Infraclavicular plexus block: multiple injection versus single injection.

abstract：BACKGROUND AND OBJECTIVES:The aim of this study was to compare the potency of bupivacaine, ropivacaine, and levobupivacaine in an equal dose and concentration for sympathetic block. METHODS:We measured mean arterial pressure, heart rate (HR), and right and left brachial artery blood flow (BABF) before and after cervic...

journal_title：Regional anesthesia and pain medicine

authors： Hashimoto T,Iwasaki T,Takahashi Y,Kimura Y,Nagao M,Yamaguchi S,Hamaguchi S,Kitajima T

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:In ambulatory lower limb surgery, spinal anesthesia with rapid onset and a short duration of block is preferable. We hypothesized that the use of 2-chloroprocaine would be associated with a faster motor block recovery compared with prilocaine in knee arthroscopy. A difference of 15 min was considered clinica...

journal_title：Regional anesthesia and pain medicine

authors： Wesselink E,Hurk GJD,Vegt RV,Slagt C,Aa JV,Franssen E,Ven PV,Swart N,Boer C,Leeuw M

更新日期：2019-08-21 00:00:00

abstract：:This study aimed to describe the anatomical distribution of dye injected in the erector spinae plane (ESP) in a porcine living model, which could aid to reveal factors potentially relevant to the unexplained clinical effects of the ESP block. Six pigs received 0.6 mL/kg of 0.25% new methylene blue at the level of the ...

journal_title：Regional anesthesia and pain medicine

authors： Otero PE,Fuensalida SE,Russo PC,Verdier N,Blanco C,Portela DA

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:In addition to their blockade of voltage-dependent sodium channels, the action of local anesthetics at 5-hydroxytryptamine-3 (5-HT3) receptors may be clinically relevant. Because local anesthetics have different clinical properties, we have tested the hypothesis that differences in interaction...

journal_title：Regional anesthesia and pain medicine

authors： Ueta K,Suzuki T,Sugimoto M,Uchida I,Mashimo T

更新日期：2007-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Several types of quadratus lumborum block (QLB) are used for postoperative analgesia and are believed to be effective against both somatic and visceral pain via a local anesthetic (LA) effect in the paravertebral space (PVS). However, it remains unclear whether all QLB techniques result in LA ...

journal_title：Regional anesthesia and pain medicine

authors： Tamura T,Kitamura K,Yokota S,Ito S,Shibata Y,Nishiwaki K

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Because of the uncertainty and limitations in available randomized controlled trials, we performed an analysis of the Medicare claims database to determine whether an association exists between postoperative epidural analgesia and mortality. METHODS:A 5% nationally random sample of Medicare beneficiaries fr...

journal_title：Regional anesthesia and pain medicine

authors： Wu CL,Hurley RW,Anderson GF,Herbert R,Rowlingson AJ,Fleisher LA

更新日期：2004-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The transversus abdominis plane (TAP) block can be used as part of a multimodal analgesia protocol after abdominal surgery. This study investigated whether a pneumoperitoneum during abdominal surgery influences the spread of local anesthetics. METHODS:Nine fresh frozen cadavers were used for ...

journal_title：Regional anesthesia and pain medicine

authors： Desmet M,Helsloot D,Vereecke E,Missant C,van de Velde M

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Continuous brachial plexus blocks at the interscalene level are associated with known diaphragm dysfunction from phrenic nerve paresis. More distal blocks along the brachial plexus may provide postsurgical analgesia while potentially having less effect on diaphragm function. Continuous intersc...

journal_title：Regional anesthesia and pain medicine

authors： Auyong DB,Yuan SC,Choi DS,Pahang JA,Slee AE,Hanson NA

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:The perception of high resistance during injection of a local anesthetic during regional anesthesia may indicate intraneural injection. Anesthetists' ability to detect high resistance by "syringe feel" has been questioned in the past. The aim of our study was to investigate the anesthetist's ability to detec...

journal_title：Regional anesthesia and pain medicine

authors： Theron PS,Mackay Z,Gonzalez JG,Donaldson N,Blanco R

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:No studies have examined the long-term benefits of regional anesthesia (RA) for pain management after combat-related injury. The objective of this prospective cohort study was to examine the relationship between RA administration and patient-reported pain-related outcomes among Operation Enduring Freedom (OE...

journal_title：Regional anesthesia and pain medicine

authors： Gallagher RM,Polomano RC,Giordano NA,Farrar JT,Guo W,Taylor L,Oslin D,Goff BJ,Buckenmaier CC

