read.qxmd.com/read/38502424/feasibility-of-tension-free-repair-of-inguinal-hernia-in-senile-patients-under-ultrasound-guided-local-nerve-block
#23
JOURNAL ARTICLE
Yongkun Wang, Yang Zhang, Zhen Wu, Hailin Sun, Wei Zhang, Ailan Cai, Zhaoqing Cui, Shanping Sun
The clinical characteristics of open hernia repair under local nerve block guided by ultrasound and epidural anesthesia under daytime surgery mode were compared and analyzed, and the safety, rationality and effectiveness of tension-free repair of inguinal hernia in elderly patients under local nerve block guided by ultrasound were discussed. The clinical data of 200 patients who underwent inguinal hernia day surgery in Liaocheng People's Hospital Affiliated to Shandong First Medical University from January 2022 to October 2022 were retrospectively analyzed, including 150 patients who underwent local anesthesia block surgery and 50 patients who underwent epidural surgery...
March 19, 2024: Updates in Surgery
https://read.qxmd.com/read/38499943/ultrasound-guided-external-oblique-intercostal-plane-block-for-postoperative-analgesia-in-laparoscopic-sleeve-gastrectomy-a-prospective-randomized-controlled-patient-and-observer-blinded-study
#24
JOURNAL ARTICLE
Ali Sait Kavakli, Taylan Sahin, Umit Koc, Arzu Karaveli
PURPOSE: The external oblique intercostal plane (EOI) block is a novel block technique for anterolateral upper abdominal wall analgesia. The superficial nature of the external oblique intercostal plane allows it to be easily identified even in patients with obesity. The aim of this study was to test the hypothesis that EOI block would reduce IV morphine consumption within 24 h after laparoscopic sleeve gastrectomy. MATERIALS AND METHODS: Patients were randomly assigned to one of two groups: EOI block group and control group...
March 18, 2024: Obesity Surgery
https://read.qxmd.com/read/38498670/point-of-care-ultrasound-aids-in-the-management-of-patient-taking-semaglutide-before-surgery-a-case-report
#25
JOURNAL ARTICLE
John A Hodgson, Heine Rivera-Rodriguez, Peter Wu, Jaison Udani, Jeffrey Weiss
Semaglutide, a glucagon-like peptide-1 (GLP-1) analog, has various effects on the gastrointestinal tract. In patients undergoing anesthesia delayed gastric emptying time can have sequelae if not identified preoperatively. Modalities include thorough history regarding the last dose administration of a GLP-1 analog and ultrasound of gastric contents before induction of anesthesia. We present a case in which gastric ultrasound identified a patient at increased risk for aspiration on induction and allowed for appropriate alterations in the anesthetic plan...
March 1, 2024: A&A Practice
https://read.qxmd.com/read/38497284/what-is-the-role-of-gastric-ultrasound-in-children
#26
EDITORIAL
Gianluca Bertolizio, Marta Garbin, Thomas Engelhardt
No abstract text is available yet for this article.
March 18, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38496886/fascia-iliaca-compartment-block-mitigates-the-fluctuations-in-heart-rate-variability-and-reduces-pain-with-opioid-consumption-in-elderly-individuals-with-hip-fractures-a-randomized-controlled-trial
#27
JOURNAL ARTICLE
Xiaoqi Dai, Dongxue Xing, Juan Luo, Yi Yang, Jiayuan Zhai, Tianwei Tang, Wanchao Yang
BACKGROUND: Hip fractures, commonly known as the "terminal fracture of life," frequently necessitate prompt surgical intervention and are accompanied by significant perioperative pain. OBJECTIVE: This investigation was performed to assess the impact of fascia iliaca compartment block (FICB) on heart rate variability during the perioperative period in elderly individuals with hip fractures. DESIGN: Single-center, randomized, controlled clinical trial...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38496145/outcomes-of-percutaneous-image-guided-and-laparoscopic-cholecystostomies-in-high-risk-patients-with-acute-calculus-cholecystitis-a-five-year-district-general-hospital-experience
#28
JOURNAL ARTICLE
Mahmoud S Aly, Zohaib Jamal, Zeeshan Khawaja, Phuong L Kieu, Nowera Zafar, Divya Kanakalingam, Ahmed Khalil
Introduction Acute cholecystitis (AC), inflammation of the gall bladder, is one of the most common emergency surgical presentations. In the UK, approximately 15% of the population is estimated to have gallstones, and approximately 20% of them can develop AC. Laparoscopic cholecystectomy (LC) is considered the definitive management of AC. However, cholecystectomy carries a very high risk of morbidity and mortality in high-risk frail patients with multiple comorbidities who are deemed unfit for surgery. Percutaneous cholecystostomy (PC), both image-guided and laparoscopic, is generally acknowledged as an interim treatment measure before definitive management, which is the LC...
