A paramedian approach for epidural block: an anatomic and radiologic description.

abstract：BACKGROUND:Numerous factors are considered in the academic promotion of pain medicine physicians. In this study, we investigated the importance of research productivity, career duration, leadership, and gender on attaining professorship in chronic pain medicine fellowship programs in the USA. METHODS:We identified 98 ...

journal_title：Regional anesthesia and pain medicine

authors： Orhurhu MS,Orhurhu V,Salisu B,Abimbola A,Cohen SP

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Shortening the onset time of sensory block is a practical goal to improve the quality of epidural anesthesia. The addition of fentanyl to a local anesthetic solution is widely used during epidural anesthesia. This randomized double-blind study examined the onset time of sensory block during ep...

journal_title：Regional anesthesia and pain medicine

authors： Cherng CH,Wong CS,Ho ST

更新日期：2001-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Peripherally administered opioids, e.g., intra-articular morphine, exert their analgesic action on local opioid receptors. The present study investigated the safety and efficacy of intrabursal oxycodone and bupivacaine in comparison with bupivacaine infiltration and interscalene brachial plexu...

journal_title：Regional anesthesia and pain medicine

authors： Muittari P,Kirvelä O

更新日期：1998-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Many patients experience moderate to severe postoperative pain. Nitrous oxide (N₂O) exerts analgesia by inhibition of N-methyl-D-aspartate receptors. Ketamine, another N-methyl-D-aspartate receptor antagonist, reduces postoperative opioid consumption and pain. A similar effect of N₂O is plausi...

journal_title：Regional anesthesia and pain medicine

authors： Duma A,Helsten D,Brown F,Bottros MM,Nagele P

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Paresthesia occasionally occurs during dural puncture or injection of local anesthetic for spinal anesthesia. Although the incidence of neurologic complications after spinal anesthesia is extremely low, the significance of paresthesia is unknown. The influence of known lumbar spine pathology o...

journal_title：Regional anesthesia and pain medicine

authors： Tetzlaff JE,Dilger JA,Wu C,Smith MP,Bell G

更新日期：1998-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The aim of this study was to compare the antinociceptive and motor-blocking effects of epidurally administered IQB-9302 (C18H26N2O.HCl) and bupivacaine in the dog. METHODS:Twelve adult female Beagle dogs were used. Each animal received 3 concentrations (0.25%, 0.50%, and 0.75%) of either IQB-...

journal_title：Regional anesthesia and pain medicine

authors： Gómez de Segura IA,Vazquez I,De Miguel E

更新日期：2000-09-01 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：INTRODUCTION:Pericapsular nerve group (PENG) block is a novel regional analgesia technique to reduce pain after hip surgery and hip fractures. This review was conducted to summarize current literature. METHODS:A scoping review was carried out using the Joanna Briggs Institute framework. All articles describing the use...

journal_title：Regional anesthesia and pain medicine

authors： Morrison C,Brown B,Lin DY,Jaarsma R,Kroon H

更新日期：2021-02-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The effect of intravenous dexamethasone on the duration of axillary plexus block performed using ropivacaine is not described. The aim of this study is to assess the effect of intravenous dexamethasone on the duration of axillary plexus block analgesia after distal upper arm surgery. METHODS:...

journal_title：Regional anesthesia and pain medicine

authors： Clement JC,Besch G,Puyraveau M,Grelet T,Ferreira D,Vettoretti L,Pili-Floury S,Samain E,Berthier F

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:A sublingual sufentanil tablet is being developed as a potential alternative to intravenous (IV) opioids for the management of postoperative pain. The objective of these studies was to evaluate the pharmacokinetics, efficacy, and safety of sublingual sufentanil tablets for postoperative pain m...

journal_title：Regional anesthesia and pain medicine

authors： Minkowitz HS,Singla NK,Evashenk MA,Hwang SS,Chiang YK,Hamel LG,Palmer PP

