keyword
https://read.qxmd.com/read/38102032/a-comparison-of-the-motor-effects-and-analgesic-efficacy-following-lumbar-plexus-block-combined-with-sciatic-nerve-block-or-epidural-in-dogs-undergoing-tibial-plateau-leveling-osteotomy
#1
JOURNAL ARTICLE
Sophie M Graff, Deborah V Wilson, Loic M Déjardin, Nathan C Nelson
OBJECTIVE: To compare motor effects and analgesic efficacy following an ultrasound-guided lateral approach to lumbar plexus blockade at L7 and sciatic nerve blockade (LPSNB) against epidural injection in dogs undergoing tibial plateau leveling osteotomy (TPLO). STUDY DESIGN: Prospective, randomized, blinded clinical trial. ANIMALS: A total of 27 healthy adult dogs undergoing unilateral TPLO surgery. METHODS: Dogs were allocated to either LPSNB (bupivacaine 2 mg kg-1 , 0...
November 4, 2023: Veterinary Anaesthesia and Analgesia
https://read.qxmd.com/read/37476434/comparison-of-continuous-transmuscular-quadratus-lumborum-block-and-continuous-psoas-compartment-block-for-posterior-total-hip-arthroplasty-a-randomised-controlled-trial
#2
JOURNAL ARTICLE
Arjun Balakrishnan, Anjolie Chhabra, Ajeet Kumar, Praveen Talawar, Debesh Bhoi, Heena Garg
BACKGROUND AND AIMS: Analgesia for hip surgery involves cutaneous anaesthesia at the site of the skin incision and the anterior hip capsule. This study aimed to compare continuous ultrasound (US)-guided transmuscular quadratus lumborum block (TQLB) with psoas compartment block (PCB) for analgesia in patients undergoing total hip arthroplasty (THA) under general anaesthesia (GA). METHODS: This randomised, observer-blinded trial included 18-70-year-old American Society of Anesthesiologists physical status I-III patients undergoing THA under GA with either US-guided continuous TQLB or PCB...
June 2023: Indian Journal of Anaesthesia
https://read.qxmd.com/read/36574407/surgeon-performed-intraoperative-peripheral-nerve-blocks-and-periarticular-infiltration-during-total-hip-and-knee-arthroplasty-a-critical-analysis-review
#3
JOURNAL ARTICLE
Véronique Drapeau-Zgoralski, Jonathan Bourget-Murray, Brandon Hall, Isabel Horton, Geoffrey Dervin, Kenneth Duncan, Keith Addy, Simon Garceau
➢: Surgeon-performed intraoperative peripheral nerve blocks may improve operating room efficiency and reduce hospital resource utilization and, ultimately, costs. Additionally, these blocks can be safely performed intraoperatively by most orthopaedic surgeons, while only specifically trained physicians are able to perform ultrasound-guided peripheral nerve blocks. ➢: IPACK (infiltration between the popliteal artery and capsule of the knee) blocks are at least noninferior to periarticular infiltration when combined with an adductor canal block for analgesia following total knee arthroplasty...
November 1, 2022: JBJS Reviews
https://read.qxmd.com/read/36451651/epidural-catheter-migration-a-case-report-of-a-ct-scan-examination
#4
André Eloy, Joana Tinoco, Rita Regufe, Jorge Cortez, Lisbete Cordeiro
Epidural catheter placement is one of the most effective, secure, and worldwide used pain control modalities. Epidural catheter dislodgment is a common cause of epidural block failure. The diagnosis of this situation is usually presumptive, and cases in which the actual trajectory and final location of the catheter are witnessed by imaging are rare. We present two cases of the insufficient epidural block due to catheter migration, confirmed by a CT scan with radiopaque contrast injection through the catheter...
October 2022: Curēus
https://read.qxmd.com/read/36408115/the-effects-of-anesthesia-methods-and-anesthetics-on-postoperative-delirium-in-the-elderly-patients-a-systematic-review-and-network-meta-analysis
#5
Xuhui Zhuang, Yuewen He, Yurui Liu, Jingjing Li, Wuhua Ma
STUDY OBJECTIVE: Postoperative delirium (POD) is one of the serious postoperative complications in elderly patients, which is always related to long-term mortality. Anesthesia is often considered a risk factor for POD. This systematic review and network meta-analysis (NMA) aimed to assess the impact of different anesthesia methods and anesthetics on POD. MEASUREMENTS: We searched for studies published in PubMed, Embase, Web of Science, Scopus, and Cochrane Library (CENTRAL) from inception to 18 March 2022...