更新日期：2019-09-27 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Epinephrine, 25 microg and 200 microg, has been found to prolong the duration of intrathecal labor analgesia when added to an opioid. In our hospital we use the standard epidural mixture, prepared by the pharmacist, containing epinephrine 1:800,000; i.e., 1.25 microg/mL for both spinal and epi...

journal_title：Regional anesthesia and pain medicine

authors： Vercauteren MP,Jacobs S,Jacquemyn Y,Adriaensen HA

更新日期：2001-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Gabapentin is an anticonvulsant that has been shown to be effective in the treatment of neuropathic and inflammatory pain in animal and human studies. The analgesic effect of its perioperative use has not been fully elucidated. METHODS:This systematic review (meta-analysis) included 12 random...

journal_title：Regional anesthesia and pain medicine

authors： Hurley RW,Cohen SP,Williams KA,Rowlingson AJ,Wu CL

更新日期：2006-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The acetylcholinesterase inhibitor neostigmine has shown peripherally mediated analgesic action in recent preclinical and clinical studies. The present study investigates the effectiveness of adding neostigmine to a local anesthetic, mepivacaine, in patients receiving axillary brachial plexus ...

journal_title：Regional anesthesia and pain medicine

authors： Bone HG,Van Aken H,Booke M,Bürkle H

更新日期：1999-09-01 00:00:00

abstract：BACKGROUND:Although infrequent, subdural block is a complication of epidural anesthesia with obvious implications. Knowledge of the spinal subdural compartment (dura-arachnoid interface) may help elucidate controversies arising from evidence that subdural catheter placement is feasible and may be difficult to identify ...

journal_title：Regional anesthesia and pain medicine

authors： Reina MA,Collier CB,Prats-Galino A,Puigdellívol-Sánchez A,Machés F,De Andrés JA

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:This study reports our early experience with continuous cervical paravertebral block (CCPVB) using a stimulating catheter for the management of acute pain after shoulder surgery. METHODS:This prospective observational study presents 256 CCPVB for pain relief after 14 different shoulder operat...

journal_title：Regional anesthesia and pain medicine

authors： Boezaart AP,De Beer JF,Nell ML

更新日期：2003-09-01 00:00:00

abstract：:As anesthesiologists and acute pain medicine specialists, we will care for patients in the perioperative period who use cannabinoids for chronic pain and/or marijuana recreationally. We will have to address difficult questions from patients regarding the potential applications for cannabinoids in acute pain management...

journal_title：Regional anesthesia and pain medicine

authors： Meeker JD,Ayrian E,Mariano ER

更新日期：2020-07-01 00:00:00

abstract：OBJECTIVES:The majority of intrathecal pumps are implanted by anesthesiologists. Despite a recent increase in case reports involving intrathecal catheter-tip inflammatory masses, this complication is rarely reported in the anesthesiology literature. The present case report describes a patient with spinal cord compressi...

journal_title：Regional anesthesia and pain medicine

authors： Peng P,Massicotte EM

更新日期：2004-05-01 00:00:00

abstract：:The development of chronic pain is a complex mechanism that is still not fully understood. Multiple somatic and visceral afferent pain signals, when experienced over time, cause a strengthening of certain neural circuitry through peripheral and central sensitization, resulting in the physical and emotional perceptual ...

journal_title：Regional anesthesia and pain medicine

authors： Castellanos JP,Woolley C,Bruno KA,Zeidan F,Halberstadt A,Furnish T

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Given the steep learning curve for neuraxial and peripheral nerve blocks, utilization of general anesthesia may increase as new house staff begin their residency programs. We sought to determine whether "July effect" affects the utilization of neuraxial anesthesia, peripheral nerve blocks, and opioid prescri...

journal_title：Regional anesthesia and pain medicine

authors： Kim SJ,Wilson L,Liu J,Kim DH,Fiasconaro M,Poeran J,Freeman C,Beathe J,Memtsoudis S

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Anesthesia and analgesia with paravertebral block are reportedly variable. Existence of an endothoracic fascia has been proposed as one of the possible mechanisms leading to variability. We undertook an electron-microscopy imaging study to investigate the endothoracic fascia in the thoracic pa...