更新日期：2013-03-01 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：BACKGROUND AND OBJECTIVES:Bupivacaine is a racemic mixture of S(-)- and R(+)-enantiomers. Both isomers have similar potency as local anesthetics, but the S(-)-enantiomer produces less central nervous system and cardiovascular toxicity. Local anesthetic-induced convulsion is likely to be associated with not only sodium ...

journal_title：Regional anesthesia and pain medicine

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

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Mexiletine is an oral sodium channel antagonist that has been reported to be effective in a variety of neuropathic pain syndromes. However, recent reports question the efficacy of oral mexiletine in neuropathic pain. The objectives of this study were to examine the effect of oral mexiletine on...

journal_title：Regional anesthesia and pain medicine

authors： Wallace MS,Magnuson S,Ridgeway B

更新日期：2000-09-01 00:00:00

abstract：:Omission of a confidence interval (CI) associated with the risk of a serious complication can lead to inaccurate interpretation of risk data. The calculation of a CI for a risk or a single proportion typically uses the familiar Gaussian (normal) approximation. However, when the risk is small, "exact" methods or other ...

journal_title：Regional anesthesia and pain medicine

authors： Ho AM,Dion PW,Karmakar MK,Lee A

更新日期：2002-03-01 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：OBJECTIVE:Although complications of the epidural technique are known to affect the fetus adversely, there are no data indicating that regional analgesia directly causes harmful effects to the fetus. Our purpose was to determine the effect of epidural labor analgesia on the Doppler velocimetric indices of the uterine an...

journal_title：Regional anesthesia and pain medicine

authors： Chen LK,Yang YM,Yang YH,Lee CN,Chen SS,Sun WZ

更新日期：2011-05-01 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:Ultrasound-guided infiltration of the interspace between the popliteal artery and capsule of the knee (iPACK) block, a new regional analgesic technique, is believed to relieve posterior knee pain, after total knee arthroplasty, by targeting the articular branches innervating posterior aspect o...

journal_title：Regional anesthesia and pain medicine

authors： Tran J,Giron Arango L,Peng P,Sinha SK,Agur A,Chan V

更新日期：2019-05-06 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Pregabalin is often used as a perioperative analgesic adjunct; some studies show benefit, but others do not. Adverse effects, such as confusion and sedation, have been attributed to perioperative use of pregabalin. We tested the hypothesis that pregabalin, when used as part of a multimodal ana...

journal_title：Regional anesthesia and pain medicine

authors： Yadeau JT,Paroli L,Kahn RL,Jules-Elysee KM,Lasala VR,Liu SS,Lin E,Powell K,Buschiazzo VL,Wukovits B,Roberts MM,Levine DS

更新日期：2012-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:This prospective, randomized, double-blind study compares the efficacy of two spinal needles in terms of their performance characteristics and associated perioperative complaints in young patients. METHODS:ASA I and II patients aged from 20 to 40 years undergoing lower limb orthopedic surgery...

journal_title：Regional anesthesia and pain medicine

authors： De Andrés J,Valia JC,Errando C,Rico G,Lopez-Alarcon MD

更新日期：1999-11-01 00:00:00

abstract：UNLABELLED:Neurologic injury after regional anesthesia or pain medicine procedures is rare. Postprocedural neurologic deficits may create high levels of anxiety for the patient and practitioner, although most deficits are limited in severity and can be expected to fully resolve with time. Postoperative anesthesia-relat...

journal_title：Regional anesthesia and pain medicine

authors： Watson JC,Huntoon MA

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:After peripheral inflammatory stimuli, spinal cord cyclooyxgenase-2 (COX-2) mRNA and protein levels increase, whereas COX-1 is unchanged. In animal models of inflammatory pain, intrathecal COX-2 selective inhibitors suppress hyperalgesia. However, the role of spinal COX-2 inhibition in postope...