2022: Frontiers in Aging Neuroscience
https://read.qxmd.com/read/35697947/understanding-fascial-anatomy-and-interfascial-communication-implications-in-regional-anesthesia
#6
REVIEW
Peiqi Shao, Huili Li, Rong Shi, Jinlei Li, Yun Wang
With the extensive application of ultrasound in regional anesthesia, there has been rapid development of interfascial plane block techniques recently. Compared with neuraxial anesthesia or nerve plexus blocks, the interfascial plane blocks have many advantages, such as technical simplicity, fewer complications and comparable or better analgesia. The concept of fascial interconnectivity is fundamental in understanding the effects and complications of interfascial plane blocks. Many fascial planes are continuous and communicate with each other without a clear anatomical boundary...
August 2022: Journal of Anesthesia
https://read.qxmd.com/read/35549713/a-comparison-of-0-375-ropivacaine-psoas-compartment-block-and-2-prilocaine-spinal-anaesthesia-in-dogs-undergoing-tibial-plateau-levelling-osteotomy
#7
JOURNAL ARTICLE
Diego Sarotti, Elena Lardone, Lisa Piras, Davide Mancusi, Paolo Franci
BACKGROUND: In dogs undergoing routine elective orthopaedic surgeries carried out as same-day surgeries regional anaesthetic techniques (RATs) should aim to produce analgesia but minimising the postoperative motor dysfunction. Our objective was to compare the perioperative analgesic effects and the time to motor recovery between spinal anaesthesia (SA) with hyperbaric solution of prilocaine 2% (mg = 4 x [0.3 × BW (kg) + 0.05 × SCL (cm)]) and morphine (0.03 mg/kg) and combined ultrasound (US) and electro stimulator-guided psoas compartment and ischiatic nerve block (PB) with ropivacaine 0...
May 12, 2022: BMC Veterinary Research
https://read.qxmd.com/read/35378731/evaluation-of-sensory-loss-obtained-by-circum-psoas-blocks-in-patients-undergoing-total-hip-replacement-a-descriptive-pilot-study
#8
JOURNAL ARTICLE
Huili Li, Rong Shi, Peiqi Shao, Yun Wang
Purpose: The transversalis fascia (TF) encases the quadratus lumborum and psoas major (PM) muscles, respectively, after they split caudalward approximately at the level of the iliac crest. The branches of the lumbar plexus variably exit medially and laterally from the TF-encased PM muscle. We hypothesized that the local anesthetic (LA) injections around the anterolateral edge of PM at the supra-iliac level and into the retro-psoas compartment at the L5/S1 level, which termed as the circum-psoas blocks, could block the lumbar plexus branches...
2022: Journal of Pain Research
https://read.qxmd.com/read/35003723/analgesic-efficacy-of-posterior-and-anterior-psoas-compartment-block-lumbar-plexus-versus-three-in-one-nerve-block-after-lower-limb-orthopedic-surgery-under-spinal-anesthesia-a-prospective-cohort-study
#9
JOURNAL ARTICLE
Habtu Adane Aytolign, Abraham Tarekegn Mersha, Yonas Admasu Ferede
Introduction: Postoperative pain is the most common complaint in patients who underwent orthopedic surgery. Regarding with the severity of pain, orthopedic patients suffered more than non-orthopedic patients in the immediate post-operative period. Therefore, pain management is crucial for better patient outcome. Lumbar plexus (LB) and three -in-one (3IN1) nerve blocks have been routinely practiced as pain management techniques in the study area but the analgesic efficacy was not studied yet...
January 2022: Annals of Medicine and Surgery
https://read.qxmd.com/read/34696733/psoas-compartment-block-efficacy-and-safety-for-perioperative-analgesia-in-the-elderly-with-proximal-femur-fractures-a-randomized-controlled-study
#10
RANDOMIZED CONTROLLED TRIAL
Kateryna Bielka, Iurii Kuchyn, Igor Tokar, Valerii Artemenko, Uliana Kashchii
BACKGROUND: Proximal femur fractures are most common fractures in the elderly and associated with significant mortality and morbidity, with high economic and social impact. Perioperative pain management influence outcomes and mortality after surgery with early mobilization being possible. The goal of the study was to compare the efficacy and safety of the psoas compartment block (PCB) with spinal and general anesthesia. METHODS: We included 90 patients in this randomized controlled study and divided them into three groups...
