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Locoregional anesthesia

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https://www.readbyqxmd.com/read/27803817/ultrasound-guided-femoral-and-sciatic-nerve-blocks-for-repair-of-tibia-and-fibula-fractures-in-a-bennett-s-wallaby-macropus-rufogriseus
#1
Paolo Monticelli, Luis Campoy, Chiara Adami
Locoregional anesthetic techniques may be a very useful tool for the anesthetic management of wallabies with injuries of the pelvic limbs and may help to prevent capture myopathies resulting from stress and systemic opioids' administration. This report describes the use of ultrasound-guided femoral and sciatic nerve blocks in Bennett's wallaby (Macropus rufogriseus) referred for orthopaedic surgery. Ultrasound-guided femoral and sciatic nerve blocks were attempted at the femoral triangle and proximal thigh level, respectively...
2016: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/27771095/transanal-hemorrhoid-dearterialization-is-a-safe-and-effective-outpatient-procedure-for-the-treatment-of-hemorrhoidal-disease
#2
Zoran Bjelanovic, Miroljub Draskovic, Milic Veljovic, Ivan Lekovic, Menelaos Karanikolas, Dusica Stamenkovic
INTRODUCTION: This prospective, observational study evaluated transanal dearterialization (THD) efficacy and safety in grade 2-4 hemorrhoids (HD). METHODS: THD was performed under sedation-locoregional anesthesia in 402 outpatients. Patients had follow-up evaluation 3 days, 2 weeks, 1, 6 and 12 months postoperatively. RESULTS: Mean patient age was 46.4 (range 20-85) years. A total of 268 patients (66.6%) were male. Sixteen patients (4.0%) had grade 2 HD, 210 (52...
October 19, 2016: Cirugía Española
https://www.readbyqxmd.com/read/27591461/paravertebral-block-for-management-of-acute-postoperative-pain-and-intercostobrachial-neuralgia-in-major-breast-surgery
#3
Mercedes Fernández Gacio, Ana Maria Agrelo Lousame, Susana Pereira, Clara Castro, Juliana Santos
BACKGROUND: Several locoregional techniques have been described for the management of acute and chronic pain after breast surgery. The optimal technique should be easy to perform, reproducible, with little discomfort to the patient, little complications, allowing good control of acute pain and a decreased incidence of chronic pain, namely intercostobrachial neuralgia for being the most frequent entity. OBJECTIVES: The aim of this study was to evaluate the paravertebral block with preoperative single needle prick for major breast surgery and assess initially the control of postoperative nausea and vomiting (PONV) and acute pain in the first 24h and secondly the incidence of neuropathic pain in the intercostobrachial nerve region six months after surgery...
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27212766/real-time-ultrasound-guided-comparison-of-adductor-canal-block-and-psoas-compartment-block-combined-with-sciatic-nerve-block-in-laparoscopic-knee-surgeries
#4
Medhat M Messeha
BACKGROUND: Lumbar plexus block, combined with a sciatic nerve block, is an effective locoregional anesthetic technique for analgesia and anesthesia of the lower extremity. The aim of this study was to compare the clinical results outcome of the adductor canal block versus the psoas compartment block combined with sciatic nerve block using real time ultrasound guidance in patients undergoing elective laparoscopic knee surgeries. PATIENTS AND METHODS: Ninety patients who were undergoing elective laparoscopic knee surgeries were randomly allocated to receive a sciatic nerve block in addition to lumbar plexus block using either an adductor canal block (ACB) or a posterior psoas compartment approach (PCB) using 25 ml of bupivacine 0...
May 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27179044/echo-guided-differential-popliteal-block-in-an-obese-patient-with-intractable-painful-leg-ulcer-for-early-discharge-in-day-surgery
#5
Maddalena Zampi, Carmine Iacovazzo, Tommaso Pagano, Pasquale Buonanno, Mariella Carlomagno, Flavia Cianciulli, Giuseppe Servillo
Pain management is extremely important in day surgery, and it is one of the limiting factors for this type of procedures. Locoregional anesthesia is strongly recommended for day surgery; nevertheless, it could be very difficult to localize nerve position especially in obese patients. Furthermore, a complete nerve blockade could result in a delayed discharge. We present a case of analgesic ultrasound-guided block of tibial and common peroneal nerves in the popliteal fossa without any motor function involvement in an obese patient undergoing debridement of an infected lower limb ulcer; all previous attempts of surgical debridement in day surgery with topical anesthetics had failed because of discomfort due to pain...