journal_title：Regional anesthesia and pain medicine

authors： Stopar Pintaric T,Veranic P,Hadzic A,Karmakar M,Cvetko E

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:We present 2 case reports that illustrate that chronic intrathecal (IT) baclofen administration may be efficacious in treating patients with long-standing complex regional pain syndrome, type I (CRPS I) who have failed treatment with multiple drugs and procedures. CASE REPORTS:Both cases pres...

journal_title：Regional anesthesia and pain medicine

authors： Zuniga RE,Perera S,Abram SE

更新日期：2002-01-01 00:00:00

abstract：BACKGROUND:Interpretation of ultrasound images and knowledge of anatomy are essential skills for ultrasound-guided peripheral nerve blocks. Competency-based educational models promoted by the Accreditation Council for Graduate Medical Education require the development of assessment tools for the achievement of differen...

journal_title：Regional anesthesia and pain medicine

authors： Woodworth GE,Carney PA,Cohen JM,Kopp SL,Vokach-Brodsky LE,Horn JL,Missair A,Banks SE,Dieckmann NF,Maniker RB

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Radiofrequency (RF) lesions are safe and effective in the treatment of spine pain; however, models developed to study factors affecting lesion dimensions have been performed in homogeneous media that may not accurately simulate human anatomy and electrophysiology. We present a novel ex vivo po...

journal_title：Regional anesthesia and pain medicine

authors： Eckmann MS,Martinez MA,Lindauer S,Khan A,Ramamurthy S

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Posterior lumbar plexus block is a well established anesthetic technique for lower limb surgeries. Both magnetic resonance imaging and clinical prospective studies were performed to verify if a new palpable landmark could be used for lumbar plexus block in pediatric patients. METHODS:Twenty-f...

journal_title：Regional anesthesia and pain medicine

authors： Mello SS,Saraiva RA,Marques RS,Gasparini JR,Assis CN,Gonçalves MH

更新日期：2007-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Peripheral nerve stimulation (PNS) is analgesic for some lower extremity neuropathic pain syndromes. PNS currently involves open surgical placement of electrode(s). Increasingly, ultrasound guidance is used for perioperative neural block. Minimally invasive placement of PNS electrodes for lowe...

journal_title：Regional anesthesia and pain medicine

authors： Huntoon MA,Huntoon EA,Obray JB,Lamer TJ

更新日期：2008-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:For pain relief after total knee arthroplasty (TKA), an injection at the midthigh level may produce analgesia inferior to that of a femoral nerve block as the anterior femoral cutaneous nerves (intermediate femoral cutaneous nerve (IFCN) and medial femoral cutaneous nerve (MFCN)) are not anest...

journal_title：Regional anesthesia and pain medicine

authors： Bjørn S,Nielsen TD,Moriggl B,Hoermann R,Bendtsen TF

更新日期：2019-12-10 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Complications resulting from vascular penetration during nerve blocks are rare but potentially devastating events that can occur despite meticulous technique. In this in vivo human pilot study, we investigated the potential for detecting vascular penetration with optical reflectance spectrosco...

journal_title：Regional anesthesia and pain medicine

authors： Balthasar A,Desjardins AE,van der Voort M,Lucassen GW,Roggeveen S,Wang K,Bierhoff W,Kessels AG,Sommer M,van Kleef M

更新日期：2012-01-01 00:00:00

abstract：:The COVID-19 outbreak is on the world. While many countries have imposed general lockdown, emergency services are continuing. Healthcare professionals have been infected with the virulent severe acute respiratory syndrome coronavirus-2 (SARS), which spreads by close contact and aerosols. The anesthesiologist is partic...

journal_title：Regional anesthesia and pain medicine

authors： Ashokka B,Chakraborty A,Subramanian BJ,Karmakar MK,Chan V

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The aim of this study was to investigate the possible local neurotoxicity of a number of lipid-depot formulations of local anesthetics in relation to their duration of action in sciatic-nerve block. METHODS:Formulations that contain 2%, 4%, 8%, 16%, 32%, or 64% of a mixture of bupivacaine and...

journal_title：Regional anesthesia and pain medicine

authors： Dyhre H,Söderberg L,Björkman S,Carlsson C

更新日期：2006-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Accurate needle control during ultrasound (US)-guided nerve blocks may be an elusive goal for the anesthesiologist. Despite modifications to increase echogenicity, needle visibility still requires precise alignment within the transducer beam. In this study, we evaluated a magnetically guided u...

journal_title：Regional anesthesia and pain medicine

authors： Swenson JD,Klingler KR,Pace NL,Davis JJ,Loose EC

更新日期：2016-05-01 00:00:00