keyword
https://read.qxmd.com/read/38531739/similar-outcomes-between-arthroscopic-capsular-release-and-manipulation-under-anaesthesia-for-frozen-shoulder-a-meta-analysis
#1
REVIEW
Yifan Xiao, Hang Tang, Jiahao Meng, Yumei Wu, Weijie Liu, Pan Liu, Shuguang Gao
To compared the arthroscopic capsular release (ACR) with manipulation under anaesthesia (MUA) for the surgical treatment of frozen shoulder (FS) based on postoperative outcomes and complications. PubMed, Cochrane Library, Embase, and Web of Science were searched on October 2, 2023 to retrieve eligible studies that compared ACR with MUA in terms of clinical outcomes (pain visual analogue scale, external rotation, forward flexion and adverse events) for patients with FS. Mean differences (MD) were calculated for continuous outcomes and odds ratios (OR) were calculated for dichotomous outcomes...
March 25, 2024: Asian Journal of Surgery
https://read.qxmd.com/read/38531566/comparison-of-the-effects-of-ultrasound-guided-quadratus-lumborum-block-and-erector-spinae-plane-block-on-postoperative-pain-in-abdominal-surgeries-a-protocol-for-systematic-review-and-meta-analysis
#2
JOURNAL ARTICLE
Xiangdong Zhang, Donghang Zhang, Xiaoqing Wang, Yiyong Wei
INTRODUCTION: Ultrasound-guided quadratus lumborum block and erector spinae plane block are widely used for postoperative analgesia in adult patients undergoing abdominal surgeries. This protocol aims to compare the analgesic effects between ultrasound-guided quadratus lumborum block and erector spinae plane block on postoperative pain in abdominal surgeries. METHODS AND ANALYSIS: Four databases, including PubMed, EMBASE, Web of Science and the Cochrane Central Register of Controlled Trials (CENTRAL), will be searched...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38523839/predictors-of-postoperative-delirium-in-paediatric-patients-undergoing-surgery-under-general-anaesthesia-at-amhara-regional-state-tertiary-hospitals-a-multicenter-prospective-study
#3
JOURNAL ARTICLE
Debas Yaregal Melesse, Tadesse Teshale Tesema, Zemenay Ayinie Mekonnen, Wubie Birlie Chekol, Biruk Adie Admass, Misganaw Mengie Workie
INTRODUCTION: Postoperative delirium in paediatric patients is a recognised issue. Nevertheless, in low- and middle-income nations, researchers have had luck in determining its extent and predictors. Identifying predictors of postoperative delirium in paediatric patients having general anaesthesia at Tertiary Hospitals in Ethiopia was the aim of this study. METHODS: A multicenter, prospective follow up study was conducted from April 15 to June 15, 2023 at the study settings...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38522435/using-an-under-utilised-rural-hospital-to-reduce-surgical-waiting-lists
#4
JOURNAL ARTICLE
Tracey Edwards, Andrea Boerkamp, Kimberley J Davis, Steven Craig
ObjectivesThis study aimed to evaluate patient outcomes from a 12-month pilot program establishing specialist surgical services in a small rural (Modified Monash Model, MM4) hospital on the south coast of NSW.MethodsSuitable patients for ambulatory surgery were selected based on strict anaesthetic, surgical and social criteria. Skills shortfalls among nursing staff, usually with emergency or inpatient experience, were addressed by appropriate re-training and in-service training in scrub, scout and anaesthetic duties...
