keyword
https://read.qxmd.com/read/38506437/comparison-of-analgesic-effects-of-continuous-femoral-nerve-block-femoral-triangle-block-and-adductor-block-after-total-knee-arthroplasty-a-randomized-clinical-trial
#1
JOURNAL ARTICLE
Minghe Tan, Bozhou Chen, Qingshu Li, Siqi Wang, Daiyu Chen, Maoji Zhao, Jun Cao
OBJECTIVES: This study aimed to compare the analgesic effects of continuous femoral nerve block (FNB), femoral triangle block (FTB), and adductor canal block (ACB) following total knee arthroplasty (TKA). The goal was to identify the most effective nerve block technique among these three. METHODS: Patients undergoing TKA were randomly assigned to one of three groups: FNB, FTB, or ACB. Nerve blocks were administered preoperatively, with catheters placed for patient-controlled nerve analgesia (PCNA)...
March 20, 2024: Clinical Journal of Pain
https://read.qxmd.com/read/38502424/feasibility-of-tension-free-repair-of-inguinal-hernia-in-senile-patients-under-ultrasound-guided-local-nerve-block
#2
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/38499359/multimodal-pain-management-and-postoperative-outcomes-in-inpatient-and-outpatient-shoulder-arthroplasties-a-population-based-study
#3
JOURNAL ARTICLE
Helen Liu, Haoyan Zhong, Nicole Zubizarreta, Paul Cagle, Jiabin Liu, Jashvant Poeran, Stavros G Memtsoudis
INTRODUCTION: Multimodal analgesia has been associated with reduced opioid utilization, opioid-related complications, and improved recovery in various orthopedic surgeries; however, large sample size data is lacking for shoulder surgery. METHODS: A retrospective review using the Premier Healthcare Database of patients who underwent inpatient or outpatient (reverse, total, partial) shoulder arthroplasty from 2010 to 2019. Opioid-only analgesia was compared with multimodal analgesia, categorized into 1, 2, or >2 additional analgesic modes, with/without a nerve block...
March 18, 2024: Regional Anesthesia and Pain Medicine
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
#4
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/38489226/combined-dexamethasone-and-dexmedetomidine-as-adjuncts-to-popliteal-and-saphenous-nerve-blocks-in-patients-undergoing-surgery-of-the-foot-or-ankle-a-randomized-blinded-placebo-controlled-clinical-trial
#5
JOURNAL ARTICLE
Mathias Maagaard, Kamilia S Funder, Nikolaj K Schou, Jeannette Ø Penny, Peter Toquer, Jens Laigaard, Emma R Stormholt, Anders K Nørskov, Pia Jæger, Jakob H Andersen, Ole Mathiesen
BACKGROUND: Both dexamethasone and dexmedetomidine increase the duration of analgesia of peripheral nerve blocks. The authors hypothesized that combined intravenous dexamethasone and intravenous dexmedetomidine would result in a greater duration of analgesia when compared with intravenous dexamethasone alone and placebo. METHODS: The authors randomly allocated participants undergoing surgery of the foot or ankle under general anesthesia and with a combined popliteal (sciatic) and saphenous nerve block to a combination of 12 mg dexamethasone and 1 mcg/kg dexmedetomidine, 12 mg dexamethasone, or placebo (saline)...
March 14, 2024: Anesthesiology
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
#6
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/38463067/effectiveness-of-perineural-administration-of-dexamethasone-with-lidocaine-on-onset-time-of-sensory-block-and-early-postoperative-analgesia-in-axillary-brachial-plexus-block-a-prospective-cohort-study-ethiopia
#7
JOURNAL ARTICLE
Simeneh Mola, Betelihem Girma
INTRODUCTION: The axillary brachial plexus block is a popular nerve block for forearm, wrist, and hand surgery. The aim of this study was to assess the effectiveness of perineural administration of dexamethasone as an adjunct to lidocaine with adrenaline on the onset of sensory block and early postoperative analgesia in trans-arterial axillary brachial plexus block. METHODOLOGY: This single-centered prospective cohort study recruited 68 adult patients, 34 in each groups...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38460427/efficacy-of-greater-occipital-nerve-block-treatment-for-migraine-and-potential-impact-of-patient-positioning-during-procedure-results-of-randomised-controlled-trial
#8
JOURNAL ARTICLE
Jitka Vanderpol, Gina Kennedy, Fayyaz Ahmed, Leon Jonker
PURPOSE: Assess the efficacy, and potential impact of patient positioning for 10 minutes immediately post-procedure, of greater occipital nerve (GON) block for treatment of migraine. METHODS: Prospective multicentre non-blinded randomised controlled trial, randomisation and treatment of 60 neurology clinic patients with poorly controlled migraine. Outcomes measured with Headache Impact Test-6 (HIT-6), modified MIgraine Disability Assessment Scale (M-MIDAS), and RELIEF scores...
