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Ana Ellen Q Santiago, Plinio C Leal, Elmiro Helio M Bezerra, Ana Laura A Giraldes, Leonardo C Ferraro, Andre H Rezende, Rioko Kimiko Sakata
BACKGROUND: Osteoarthrosis is a common cause of low back pain. The diagnosis is clinical and can be confirmed by imaging studies. Pain treatment and confirmation of diagnosis are made by intra-articular injection of corticosteroid and by local anesthetic use, due to clinical improvement. A direct monitoring of the procedure can be done under fluoroscopy, a classic technique, or else by an ultrasound-guided procedure. CASE REPORT: Female patient, 88 years old, 1...
July 2014: Brazilian Journal of Anesthesiology
Marzieh Fathi, Meysam Moezzi, Saeed Abbasi, Davood Farsi, Mohammad Amin Zare, Peyman Hafezimoghadam
OBJECTIVE: We compared the efficacy and safety of ultrasound-guided haematoma block with that of procedural sedation and analgesia in patients with acute distal radial fracture reduction pain control. METHODS: This was a randomised clinical trial on adult patients conducted in two teaching hospitals. Patients received intravenous midazolam plus fentanyl in the procedural sedation and analgesia group, and fracture site injection of lidocaine 10% in the ultrasound guided haematoma block group...
June 2015: Emergency Medicine Journal: EMJ
Kristen Breslin, Keith Boniface, Joanna Cohen
We report a case of successful reduction of an anterior shoulder dislocation after ultrasound-guided intra-articular lidocaine (IAL) block with subsequent sonographic confirmation of reduction. Current literature suggests that IAL can provide similar levels of analgesia as intravenous sedation, and IAL block is associated with lower complication rates and shorter emergency department stays. However, these studies may be limited by uncertainty about the accuracy of landmark-based glenohumeral injections. The use of beside ultrasound may improve the effectiveness of IAL block for reduction of anterior shoulder dislocation and provide a mechanism for immediate postreduction evaluation of the placement of the humeral head...
March 2014: Pediatric Emergency Care
Alper Kilicaslan, Ahmet Topal, Atilla Erol, Hale Borazan, Onur Bilge, Seref Otelcioglu
The number of obese patients has increased dramatically worldwide. Morbid obesity is associated with an increased incidence of medical comorbidities and restricts the application choices in anesthesiology. We report a successfully performed combined ultrasound-guided blockade of the femoral, tibial, and common peroneal nerve in a superobese patient. We present a case report of a 31-year-old, ASA-PS II, super obese man (190 kg, 180 cm, BMI: 58 kg/m(2)) admitted to the emergency department with a type II segmental tibia shaft fracture and ankle dislocation after a vehicle accident...
2014: Case Reports in Anesthesiology
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