March 25, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38521656/pain-after-combat-injury-in-male-uk-military-personnel-deployed-to-afghanistan
#5
JOURNAL ARTICLE
Jan Vollert, Alexander Kumar, Emma C Coady, Paul Cullinan, Daniel Dyball, Nicola T Fear, Zoe Gan, Eleanor F Miller, Stefan Sprinckmoller, Suzie Schofield, Alexander Bennett, Anthony M J Bull, Christopher J Boos, Andrew S C Rice, Harriet I Kemp
BACKGROUND: Chronic pain after injury poses a serious health burden. As a result of advances in medical technology, ever more military personnel survive severe combat injuries, but long-term pain outcomes are unknown. We aimed to assess rates of pain in a representative sample of UK military personnel with and without combat injuries. METHODS: We used data from the ADVANCE cohort study (ISRCTN57285353). Individuals deployed as UK armed forces to Afghanistan were recruited to include those with physical combat injuries, and a frequency-matched uninjured comparison group...
March 22, 2024: British Journal of Anaesthesia
https://read.qxmd.com/read/38521512/development-and-validation-of-an-assessment-tool-for-adult-simulated-ultrasound-guided-fascia-iliaca-block-a-prospective-monocentric-study
#6
JOURNAL ARTICLE
Frederic-Pierre Guyader, Mathieu Violeau, Jérémy Guenezan, Youcef Guechi, Cyril Breque, Pauline Betoulle-Masset, Jean-Pierre Faure, Denis Oriot, Daniel Aiham Ghazali
BACKGROUND: Fascia iliaca block (FIB) is an effective technique for analgesia. While FIB using ultrasound is preferred, there is no current standardised training technique or assessment scale. We aimed to create a valid and reliable tool to assess ultrasound-guided FIB. METHOD: This prospective observational study was conducted in the ABS-Lab simulation centre, University of Poitiers, France between 26-29 October and 14-17 December 2021. Psychometric testing included validity analysis and reliability between two independent observers...
March 23, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38520233/wound-healing-and-cosmetic-outcomes-in-neonatal-circumcision-using-three-different-techniques
#7
JOURNAL ARTICLE
Taiye Taibat Ibiyeye, Jones Olaoluwa Taiwo, Abdulrasheed A Nasir, Ademola A Popoola
BACKGROUND: Circumcision of a male child is an integral part of some African cultures. An ideal technique of neonatal circumcision should be simple, safe and heal satisfactorily with good cosmetic appeal. AIMS: The aim was to compare conventional dissection (CD), Plastibell (PB) and Gomco (GM) techniques of circumcision in neonates in terms of wound healing, wound healing complications, cosmetic outcome and parental satisfaction. SUBJECTS AND METHODS: A total of 144 male neonates were randomised into three study groups: CD, GM and PB groups...
March 14, 2024: African Journal of Paediatric Surgery: AJPS
https://read.qxmd.com/read/38513642/-peripheral-regional-anesthesia-techniques-standards-in-flux
#8
JOURNAL ARTICLE
Thomas Wiesmann, Thorsten Steinfeldt, Ann-Kristin Schubert
This review article provides an overview of current developments in peripheral regional anaesthesia (RA). The authors present a subjective compilation based on discussions at professional events and inquiries to the Working Group on Regional Anaesthesia of the German Society for Anaesthesiology and Intensive Care Medicine (DGAI). The article addresses several relevant topics, including the handling of antithrombotic medication in peripheral blockades with reference to European guidelines, the debate on the discharge timing after plexus anaesthesia, and the consideration of rebound pain as an independent pain entity following RA...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38513640/-common-and-new-regional-anaesthesia-techniques-under-review-from-head-to-abdomen
#9
JOURNAL ARTICLE
Thorsten Steinfeldt, Andreas Marx, Mark Dauster
By implementation of sonography regional anesthesia became more relevant in the daily practice of anesthesia and pain therapy. Due to visualized needle guidance ultrasound supports more safety during needle placement. Thereby new truncal blocks got enabled. Next to the blocking of specific nerve structures, plane blocks got established which can also be described as interfascial compartment blocks. The present review illustrates published and established blocks in daily practice concerning indications and the procedural issues...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38513639/-a-different-take-on-regional-anaesthesia
#10
JOURNAL ARTICLE
Kai Zacharowski
No abstract text is available yet for this article.