June 2016: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/27177436/suprascapular-nerve-block-versus-interscalene-block-as-analgesia-after-arthroscopic-rotator-cuff-repair-a-randomized-controlled-noninferiority-trial
#6
Asuka Desroches, Shahnaz Klouche, Charles Schlur, Thomas Bauer, Thomas Waitzenegger, Philippe Hardy
PURPOSE: To compare the efficacy of suprascapular nerve block (SSB) and interscalene block (ISB) as postoperative analgesia within the first 24 hours after arthroscopic supraspinatus and/or infraspinatus tendon repair. METHODS: A single-blind, randomized controlled study was performed between 2013 and 2014. The inclusion criteria were arthroscopic supraspinatus and/or infraspinatus tendon repair confirmed intraoperatively, with or without associated procedures, and informed consent...
May 10, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27062027/the-importance-of-internal-carotid-artery-occlusion-tolerance-test-in-carotid-endarterectomy-under-locoregional-anesthesia
#7
Marcos Dellaretti, Laura T de Vasconcelos, Jules Dourado, Renata F de Souza, Renato R Fontoura, Atos A de Sousa
BACKGROUNDS: Carotid endarterectomy is considered a safe and effective method for preventing stroke in the short and long term in patients with severe carotid stenosis. The internal carotid artery (ICA) occlusion tolerance test was performed to evaluate cerebral tolerance during temporary carotid occlusion, defined as the capacity of the cerebral hemisphere to maintain adequate cerebral blood flow during occlusion of the ICA. Thus, the aim of the present study is to determine the importance of this test in patients undergoing carotid endarterectomy...
June 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/26892620/-paravertebral-block-for-management-of-acute-postoperative-pain-and-intercostobrachial-neuralgia-in-major-breast-surgery
#8
Mercedes Fernández Gacio, Ana Maria Agrelo Lousame, Susana Pereira, Clara Castro, Juliana Santos
BACKGROUND: Several locoregional techniques have been described for the management of acute and chronic pain after breast surgery. The optimal technique should be easy to perform, reproducible, with little discomfort to the patient, little complications, allowing good control of acute pain and a decreased incidence of chronic pain, namely intercostobrachial neuralgia for being the most frequent entity. OBJECTIVES: The aim of this study was to evaluate the paravertebral block with preoperative single needle prick for major breast surgery and assess initially the control of postoperative nausea and vomiting (PONV) and acute pain in the first 24hours and secondly the incidence of neuropathic pain in the intercostobrachial nerve region six months after surgery...
September 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/26707866/journal-of-clinical-monitoring-and-computing-2015-end-of-year-summary-anesthesia
#9
Jan F A Hendrickx, Andre De Wolf, Stanley Skinner
Clinical monitoring is an essential part of the profession of anesthesiology. It would therefore be impossible to review all articles published in the Journal of Clinical Monitoring and Computing that are relevant to anesthesia. Because other reviews will address monitoring of the respiratory and cardiovascular system, the current review will limit itself to topics uniquely related to anesthesia. The topics are organized according to the chronological order in which an anesthetic proceeds: secure the airway; ventilate and deliver anesthetic gases; monitor vital organ function and anesthetic depth; and ensure analgesia during/after emergence from anesthesia (locoregional anesthesia and pain control)...
February 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/26642777/general-or-local-anesthesia-for-tavi-a-systematic-review-of-the-literature-and-meta-analysis
#10
E H A Maas, B M A Pieters, M Van de Velde, S Rex
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is becoming a valuable alternative to surgical aortic valve replacement in patients with severe aortic stenosis that are at high surgical risk or deemed inoperable. The optimal anesthesia technique for TAVI is still undecided. We performed a systematic review and metaanalysis to compare the safety of locoregional anesthesia (LRA) with or without conscious sedation and general anesthesia (GA) for the TAVI-procedure. METHODS: We searched PUBMED, MEDLINE, EMBASE and the Cochrane central register of controlled trials from January 1st 2002 to February 15th 2015...