October 25, 2021: BMC Anesthesiology
https://read.qxmd.com/read/34204599/proximal-perineural-femoral-nerve-injection-in-pigs-using-an-ultrasound-guided-lateral-subiliac-approach-a-cadaveric-study
#11
JOURNAL ARTICLE
Robert Trujanovic, Pablo E Otero, Peter Marhofer, Ulrike Auer, Silvio Kau
Desensitizing the femoral nerve (FN) improves pain control in several species undergoing pelvic limb surgeries. Despite its advantages, this method has not yet been described in pigs, although they make an accepted surgical animal model. Based on anatomical dissections, first performed in two pig cadavers, an ultrasound-guided access for localization and perineural infiltration of the FN trunk at the iliopsoas compartment level was specified. The FN was found running between the psoas major and medial portion of iliac muscle...
June 12, 2021: Animals: An Open Access Journal From MDPI
https://read.qxmd.com/read/33997847/total-spinal-anaesthesia-a-rare-complication-of-psoas-compartment-block
#12
Nishkarsh Gupta, Vishnu Panwar, Seema Mishra
Psoas compartment block is an acceptable regional anaesthesia technique as a substitute to central neuraxial blockade for lower limb surgeries. Being a peripheral nerve block, it is considered relatively safe compared with the central neuraxial block. However, it can lead to some serious complications. Herein, we report a rare complication of total spinal anaesthesia following peripheral nerve stimulator-guided psoas compartment block.
April 2021: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/33911025/anatomical-considerations-for-obturator-nerve-block-with-fascia-iliaca-compartment-block
#13
JOURNAL ARTICLE
Thomas Fichtner Bendtsen, Erik Morre Pedersen, Bernhard Moriggl, Peter Hebbard, Jason Ivanusic, Jens Børglum, Thomas Dahl Nielsen, Philip Peng
This report reviews the topographical and functional anatomy relevant for assessing whether or not the obturator nerve (ON) can be anesthetized using a fascia iliaca compartment (FIC) block. The ON does not cross the FIC. This means that the ON would only be blocked by an FIC block if the injectate spreads to the ON outside of the FIC. Such a phenomena would require the creation of one or more artificial passageways to the ON in the retro-psoas compartment or the retroperitoneal compartment by disrupting the normal anatomical integrity of the FI...
September 2021: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/33823459/a-comparison-of-analgesic-techniques-for-total-knee-arthroplasty-a-network-meta-analysis
#14
REVIEW
Lu Qin, Di You, Guoqing Zhao, Longyun Li, Shishun Zhao
STUDY OBJECTIVE: There is no established analgesic method for postoperative total knee arthroplasty. We comprehensively compared the analgesic methods for postoperative total knee arthroplasty. DESIGN: A network meta-analysis of randomised controlled trials was used to compare 18 interventions, which were ranked by six outcome indices, to select the best modality. SETTING: Postoperative recovery room and inpatient ward. PATIENTS: 98 randomised controlled trials involving 7452 patients (ASA I-III) were included in the final analysis...
August 2021: Journal of Clinical Anesthesia
https://read.qxmd.com/read/33713157/surgical-treatment-of-proximal-femoral-fractures-in-high-risk-geriatric-patients-under-peripheral-regional-anesthesia-a-prospective-feasibility-study
#15
JOURNAL ARTICLE
Ronald Seidel, Eduard Barbakow, Stefan Schulz-Drost
BACKGROUND AND OBJECTIVE: Due to changing demographics geriatric patients with multiple comorbidities and proximal femoral fractures are an increasing patient population. In these patient groups, peripheral regional anesthesia could become increasingly more important besides established procedures, such as neuraxial or general anesthesia. The aim of this single center feasibility study was to evaluate a combined blockade technique of the lumbosacral plexus for three predefined subgroups depending on the type of hip fracture...
