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JOURNAL ARTICLE
Marta Imamura, Gilson T Shinzato, André T Sugawara, Sabrina Saemy Tome Uchiyama, Denise Matheus, Marcel Simis, Denise Vianna Machado Ayres, Artur C A Dos Santos, Tatiane Assone, Vinícius Delgado Ramos, Felipe Fregni, Linamara R Battistella
BACKGROUND: Knee osteoarthritis (OA) is a leading cause of disability in the elderly population. Chronic disabling pain is associated with maladaptive neuroplastic changes in brain networks, commonly associated with central sensitization. The main clinical features of nociplastic pain conditions include combined peripheral and central sensitization, and it is crucial to recognize this type of pain, as it responds to different therapies than nociceptive and neuropathic pain. OBJECTIVE: To report the effect of the Institute of Physical Medicine and Rehabilitation (IMREA) comprehensive rehabilitation program to reduce pain and to improve functioning in elderly people with knee OA, under the DEFINE cohort...
2022: Frontiers in Medicine
#22
Eric Chun-Pu Chu, Linda Yin-King Lee
The present case study describes the long-term symptomatic remission in a patient with fibromyalgia (FM) after multimodal spinal manipulation. A 44-year-old woman presented with a chronic headache, severe neck pain, shoulder pain, and back pain lasting for 2 years after experiencing domestic violence. She had sleep disorders, fatigue, and depressive mood. Her primary care physician diagnosed her with FM and comorbid depression. Despite treatment with non-steroidal anti-inflammatory drugs, muscle relaxants, anti-depressants, anti-epileptics, acupuncture, and aqua-therapy, she experienced no appreciable relief from her symptoms...
2022: International Medical Case Reports Journal
#23
JOURNAL ARTICLE
Hong-Yang Sang, Song Wu, Zheng-Yang Fan, Qian-Ping Li, Shao-Fei Cheng, Kun Fan
OBJECTIVE: This paper is aimed at investigating the efficacy of combining internal fixation using prefabricated rib-locking titanium plate with ultrasound-guided thoracic paravertebral nerve blockade in treating multiple rib fractures among the elderly. METHODS: Retrospective analysis of 221 elderly patients with multiple rib fractures treated from February 2016 to November 2020. According to whether surgery was performed, they were divided into the plate-blockage combination group (surgical group, 102 cases) and conservative treatment group (non-surgical group, 119 cases)...
October 25, 2022: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
#24
Zengping Wang, Jie Wen, Chunzhen Ren, Wen Xue, Yuxin Song, Lin Liu
Anterior Endoscopy Combining with Modified Total En Block Spondylectomy for Synovial Sarcoma in Thoracic Paraspine Causing Neurological Deficits.
August 4, 2022: Orthopaedic Surgery
#25
JOURNAL ARTICLE
Priyanka Pavithran, Pramod K Sudarshan, Salin Eliyas, Biju Sekhar, Kishore Kaniachallil
BACKGROUND AND AIMS: Posterior lumbar spine fusion surgeries are associated with severe postoperative pain necessitating a multimodal analgesic regime. Wound infiltration with local anaesthetic is an accepted modality for postoperative analgesia in spine surgeries. Thoracolumbar interfascial plane (TLIP) block is a novel technique being evaluated for providing analgesia in lumbar spine surgeries. This study aimed to compare the analgesic efficacy of TLIP block compared to that of wound infiltration with local anaesthetic in terms of time to request the first dose of rescue analgesic...
June 2022: Indian Journal of Anaesthesia
#26
JOURNAL ARTICLE
Manoj Kumar Karmakar, Ranjith Kumar Sivakumar, Kenneth Sheah, Pawinee Pangthipampai, Per-Arne Lönnqvist
An intertransverse process block (ITPB) is a paraspinal thoracic nerve block technique, where the local anesthetic (LA) is injected into the thoracic intertransverse tissue complex posterior to the superior costotransverse ligament (SCTL). Although an ITPB can be ultrasound-guided, it is performed using surrogate bony landmarks without even identifying the SCTL. This report describes a transverse ultrasound imaging technique to identify the retro-SCTL space and perform an ITPB with a retro-SCTL space injection, in 2 patients undergoing video-assisted thoracoscopic surgery...