2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/26635122/management-of-prosthetic-patch-infection-after-cea
#11
REVIEW
Ross Naylor
It has been reported that 0.5-1% of patients undergoing carotid endarterectomy with prosthetic patch closure of the arteriotomy will develop patch infection. One third occur within the first 2 months after surgery, while two-thirds occur after >6 months have elapsed. Wound infection and abscess formation is the commonest mode of presentation in early cases, while chronic sinus discharge and false aneurysm formation are the commonest presentations in late cases. The commonest infecting organisms are Staphylococci/Streptococci (90%) and this should be borne in mind when planning antibiotic therapy before cultures are available...
April 2016: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/26449103/-isolated-chest-trauma-in-elderly-patients
#12
Bertrand Yersin, Pierre-Nicolas Carron, Mathieu Pasquier, Tobias Zingg
In elderly patients, a blunt trauma of the chest is associated with a significant risk of complications and mortality. The number of ribs fractures (≥ 4), the presence of bilateral rib fractures, of a pulmonary contusion, of existent comorbidities or acute extra-thoracic traumatic lesions, and lastly the severity of thoracic pain, are indeed important risk factors of complications and mortality. Their presence may require hospitalization of the patient. When complications do occur, they are represented by alveolar hypoventilation, pulmonary atelectasia and broncho-pulmonary infections...
August 12, 2015: Revue Médicale Suisse
https://www.readbyqxmd.com/read/26423449/the-effects-of-anesthesia-on-the-morphoproteomic-expression-of-head-and-neck-squamous-cell-carcinoma-a-pilot-study
#13
Jay K Ferrell, Davide Cattano, Robert E Brown, Chirag B Patel, Ron J Karni
The prognosis and disease-free survival rates for head and neck squamous cell carcinoma (HNSCC) have remained relatively stagnant for the last several decades. Moreover, as is the case with other malignancies, locoregional recurrence and distant metastasis are all too common even after seemingly successful oncologic surgery and adjuvant therapy. Recently, increased focus has been placed on understanding the influence of perioperative factors on tumor cell behavior and surgical outcomes. More specifically, emerging research suggests that anesthetic agents may play a role in cancer recurrence by interacting with prosurvival protein signaling pathways which harden tumor cells against oncologic treatments...
December 2015: Translational Research: the Journal of Laboratory and Clinical Medicine
https://www.readbyqxmd.com/read/26391459/increasing-efficacy-of-endovascular-recanalization-with-covered-stent-graft-for-transatlantic-inter-society-consensus-ii-d-aortoiliac-complex-occlusion
#14
COMPARATIVE STUDY
Daniele Psacharopulo, Emanuele Ferrero, Michelangelo Ferri, Andrea Viazzo, Sandeep Singh Bahia, Andrea Trucco, Fulvio Ricceri, Franco Nessi
OBJECTIVE: We compared the outcomes and the durability of endovascular recanalization (EVR) with the Viabahn (W. L. Gore and Associates, Flagstaff, Ariz) covered stent graft vs traditional aortobifemoral or aortofemoral bypass grafting for complex aortoiliac occlusions. METHODS: Between 2008 and 2014, 11 unilateral iliac occlusions and 11 aortobiiliac occlusions were treated by EVR. Also collected were data from the last 21 consecutive patients treated in the same period by aortofemoral (n = 6) or aortobifemoral (n = 15) bypass grafting...
November 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26168686/frequency-and-anatomy-of-the-retromolar-canal-implications-for-the-dental-practice
#15
Katharina Filo, Thomas Schneider, Astrid L Kruse, Michael Locher, Klaus W Grätz, Heinz-Theo Lübbers
The retromolar canal (RMC) is an anatomical variant of the mandibular canal. Apart from blood vessels it also contains accessory nerve fibers and is clinically important, because its presence can account for failures of mandibular block anesthesias and in rare cases, injuries of its neurovascular bundle can lead to complications such as hemorrhages and dysesthesias. The aim of this retrospective case study was to analyze the frequency and anatomy of the RMC using cone beam computed tomography (CBCT) in order to draw conclusions for the dental practice...