February 27, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38456150/peripheral-nerve-blocks-of-wrist-and-finger-flexors-can-increase-hand-opening-in-chronic-hemiparetic-stroke
#9
JOURNAL ARTICLE
Hendrik A Dewald, Jun Yao, Julius P A Dewald, Antoun Nader, Robert F Kirsch
INTRODUCTION: Hand opening is reduced by abnormal wrist and finger flexor activity in many individuals with stroke. This flexor activity also limits hand opening produced by functional electrical stimulation (FES) of finger and wrist extensor muscles. Recent advances in electrical nerve block technologies have the potential to mitigate this abnormal flexor behavior, but the actual impact of nerve block on hand opening in stroke has not yet been investigated. METHODS: In this study, we applied the local anesthetic ropivacaine to the median and ulnar nerve to induce a complete motor block in 9 individuals with stroke and observed the impact of this block on hand opening as measured by hand pentagonal area...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38452849/cadaveric-study-of-the-ultrasound-guided-erector-spinae-plane-block-over-the-transverse-process-of-the-twelfth-thoracic-vertebra-in-dogs-transversal-vs-longitudinal-approach
#10
JOURNAL ARTICLE
M E Herrera-Linares, B Rico-Pérez, D Yaffy, R Fernández-Parra, C Llanos, C Parra-Martínez, M E Herrera-Gutiérrez, S Sanchis-Mora
This study describes a transversal (TV) ultrasound-guided erector spinae plane (ESP) block technique over the transverse process of T12. And evaluates the distribution of the dye and affected nerves branches compared to a longitudinal (LNG) approach over the transverse process of T12 in canine cadavers. Secondly, it also compares de anatomy and dimensions of the transverse processes of T12 with T9 and T5. For this double-masked, cadaveric experimental study, 12 adult Beagle cadavers were injected with 0.6mL/kg of dye/contrast...
March 5, 2024: Veterinary Journal
https://read.qxmd.com/read/38452400/subcutaneous-injection-of-lidocaine-around-ischemic-ankle-provides-safe-and-effective-foot-analgesia-in-patients-with-critical-limb-ischemia
#11
JOURNAL ARTICLE
Akifumi Kanai, Masatomo Ara, Ryusei Saito, Toshiaki Mishima, Yuichiro Takahashi
OBJECTIVE: It is often difficult to alleviate foot pain associated with critical limb ischemia (CLI) using common analgesics. Neuraxial block is contraindicated in anticoagulant therapy. This study was designed to determine the response to subcutaneous injection of lidocaine around the network of peripheral nerves around the ankle in patients with CLI pain on anticoagulants and antiplatelets. METHODS: Sixteen patients with CLI pain in the foot were enrolled in this double-blind placebo-controlled crossover study...
March 7, 2024: Vascular
https://read.qxmd.com/read/38451438/the-effect-of-simultaneous-administration-of-occipital-nerve-block-and-cervical-myofascial-trigger-point-injection-mtrpi-on-headache-parameters-in-chronic-migraine-patients
#12
JOURNAL ARTICLE
Mehmet Ercan, Ayfer Ertekin
BACKGROUND AND AIM: Peripheral myofascial mechanisms have been identified as contributors to migraine pathophysiology. The specific comorbid relationship between migraine and cervical trigger points may exacerbate the occurrence and severity of migraine attacks. Trigger point injections (TPIs) are frequently employed to address headaches and alleviate migraine symptoms. The current study explores the impact of concurrent myofascial trigger point injection (MTrPI) and occipital nerve block (greater occipital nerve block [GONB] + lesser occipital nerve block [LONB]) on the severity of headaches and the number of migraine attacks in individuals with chronic migraine (CM) and cervical myofascial trigger points (MTrPs), with a comparison of occipital nerve block alone (GONB + LONB)...
March 7, 2024: Irish Journal of Medical Science
https://read.qxmd.com/read/38445315/neuropathic-pain-after-orthopaedic-surgery-with-continuous-peripheral-nerve-block
#13
JOURNAL ARTICLE
Phillip Kaasgaard Sperling, Nicolai Launa, Arash Ghaffari, Helle Rømer, Maibrit Pape B Sørensen, Ole Rahbek, Søren Kold, Jannie Bisgaard
INTRODUCTION: Continuous peripheral nerve blocks (cPNBs) have shown favourable post-operative pain control results but may be associated with a risk for long-term neurological complications. This study sought to examine factors associated with persistent post-operative pain and potential neuropathy after orthopaedic lower-limb surgery with the use of post-operative cPNB. METHODS: Patients who underwent lower limb orthopaedic procedures with cPNBs between November 2021 to May 2022 were included...
February 15, 2024: Danish Medical Journal
https://read.qxmd.com/read/38418409/no-evidence-of-fascicular-injury-following-a-low-volume-intraneural-injection-of-the-median-nerve-a-cadaveric-study
#14
JOURNAL ARTICLE
Jorge Mejia, Pierre Goffin, Miguel A Reina, Xavier Sala-Blanch
BACKGROUND: The test dose or hydrolocation technique allows rapid detection of spread location. Though its primary aim is to enhance safety in peripheral nerve blocks, evidence on the potential risks of an intraneural test aliquot is lacking. We conducted a cadaveric study to evaluate the risk of fascicular injury following a low-volume (<1 mL) intraneural injection of the median nerve. METHODS: Ten upper limbs from fresh unembalmed human cadavers were studied...