July 1, 2022: A&A Practice
#27
Tuhin Mistry, Kartik Sonawane, Senthilkumar Balasubramanian, Jagannathan Balavenkatasubramanian, Vipin K Goel
Sacral surgeries are a relatively rare type of spine surgery associated with a significant amount of perioperative pain. The paraspinal interfascial or erector spinae plane block is currently being practiced with promising results in cervical, thoracic, and lumbar spine surgeries. It provides not only effective analgesia but also helps in reducing perioperative opioid consumption. Sacral multifidus plane block is one such variant of paraspinal blocks, which may have an equianalgesic profile. This case report describes a novel application of this block for providing perioperative analgesia in sacral spine surgery...
April 2022: Saudi Journal of Anaesthesia
#28
JOURNAL ARTICLE
Shin Hyung Kim
Various techniques for regional anesthesia and analgesia of the thorax are currently being used in clinical practice. A recent international consensus has anatomically classified paraspinal blocks in the thoracic spinal region into the following four types: paravertebral, retrolaminar, erector spinae plane, and intertransverse process blocks. These blocks have different anatomical targets; thus, the spreading patterns of the injectates differ and can consequently exhibit different neural blockade characteristics...
August 2022: Korean Journal of Anesthesiology
#29
Sandeep Diwan, Xavier Sala-Blanch, Abhijit Nair
The paraspinal space is intriguing in nature. There are several needle tip placements described in compact anatomical spaces. This has led to an incertitude regarding the appropriate anatomic locations for needle tip positions. Through our cadaver models we try to resolve the issues surrounding needle tip positions clarifying anatomical spaces and barriers. Further we propose an anatomical classification based on our findings in cadaveric open dissections and cross and sagittal sections.
November 27, 2021: Brazilian Journal of Anesthesiology
#30
JOURNAL ARTICLE
Diego N Alza Salvatierra, Manuel E Herrera Linares, Luca Motta, Miguel Martinez
Case series summary: The erector spinae plane (ESP) block consists of an interfascial injection of local anaesthetic between the erector spinae muscle group and the transverse processes of the thoracic vertebrae. This block targets the dorsal rami of the thoracic spinal nerves to desensitise the cutaneous area near the dorsal midline, the paraspinal muscles, the dorsal vertebral laminae and the facet joints. The purpose of this case series is to describe the perioperative analgesic effect and complications of ultrasound-guided ESP block with bupivacaine in three cats undergoing spinal surgery...
July 2021: JFMS Open Reports
#31
E Remedios, D Sommerfield, W Fellingham, N Powers, K Stannage, J W S Hii
A 14-year-old girl with cerebral palsy presented for bilateral lower limb surgery for spasticity. A lumbar epidural catheter was sited under general anaesthesia on the third attempt and used intra-operatively with good effect. A local anaesthetic infusion was used for postoperative analgesia but was noted to be leaking under the dressing with a patchy, unilateral block. The catheter was therefore removed on the second postoperative day. Following discharge, the patient progressively developed new back and leg pain for which she was re-admitted seven weeks later...
July 2021: Anaesthesia reports
#32
RANDOMIZED CONTROLLED TRIAL
Özcan Pişkin, Mertol Gökçe, Bülent Altınsoy, Çağdaş Baytar, Bengü Gülhan Aydın, Rahşan Dilek Okyay, Gamze Küçükosman, Keziban Bollucuoğlu, Hilal Ayoğlu
BACKGROUND: The aim of this prospective, randomized, controlled study was to evaluate the analgesic effect of ultrasonography (USG) guided continuous erector spinae plane block (ESPB) for postoperative analgesia in video-assisted thoracoscopic surgery (VATS). METHODS: Eighty American Society of Anesthesiologists (ASA) physical status I-III patients aged 18-75 and who were to undergo VATS were included in this study. Randomization was performed in 2 groups, continuous ESPB (ESPB Group) and no intervention (Control Group)...