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38511162/bilateral-erector-spinae-plane-block-for-postoperative-pain-relief-in-lumbar-spine-surgery-a-prisma-compliant-updated-systematic-review-meta-analysis
#11
REVIEW
Sathish Muthu, Vibhu Krishnan Viswanathan, Saravanan Annamalai, Mohammed Thabrez
STUDY DESIGN: Systematic review. OBJECTIVE: Erector spinae plane block (ESPB) is growing in popularity over the recent past as an adjuvant modality in multimodal analgesic management following lumbar spine surgery (LSS). The current updated meta-analysis was performed to analyze the efficacy of ESPB for postoperative analgesia in patients undergoing LSS. METHODS: We conducted independent and duplicate electronic database searches including PubMed, Embase and Cochrane Library till June 2023 for randomized controlled trials (RCTs) analyzing the efficacy of bilateral ESPB for postoperative pain relief in lumbar spine surgeries...
July 2024: World neurosurgery: X
https://read.qxmd.com/read/38508942/examining-disparities-in-regional-anaesthesia-and-pain-medicine
#12
EDITORIAL
Uchenna O Umeh
In high-resource countries, health disparities exist in both treatment approaches and health outcomes. Race and ethnicity can serve as proxies for other socioeconomic factors and social determinants of health such as income, education, social support, and residential neighbourhood, which strongly influence health outcomes and disparities. In regional anaesthesia and pain medicine, disparities exist across several surgical specialties including obstetrics, paediatrics, and orthopaedic surgery. Understanding these disparities will facilitate development of solutions aimed at eliminating disparities at the patient, physician/provider, and healthcare system levels...
March 19, 2024: British Journal of Anaesthesia
https://read.qxmd.com/read/38508595/peripheral-nerve-blocks-for-through-knee-amputation-in-a-patient-on-extracorporeal-membrane-oxygenation
#13
JOURNAL ARTICLE
Nicholas Seidler, Olivia Terlep, Vendhan Ramanujam
A woman in her 40s with an ischaemic right lower limb, who was on extracorporeal membrane oxygenation (ECMO) following cardiopulmonary failure secondary to bilateral alveolar haemorrhage, was scheduled for through-knee amputation. She was under mechanical ventilation and continuous intravenous medications. Considering her significant comorbidities, peripheral nerve blocks were chosen for anaesthesia. Ultrasound-guided traditional nerve blockade techniques of the femoral and sciatic nerves were not possible because of the presence of an ECMO cannula, altered anatomy following previous surgery on the same side and inability to turn the patient to a lateral position...
March 19, 2024: BMJ Case Reports
https://read.qxmd.com/read/38508393/navigating-critical-airways-videolaryngoscopy-s-role-in-transesophageal-echocardiography-probe-insertion
#14
EDITORIAL
Ahed Zeidan, Morgan le Guen, Munir Bamadhaj
No abstract text is available yet for this article.
March 18, 2024: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38504615/population-pharmacokinetic-pharmacodynamic-model-of-subcutaneous-bupivacaine-in-a-novel-extended-release-microparticle-formulation
#15
JOURNAL ARTICLE
Ida Klitzing Storgaard, Elisabeth Kjaer Jensen, Søren Bøgevig, Torben Balchen, Anders Holten Springborg, Mike Allan Royal, Kirsten Møller, Mads Utke Werner, Trine Meldgaard Lund
The objective of this study was to develop a population pharmacokinetic-pharmacodynamic model of subcutaneously administered bupivacaine in a novel extended-release microparticle formulation for postoperative pain management. Bupivacaine was administered subcutaneously in the lower leg to 28 healthy male subjects in doses from 150 to 600 mg in a phase 1 randomized, placebo-controlled, double-blind, dose-ascending study with two different microparticle formulations, LIQ865A and LIQ865B. Warmth detection threshold was used as a surrogate pharmacodynamic endpoint...