2015: Swiss Dental Journal
https://www.readbyqxmd.com/read/26141693/examination-of-regional-anesthesia-for-carotid-endarterectomy
#16
Laura Pasin, Pasquale Nardelli, Giovanni Landoni, Guglielmo Cornero, Silvio Magrin, Yamume Tshomba, Roberto Chiesa, Alberto Zangrillo
OBJECTIVE: Carotid endarterectomy is the most effective treatment for reducing the risk of stroke in patients with significant carotid stenosis. Few studies have focused on the failure rate of regional anesthesia. METHODS: Data of all patients undergoing carotid endarterectomy (June 2009 to December 2014) in a single center were collected. Combined deep and superficial cervical plexus block or superficial plexus block alone was used according to the attending anesthesiologist's choice and the patient's characteristics (eg, dual antiplatelet or anticoagulation therapy)...
September 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26140944/patients-views-on-regional-anesthesia-for-elective-unilateral-carotid-endarterectomy-a-prospective-cohort-study
#17
Thomas Werner Buehrer, Rachel Rosenthal, Peter Stierli, Lorenz Gurke
BACKGROUND: Carotid endarterectomy (CEA) can be performed under general anesthesia (GA) or locoregional anesthesia (LA). However, the patients' views on the choice between GA and LA are currently poorly understood. We aimed at identifying the preoperative patient information needs, their role in decision-making, and influencing factors associated with LA and anxiety regarding surgery and anesthesia in CEA as a base for improving preoperative consultation and decision-making in the informed consent process...
October 2015: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/26125686/alleged-malpractice-in-anesthesiology-analysis-of-a-series-of-private-insurance-claims
#18
Umberto Genovese, Alberto Blandino, Riccardo Midolo, Michelangelo B Casali
BACKGROUND: Medical malpractice is currently a crucial topic and anesthesia is a key specialty for the improvement of patient safety. However, death and permanent impairment due to anesthesia still occur and studies of insurance analysis data are increasing. We investigated the main features of a major Italian insurance broker's archive in order to identify possible recurrent pitfalls in this critical field of medicine. METHODS: Three hundred seventeen Italian claims were analyzed, filling out a standardized form that recorded information on patient and physician's characteristics, procedures, sequence and location of events and outcomes...
February 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/26123143/carotid-endarterectomy-review-of-10-years-of-practice-of-general-and-locoregional-anesthesia-in-a-tertiary-care-hospital-in-portugal
#19
Mercês Lobo, Joana Mourão, Graça Afonso
BACKGROUND: Retrospective and prospective randomized studies have compared general and locoregional anesthesia for carotid endarterectomy, but without definitive results. OBJECTIVES: Evaluate the incidence of complications (medical, surgical, neurological, and hospital mortality) in a tertiary center in Portugal and review the literature. METHODS: Retrospective analysis of patients undergoing endarterectomy between 2000 and 2011, using a software for hospital consultation...
July 2015: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/25953020/ultrasound-guided-regional-anesthesia-for-carotid-endarterectomy-induces-early-hemodynamic-and-stress-hormone-changes
#20
RANDOMIZED CONTROLLED TRIAL
Judith Hoefer, Eve Pierer, Barbara Rantner, Karl-Heinz Stadlbauer, Gustav Fraedrich, Josef Fritz, Axel Kleinsasser, Corinna Velik-Salchner
OBJECTIVE: Locoregional anesthesia is an effective method for evaluating cerebral function during carotid endarterectomy (CEA). Landmark-guided regional anesthesia (RA) is currently used for CEA and can provoke substantial perioperative hypertension. Ultrasound-guided RA (US-RA) is a new method for performing RA in CEA; however, the effect on sympathetic activity and blood pressure is uncertain. This study assessed early sympathetic activity during CEA in US-RA compared with general anesthesia (GA)...
July 2015: Journal of Vascular Surgery
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