January 2022: General Thoracic and Cardiovascular Surgery
#33
JOURNAL ARTICLE
Dilip R Karnad, Vishal Gupta
Tetanus is caused by an exotoxin, tetanospasmin, produced by Clostridium tetani , an anaerobic gram-positive bacillus.Tetanospasmin prevents the release of inhibitory neurotransmitter gamma-aminobutyric acid (GABA) in the spinal cord, brainstem motor nuclei, and the brain, producing muscle rigidity and tonic spasms.Trismus (lockjaw), dysphagia, laryngeal spasms, rigidity of limbs and paraspinal muscles, and opisthotonic posture are common.Frequent severe spasms triggered by touch, pain, bright light, or sounds may produce apnea and rhabdomyolysis...
May 2021: Indian Journal of Critical Care Medicine
#34
JOURNAL ARTICLE
D J Morrell, J A Doble, B S Hendriksen, C M Horne, C S Hollenbeak, E M Pauli
PURPOSE: Recovery protocols aim to limit narcotic administration following ventral hernia repair (VHR). However, little is known about the contribution of a protocol's individual components on patient outcomes. We previously reported that surgeon-performed transversus abdominis plane block (TAP-block) is more effective than ultrasound-guided TAP-block following VHR. This study evaluates the effectiveness of two postoperative analgesia modalities: epidural catheter and surgeon-performed TAP-block following VHR performed with transversus abdominis release (TAR)...
December 2021: Hernia: the Journal of Hernias and Abdominal Wall Surgery
#35
RANDOMIZED CONTROLLED TRIAL
Mahmoud M Alseoudy, Ibrahim Abdelbaser
STUDY OBJECTIVE: Ultrasound-guided retrolaminar block (RLB) is a new, safe and technically easy nerve block. To our knowledge, no studies have evaluated its analgesic efficacy in pediatric patients. This study aimed to compare the postoperative analgesic efficacy of RLB and ilioinguinal nerve block (INB) in pediatric patients undergoing unilateral inguinal herniotomy. DESIGN: Superiority, prospective, randomized, double-blinded, controlled study. SETTING: Operating rooms and wards of Mansoura University Children's Hospital, Egypt...
November 2021: Journal of Clinical Anesthesia
#36
REVIEW
Ki Jinn Chin, Barbara Versyck, Hesham Elsharkawy, Maria Fernanda Rojas Gomez, Xavier Sala-Blanch, Miguel A Reina
Fascial plane blocks (FPBs) are regional anesthesia techniques in which the space ("plane") between two discrete fascial layers is the target of needle insertion and injection. Analgesia is primarily achieved by local anesthetic spread to nerves traveling within this plane and adjacent tissues. This narrative review discusses key fundamental anatomical concepts relevant to FPBs, with a focus on blocks of the torso. Fascia, in this context, refers to any sheet of connective tissue that encloses or separates muscles and internal organs...