February 2024: Curēus
https://read.qxmd.com/read/38496072/radial-arterial-cannulation-by-ultrasound-guided-dynamic-needle-tip-positioning-using-the-short-axis-out-of-plane-approach-versus-the-long-axis-in-plane-approach-a-randomized-controlled-study
#29
JOURNAL ARTICLE
Bharath Kumar Mesa, Mamta Sinha, Mayank Kumar, Sarita Ramchandani, Chandan Dey, Nandkishore Agrawal, Monica Khetarpal
Introduction Radial artery cannulation is a commonly performed invasive procedure for assessing a patient's hemodynamic status and collecting blood samples. Ultrasound guidance has shown benefits in improving the success rate of first-attempt cannulation. Two main approaches, short-axis out-of-plane (SAOOP) and long-axis in-plane (LAIP), are commonly used. A modified technique called dynamic needle-tip positioning (DNTP) using the short-axis out-of-plane approach has been reported to enhance arterial catheterization...
February 2024: Curēus
https://read.qxmd.com/read/38493616/unusual-presentation-of-intraductal-papilloma-on-the-nipple-a-case-report
#30
Noura Abdul Rahman, Ibrahim Arnaout, Mariam Krimsti, Amira Mardini, Kanan Rahme, Silva Ishkhanian
INTRODUCTION AND SIGNIFICANCE: Intraductal papilloma (IDP) is a benign breast lesion characterized by a small, delicate wart-like growth found within the milk ducts. Typically located centrally behind the nipple, IDP often presents with a serous, serosanguinous, or bloody discharge from the nipple, making it a common cause of abnormal nipple discharge. Differential diagnosis is crucial as it can be mistaken for other conditions such as pigmented Paget's disease and pigmented basal cell carcinoma...
March 8, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38493277/correction-clinical-performance-of-lung-ultrasound-in-predicting-time-dependent-changes-in-lung-aeration-in-ards-patients
#31
Andrea Costamagna, Irene Steinberg, Emanuele Pivetta, Pietro Arina, Simona Veglia, Luca Brazzi, Vito Fanelli
No abstract text is available yet for this article.
March 16, 2024: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/38489966/comparisons-in-analgesic-effects-between-ultrasound-guided-erector-spinae-plane-block-and-surgical-intercostal-nerve-block-after-video-assisted-thoracoscopic-surgery-a-randomized-controlled-trial
#32
JOURNAL ARTICLE
Chun-Sung Sung, Tzu-Jung Wei, Jung-Jyh Hung, Fu-Wei Su, Shih-I Ho, Mong-Wei Lin, Kuang-Cheng Chan, Chun-Yu Wu
STUDY OBJECTIVE: This study aimed to compare the analgesic effects of anesthesiologist-administrated erector spinae plane block (ESPB) and surgeon-administrated intercostal nerve block (ICNB) following video-assisted thoracoscopic surgery (VATS). DESIGN: Randomized, controlled, double-blinded study. SETTING: Operating room, postoperative recovery room and ward in two centers. PATIENTS: One hundred patients, ASA I-III and scheduled for elective VATS...
March 14, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38489706/nail-preserving-excision-of-glomus-tumor-in-the-second-toe-case-report-and-literature-review
#33
REVIEW
Young Uk Park, Jongseong Han, Young Wook Seo
INTRODUCTION: This case report describes the diagnosis of a glomus tumor in the second toe of a 38-year-old female, followed by surgical treatment utilizing a transungual approach to preserve the nail. This study highlights the diagnostic challenges and surgical strategies to treat such tumors while preserving nail integrity. PATIENT CONCERNS: Pain occurred once a week, but over time, it increased, and just before seeking medical attention, she experienced pain more than 5 times a day...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38485263/erector-spinae-plane-block-espb-for-intractable-non-surgical-abdominal-pain-a-scoping-review
#34
JOURNAL ARTICLE
Ashley Meyer, Campbell Belisle Haley, Eisa Razzak, Amanda Dos Santos, Kyle Dornhofer, Edmund Hsu, Soheil Saadat, John Christian Fox, Megan Guy
Abdominal pain is one of the most common presenting chief complaints in the emergency department (ED). Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of non-surgical abdominal pain has not yet been characterized. Our scoping review aims to review the current literature on the safety and efficacy of ESPB in the management of patients experiencing intractable, non-surgical abdominal pain...
March 15, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38482636/the-effect-of-an-ultrasound-guided-sacral-erector-spinae-plane-block-on-the-postoperative-pain-of-lumbar-discectomy-a-randomized-controlled-trial
#35
JOURNAL ARTICLE
Bilge Olgun Keleş, Elvan Tekir Yilmaz
BACKGROUND: Pain management is essential after discectomy, the surgical treatment for lumbar disc herniation. This study evaluated the effect of sacral erector spinae plane block (SESPB) versus standard analgesic methods on postoperative analgesia and opioid consumption in lumbar discectomy operations. METHODS: Over 18 years of age, ASA 1-3 group, 54 patients undergoing elective lumbar discectomy were included in the prospective, randomized, controlled, double-blind, study...