March 20, 2024: Basic & Clinical Pharmacology & Toxicology
https://read.qxmd.com/read/38504035/measurements-of-pupillary-unrest-using-infrared-pupillometry-fail-to-detect-changes-in-pain-intensity-in-patients-after-surgery-a-prospective-observational-study
#16
JOURNAL ARTICLE
Matthias Behrends, Merlin D Larson
PURPOSE: The pupil displays chaotic oscillations, also referred to as pupillary unrest in ambient light (PUAL). As pain has previously been shown to increase pupillary unrest, the quantitative assessment of PUAL has been considered a possible tool to identify and quantify pain. Nevertheless, PUAL is affected by various states, such as vigilance, cognitive load, or emotional arousal, independent of pain. Furthermore, systematically applied opioids are known to reduce PUAL, thus potentially limiting its usefulness to detect pain or changes in pain intensity...
March 19, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38502825/non-steroidal-anti-inflammatory-drugs-in-multimodal-strategies-a-potential-double-edged-sword-but-still-more-research-needed
#17
EDITORIAL
J Poeran, S G Memtsoudis
No abstract text is available yet for this article.
March 19, 2024: Anaesthesia
https://read.qxmd.com/read/38501226/prophylactic-dexamethasone-for-rebound-pain-after-peripheral-nerve-block-in-adult-surgical-patients-systematic-review-meta-analysis-and-trial-sequential-analysis-of-randomised-controlled-trials
#18
REVIEW
Narinder P Singh, Jeetinder K Makkar, Janeesha K Chawla, Rakesh V Sondekoppam, Preet M Singh
BACKGROUND: Rebound pain occurs after the resolution of peripheral nerve block and hampers patient recovery in the postoperative period. We sought to synthesise available data from randomised controlled trials (RCTs) evaluating the efficacy of prophylactic dexamethasone for rebound pain in adult patients undergoing surgery with a peripheral nerve block. METHODS: In this systematic review and meta-analysis, RCTs reporting rebound pain and use of dexamethasone in the context of a peripheral nerve block were searched in various databases and updated in May 2023...
October 26, 2023: British Journal of Anaesthesia
https://read.qxmd.com/read/38500306/a-retrospective-comparison-of-postoperative-outcomes-in-ovariectomised-jennies-equus-asinus-treated-with-phenylbutazone-or-flunixin-meglumine
#19
JOURNAL ARTICLE
Cynthia Xue, Lorenzo Segabinazzi, Alexis Hall, Tarisai Brighton Dzikiti, Hilari French, Robert Gilbert
BACKGROUND: Clinically, flunixin meglumine (FM) and phenylbutazone (PBZ) are preferentially selected for the treatment of visceral and musculoskeletal pain, respectively, in horses. In donkeys, there is no information to support or refute this conventional conjecture. OBJECTIVES: To compare postoperative outcomes in a group of jennies treated with intravenous FM or oral PBZ. ANIMALS: Fourteen jennies unilaterally ovariectomised by standing left flank laparotomy...
March 18, 2024: Equine Veterinary Journal
https://read.qxmd.com/read/38499247/psychometric-evaluation-of-the-modified-quality-of-recovery-score-for-the-postanaesthesia-care-unit-qor-pacu-2-a-prospective-validation-study
#20
JOURNAL ARTICLE
Ursula Kahl, Alena Boehm, Linda Krause, Regine Klinger, Kaloyan Stoimenov, Christian Zöllner, Lili Plümer, Marlene Fischer
BACKGROUND: To date, there is no instrument to adequately assess self-reported quality of recovery (QoR) in the post-anesthesia care unit (PACU). We previously developed the QoR-PACU, a 13-item questionnaire specifically applicable to the PACU. The feasibility, acceptance, and validity of the QoR-PACU were promising. However, measures of reliability were slightly lower than expected. METHODS: We modified the QoR-PACU and evaluated its psychometric properties in a cohort of adult patients scheduled for non-cardiac surgery with general anesthesia...
March 16, 2024: Anaesthesia, Critical Care & Pain Medicine
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