July 2021: Regional Anesthesia and Pain Medicine
#37
JOURNAL ARTICLE
Kariem El-Boghdadly, Morné Wolmarans, Angela D Stengel, Eric Albrecht, Ki Jinn Chin, Hesham Elsharkawy, Sandra Kopp, Edward R Mariano, Jeff L Xu, Sanjib Adhikary, Başak Altıparmak, Michael J Barrington, Sébastien Bloc, Rafael Blanco, Karen Boretsky, Jens Børglum, Margaretha Breebaart, David Burckett-St Laurent, Xavier Capdevila, Brendan Carvalho, Alwin Chuan, Steve Coppens, Ioana Costache, Mette Dam, Christian Egeler, Mario Fajardo, Jeff Gadsden, Philippe Emmanuel Gautier, Stuart Alan Grant, Admir Hadzic, Peter Hebbard, Nadia Hernandez, Rosemary Hogg, Margaret Holtz, Rebecca L Johnson, Manoj Kumar Karmakar, Paul Kessler, Kwesi Kwofie, Clara Lobo, Danielle Ludwin, Alan MacFarlane, John McDonnell, Graeme McLeod, Peter Merjavy, Eml Moran, Brian D O'Donnell, Teresa Parras, Amit Pawa, Anahi Perlas, Maria Fernanda Rojas Gomez, Xavier Sala-Blanch, Andrea Saporito, Sanjay Kumar Sinha, Ellen M Soffin, Athmaja Thottungal, Ban C H Tsui, Serkan Tulgar, Lloyd Turbitt, Vishal Uppal, Geert J van Geffen, Thomas Volk, Nabil M Elkassabany
BACKGROUND: There is heterogeneity in the names and anatomical descriptions of regional anesthetic techniques. This may have adverse consequences on education, research, and implementation into clinical practice. We aimed to produce standardized nomenclature for abdominal wall, paraspinal, and chest wall regional anesthetic techniques. METHODS: We conducted an international consensus study involving experts using a three-round Delphi method to produce a list of names and corresponding descriptions of anatomical targets...
July 2021: Regional Anesthesia and Pain Medicine
#38
JOURNAL ARTICLE
Jamil Elmawieh, Nicolas Leymarie, Charles Honore, Océane Sultan, Stéphanie Suria, Philippe Sitbon, Valérie Billard
Efficient pain management is essential for postoperative rehabilitation in patients undergoing a tumor resection with an immediate reconstructive surgery. Ultrasound-guided quadratus lumborum block has been described for abdominal or hip surgery, but not for concomitant surgery in the abdomen and the thigh. The paraspinous transmuscular approach has easy landmarks to perform this block. We present a case of a patient undergoing a resection of a sarcoma in the lower limb with an immediate reconstruction with a pedicled vertical designed deep inferior epigastric perforator flap, in whom a successful paraspinous transmuscular quadratus lumborum block for postoperative analgesia was performed...
June 8, 2021: A&A Practice
#39
JOURNAL ARTICLE
Tohru Terao, Naoki Kato, Yuichi Sasaki, Keiichirou Ohara, Shoutarou Michishita, Yosuke Nakayama, Keisuke Hadano, Kostadin Karagiozov, Satoshi Tani, Yuichi Murayama
BACKGROUND: Severe low back pain (LBP) is an occasional complaint in patients with neuromuscular disorders (NMDs). Accurate diagnosis and treatment are required to manage LBP; however, the precise pathophysiology differs for each patient. This study aimed to evaluate the efficacy of lumbar facet joint denervation (FJD) and adjunctive modalities in the treatment of LBP in patients with NMD-associated kyphoscoliosis. METHODS: A total of 16 patients (22 sites) with NMD (bilateral, n = 6; unilateral, n = 10) and LBP treated with lumbar FJD were evaluated...
January 2022: Neurological Sciences
#40
JOURNAL ARTICLE
Jan Sawicki, Anna Danielewicz, Magdalena Wójciak, Michał Latalski, Agnieszka Skalska-Kamińska, Katarzyna Tyszczuk-Rotko, Ireneusz Sowa
Preparation of paraspinal tissue of patients with implants for elemental analysis is a challenge because it contains titanium in the ionic form, as well as metallic debris. Most literature reports focus on dissolving the tissue, but the impact of digestion conditions on metallic debris of Ti has not been investigated. In our work, various digestion conditions, including systems, compositions of oxidising mixture, and time, were tested aiming (i) to digest the tissue without digestion of metallic titanium to quantify soluble Ti and (ii) to digest metallic titanium debris to asses total Ti content in tissue...
April 7, 2021: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
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