March 14, 2024: Minerva Anestesiologica
https://read.qxmd.com/read/38480982/the-minimum-effective-concentration-mec90-of-bupivacaine-for-an-ultrasound-guided-suprainguinal-fascia-iliaca-compartment-block-for-analgesia-in-knee-surgery-a-dose-finding-study
#36
JOURNAL ARTICLE
Caner Genc, Serkan Tulgar, Murat Unal, Ahmet Serhat Genc, Lokman Kehribar, Basar Erdivanli, Kris Vermeylen, Ersin Koksal
BACKGROUND: In recent years, the suprainguinal fascia iliaca compartment block (SFICB) has become more common in clinical practice. This assessor-blinded dose-finding study aimed to determine the minimum effective concentration (MEC90, MEC95) of bupivacaine for a single-injection SFICB in patients undergoing arthroscopic anterior cruciate ligament repair. METHODS: This prospective study was conducted at a tertiary hospital (postoperative recovery room and ward)...
March 14, 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38480632/prevention-of-hypotension-after-induction-of-general-anesthesia-using-point-of-care-ultrasound-to-guide-fluid-management-a-randomized-controlled-trial
#37
JOURNAL ARTICLE
Elad Dana, Cristian Arzola, James S Khan
PURPOSE: Hypotension after induction of general anesthesia (GAIH) is common and is associated with postoperative complications including increased mortality. Collapsibility of the inferior vena cava (IVC) has good performance in predicting GAIH; however, there is limited evidence whether a preoperative fluid bolus in patients with a collapsible IVC can prevent this drop in blood pressure. METHODS: We conducted a single-centre randomized controlled trial with adult patients scheduled to undergo elective noncardiac surgery under general anesthesia (GA)...
March 13, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38478876/smallest-clinically-meaningful-improvement-in-amputation-related-pain-and-brief-pain-inventory-scores-as-defined-by-patient-reports-of-global-improvement-after-cryoneurolysis-a-retrospective-analysis-of-a-randomized-controlled-clinical-trial
#38
JOURNAL ARTICLE
Brian M Ilfeld, Cameron R Smith, Alparslan Turan, Edward R Mariano, Matthew E Miller, Rick L Fisher, Andrea M Trescot, Steven P Cohen, James C Eisenach, Daniel I Sessler, J David Prologo, Edward J Mascha, Liu Liu, Rodney A Gabriel
BACKGROUND: The smallest meaningful improvement in pain scores (minimal clinically important difference [MCID]) after an analgesic intervention is essential information when both interpreting published data and designing a clinical trial. However, limited information is available for patients with chronic pain conditions, and what is published is derived from studies involving pharmacologic and psychological interventions. We here calculate these values based on data collected from 144 participants of a previously published multicenter clinical trial investigating the effects of a single treatment with percutaneous cryoneurolysis...
March 14, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38478173/effects-of-different-volumes-of-ropivacaine-for-pericapsular-nerve-group-block-on-incidence-of-quadriceps-weakness-and-analgesic-efficacy-following-hip-arthroplasty-a-randomized-controlled-trial
#39
JOURNAL ARTICLE
Huaichang Wen, Weihua Zhang, Yi Wang, Meijing Lu
INTRODUCTION: The pericapsular nerve group (PENG) block has been shown to be an effective approach to alleviating pain and reducing the need for opioids among older adults following hip surgery, with possible motor-sparing effects. No reports to date, however, have described appropriate ropivacaine volumes for use in the context of PENG block. The present prospective randomized controlled study was thus developed to assess the quadriceps muscle strength and analgesic efficacy associated with PENG block performed using three different volumes of 0...
March 13, 2024: Pain and Therapy
https://read.qxmd.com/read/38476789/uterine-leiomyoma-journey-with-acessa-provu-system-using-general-anesthesia-under-laparoscopic-ultrasound-guidance-a-case-report
#40
Merlin Perez Navarro, Juliana Cazzaniga, Benny Esquenazi
This case report details the evaluation and management of a 40-year-old woman presenting with heavy menstrual bleeding and severe dysmenorrhea. Despite three months of combined oral contraceptives, symptoms persisted. The patient denied other systemic symptoms, with no weight loss, fatigue, or urinary/fecal symptoms. No visual, cardiovascular, pulmonary, abdominal, neurological, or mental health issues were reported. Pelvic imaging revealed a 7 cm × 4.3 cm FIGO 4 fibroid. The chosen treatment was laparoscopic radiofrequency ablation (Acessa) due to its efficacy, safety, and faster recovery...
February 2024: Curēus
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