February 28, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38408324/study-of-topography-of-stylomastoid-foramen-with-respect-to-nearby-landmarks-to-carry-out-facial-nerve-block-with-minimum-complications
#15
JOURNAL ARTICLE
Rajani Singh
Nadbath facial nerve block is the most common procedure to anesthetize the facial nerve at stylomastoid foramen in intraocular surgeries, but it is associated with complications. Also, this foramen exhibits ethnic and racial variations with regard to its location. There is scanty literature describing the topographical location of this foramen. So, the study is carried out. The purpose of the study is to describe the topography of stylomastoid foramen from the surrounding landmarks so that Nadbath facial nerve block can be performed with minimum complications...
February 26, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38407270/building-affordable-durable-medium-fidelity-ballistic-gel-phantoms-for-ultrasound-guided-nerve-block-training
#16
JOURNAL ARTICLE
Brennan P Marsh-Armstrong, John F Ryan, David J Mariano, Preetham J Suresh, Benjamin Supat
Ultrasound phantoms - alternatives to live human tissue - give learners the opportunity to practice ultrasound-guided regional anesthesia without introducing undue risk to patients. Gelatin-based phantoms provide educators with durable and reusable task trainers; however, commercially available gel-based phantoms are expensive. Here, we investigate the production of durable, low-cost, ballistic gel-based ultrasound phantoms for median, femoral, suprainguinal fascia iliaca plane, and serratus anterior plane nerve blocks, as well as a methodology for producing a phantom for any ultrasound-guided nerve block procedure...
February 9, 2024: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38399602/efficacy-of-supplemental-ultrasound-guided-pericapsular-nerve-group-peng-block-combined-with-lateral-femoral-cutaneous-nerve-block-in-patients-receiving-local-infiltration-analgesia-after-hip-fracture-surgery-a-prospective-randomized-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Seung-Hee Yoo, Min-Jin Lee, Min-Hyouk Beak, Won-Joong Kim
Background and Objectives : Local infiltration analgesia (LIA) represents a potential approach to reducing pain in patients undergoing total hip arthroplasty (THA). The pericapsular nerve group (PENG) block also provides adequate analgesia for fractures and THA. As most hip surgeries use a lateral incision, affecting the cutaneous supply by branches of the lateral femoral cutaneous nerve (LFCN), the LFCN block can contribute to postoperative analgesia. However, no studies have investigated the effectiveness of supplemental PENG block combined with LFCN block in patients undergoing LIA after hip fracture surgery...
February 12, 2024: Medicina
https://read.qxmd.com/read/38395463/subcostal-tap-block-one-or-two-sequential-injections-a-cadaveric-study
#18
JOURNAL ARTICLE
Augustin Schaefer, Sébastien Grousson, Thomas Bessede, Dan Benhamou, Laura Ruscio
BACKGROUND AND OBJECTIVES: The subcostal transversus abdominis plane block (scTAPB) provides analgesia to the anterior abdominal wall but analgesic spread following a single injection remains modest and variable. The oblique scTAPB, which is performed with a continuous injection during needle progression into the TAP along the oblique subcostal line, may extend the block to the whole anterior abdominal wall but needle progression by hydrodissection may be difficult, explaining why this block is not widely used...
February 23, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38394843/interpectoral-nerve-blocks-may-lower-postoperative-narcotic-use-after-mastectomy
#19
JOURNAL ARTICLE
Ricardo J Bello, Benjamin A Palleiko, Kara Kennedy, Lauren Cournoyer, Anne C Larkin, Kate H Dinh, Jennifer LaFemina
BACKGROUND: Pain management following mastectomy is a significant challenge often requiring opioids. Nonopioid pain management utilizing nerve blocks has been shown in other fields to reduce postoperative opioid use and may be effective for postoperative pain in mastectomy patients. The primary purpose of this study was to compare postoperative opioid use, measured in morphine milligram equivalents (MME), between mastectomy patients who underwent interpectoral nerve block (IPNB) and a historical control group...
February 16, 2024: Surgical Oncology
https://read.qxmd.com/read/38384178/effect-of-perineural-or-intravenous-betamethasone-on-femoral-nerve-block-outcomes-in-knee-arthroplasty-a-randomized-controlled-study
#20
JOURNAL ARTICLE
Binglong Li, Xiaomei Yang, Fang Liu, Huang Huang, Baoqing Zhang, Xuezhou Li, Qunshan Lu, Peilai Liu, Lixia Fan
OBJECTIVES: Despite the use of multimodal analgesia, patients undergoing knee arthroplasty still encounter residual moderate pain. The addition of betamethasone to local anesthetic has been shown to improve postoperative pain. However, it remains uncertain whether the positive effects of perineural or intravenous administration of betamethasone on analgesia outcomes lead to better early mobility and postoperative recovery. METHODS: Between June 2022 and February 2023, a total of 159 patients who were undergoing knee arthroplasty were included in this study...
February 21, 2024: Orthopaedic Surgery
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