March 13, 2021: Der Anaesthesist
https://read.qxmd.com/read/32821656/ultrasound-guided-psoas-compartment-and-sciatic-nerve-blocks-for-pain-management-of-hind-limb-procedures-in-the-alpaca-vicugna-pacos
#16
Andrew Foster, Alex McSloy, Paolo Monticelli
Background: Loco-regional anesthetic techniques are considered important in the multimodal approach to analgesia in both human and veterinary medicine. No such techniques are described in the alpaca, bar the use of epidural. This is in part due to the lack of anatomical description for this species. While this limitation exists, the use of ultrasound guidance makes peripheral nerve blocks a viable possibility in the alpaca. Case description: A 12-month-old alpaca was referred for the treatment of a septic left tarso-crural joint...
August 2020: Open Veterinary Journal
https://read.qxmd.com/read/32475699/-paraspinous-sagittal-shift-psss-a-novel-approach-for-transmuscular-quadratus-lumborum-block-for-hip-surgery-analgesia-four-case-reports
#17
JOURNAL ARTICLE
Ahmad S Alabd, Moustafa A Moustafa, Aly M M Ahmed
BACKGROUND: Effective pain management is essential for successful rehabilitation and enhanced recovery after joint arthroplasty. The Quadratus Lumborum Block (QLB) has mostly been described for abdominal surgery, but has also recently been applied to hip surgery patients. METHODS: In the following cases series, we suggest a modification of the TQL block described as Paraspinous Sagittal Shift QL block. We hypothesize that this approach may allow better LA spread to the lumbar nerve roots...
March 2020: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/31772402/fascia-iliaca-compartment-block-how-far-does-the-local-anaesthetic-spread-and-is-a-real-time-continuous-technique-feasible-in-children
#18
JOURNAL ARTICLE
Vrushali C Ponde, Anuya A Gursale, Dilip N Chavan, Ashok N Johari, Maryrose O Osazuwa, Tripti Nagdev
Background and Aims: The fascia iliaca compartment block (FICB) is commonly administered in children for anterolateral thigh surgery. The actual spread of the local anaesthetic (LA) beneath the fascial layers in children is not known. We hypothesised that in children there could be a possibility of the LA to reach lumbar plexus with the dose we used. Methods: This study included 25 children, aged 1-15 years for lower limb surgeries after standardised general anesthesia, the FICB was done with ultrasonography...
November 2019: Indian Journal of Anaesthesia
https://read.qxmd.com/read/30813132/inadvertent-epidural-anesthesia-associated-with-catheterization-following-continuous-psoas-compartment-block-in-a-patient-with-scoliosis-a-case-report
#19
JOURNAL ARTICLE
Byung-Gun Kim, Chunwoo Yang, Sunghyun Soh, Kyungjoo Lee
RATIONALE: Psoas compartment block (PCB) is typically performed using surface anatomical landmarks and neurostimulation for guidance. However, anatomical anomalies, such as scoliosis, make this technique unreliable, posing a challenge for the anesthesiologist when inducing regional anesthesia. PATIENT CONCERNS: A 69-year-old woman with lumbar scoliosis scheduled for total hip arthroplasty underwent PCB with catheterization. DIAGNOSES: Inadvertent epidural anesthesia with catheterization following PCB was diagnosed using a lumbar radiograph...
February 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30798268/supra-inguinal-injection-for-fascia-iliaca-compartment-block-results-in-more-consistent-spread-towards-the-lumbar-plexus-than-an-infra-inguinal-injection-a-volunteer-study
#20
JOURNAL ARTICLE
Kris Vermeylen, Matthias Desmet, Ine Leunen, Filiep Soetens, Arne Neyrinck, Dirk Carens, Ben Caerts, Patrick Seynaeve, Admir Hadzic, Marc Van de Velde
BACKGROUND AND OBJECTIVES: Lumbar plexus block has been used to provide postoperative analgesia after lower limb surgery. The fascia iliaca compartment block (FICB) has been proposed as an anterior approach of the lumbar plexus targeting the femoral, obturator and lateral femoral cutaneous nerve. However, both radiological and clinical evidence demonstrated that an infra-inguinal approach to the fascia iliaca compartment does not reliably block the three target nerves.We hypothesized that a supra-inguinal approach of the fascia iliaca compartment results in a more consistent block of the three target nerves than an infra-inguinal approach...
February 22, 2019: Regional Anesthesia and Pain Medicine
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