journal_title：Regional anesthesia and pain medicine

authors： Kroin JS,Buvanendran A,McCarthy RJ,Hemmati H,Tuman KJ

更新日期：2002-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:We hypothesized that ultrasound-guided wrist blocks may be faster to perform, and may increase success rate, compared with nerve stimulation-guided wrist blocks. METHODS:Sixty patients undergoing ambulatory endoscopic carpal tunnel release were randomly allocated to receive median and ulnar n...

journal_title：Regional anesthesia and pain medicine

authors： Macaire P,Singelyn F,Narchi P,Paqueron X

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:We tested the hypothesis that an opioid-free local anesthetic alone is able to provide comparable analgesia to the opioid supplemented epidural application of local anesthetics using thoracic epidural catheters after major abdominal surgery. METHODS:In a prospective, randomized, and double-bl...

journal_title：Regional anesthesia and pain medicine

authors： Gottschalk A,Freitag M,Burmeister MA,Becker C,Horn EP,Standl T

更新日期：2002-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Ischemic preconditioning of tissue that is to undergo procedure-induced underperfusion has been used in a number of surgical settings to reduce the subsequent inflammatory response and its sequelae. The objective of this prospective, randomized study was to evaluate the effect of ischemic prec...

journal_title：Regional anesthesia and pain medicine

authors： Memtsoudis SG,Valle AG,Jules-Elysse K,Poultsides L,Reid S,Starcher B,Ma Y,Sculco TP

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:Cervical erector spinae plane (ESP) block has been described to anesthetize the brachial plexus (BP), however, the mechanism of its clinical effect remains unknown. As the prevertebral fascia encloses the phrenic nerves, BP and erector spinae muscles to form a prevertebral compartment, a local anesthetic inj...

journal_title：Regional anesthesia and pain medicine

authors： Elsharkawy H,Ince I,Hamadnalla H,Drake RL,Tsui BCH

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Amitriptyline (AMI) is a lipophilic, tricyclic antidepressant with analgesic properties that could potentially be used for epidural (EPI) analgesia. However, no pharmacokinetic data are available for AMI in spinal spaces. The objective of this study was to evaluate the spinal disposition and intrathecal (IT)...

journal_title：Regional anesthesia and pain medicine

authors： Ratajczak-Enselme M,Grégoire N,Estebe JP,Dollo G,Chevanne F,Bec D,Ecoffey C,Couet W,Le Corre P

更新日期：2015-11-01 00:00:00

abstract：OBJECTIVE:Local anesthetic-induced cardiotoxicity remains a complication of regional anesthesia, with the potential to result in cardiac arrest refractory to resuscitation. Successful resuscitation using Intralipid (Baxter Pharmaceuticals by Fresenius Kabi, Uppsala, Sweden), has been reported in 2 patients with bupivac...

journal_title：Regional anesthesia and pain medicine

authors： McCutchen T,Gerancher JC

更新日期：2008-03-01 00:00:00

abstract：:The surgeon August Gustav Bier significantly influenced surgery, general medicine, and especially anesthesia. He was the father of spinal anesthesia (1898) and intravenous regional anesthesia (1908). Both anesthetic techniques are still valuable and widely applied in everyday anesthesia practices throughout the world,...

journal_title：Regional anesthesia and pain medicine

authors： van Zundert A,Helmstädter A,Goerig M,Mortier E

更新日期：2008-09-01 00:00:00

abstract：:The use of ultrasound to facilitate regional anesthesia is an evolving area of clinical, education, and research interests. As our community's experience grows, it has become evident that anesthesiologists performing "routine" ultrasound-guided blocks may very well be confronted with atypical or even pathologic anatom...

journal_title：Regional anesthesia and pain medicine

authors： Sites BD,Macfarlane AJ,Sites VR,Naraghi AM,Chan VW,Antonakakis JG,Singh M,Brull R

更新日期：2010-05-01 00:00:00