Future considerations for pharmacologic adjuvants in single-injection peripheral nerve blocks for patients with diabetes mellitus.

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：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：OBJECTIVE:We report a case of perioperative management of a single-ventricle patient with Fontan-associated liver disease undergoing hepatectomy. CASE REPORT:A 12-year-old boy with Fontan circulation was scheduled for partial hepatectomy to remove a liver mass in segment 6. He received stent implantation to relieve co...

journal_title：Regional anesthesia and pain medicine

authors： Maeda A,Shibata SC,Okitsu K,Imada T,Takahashi A,Uchiyama A,Kamibayashi T,Fujino Y

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Cluster headache is an uncommon debilitating condition for which effective management remains a challenge. We describe the use of gabapentin in the treatment and prophylaxis of cluster headache in a patient who was refractory to other treatments. CASE REPORT:A 38-year-old man had a history of...

journal_title：Regional anesthesia and pain medicine

authors： Tay BA,Ngan Kee WD,Chung DC

更新日期：2001-07-01 00:00:00

abstract：:In March of 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act, ushering in an era of health care reform. Section 6002 of the bill, the Physician Payment Sunshine Act, requires manufacturers of drugs, devices, biological therapeutics, and medical supplies to disclose to the Cen...

journal_title：Regional anesthesia and pain medicine

authors： Dickerson DM,Naidu RK

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Detailed description of the tasks anesthetists undertake during the performance of a complex procedure, such as ultrasound-guided peripheral nerve blockade, allows elements that are vulnerable to human error to be identified. We have applied 3 task analysis tools to one such procedure, namely, ultrasound-gui...

journal_title：Regional anesthesia and pain medicine

authors： O'Sullivan O,Aboulafia A,Iohom G,O'Donnell BD,Shorten GD

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Postoperative pain is the expected but nonetheless undesirable byproduct of all surgical procedures. Humanitarian concerns and recent quasi-governmental regulations have heightened awareness about the importance of treating postoperative pain. This guideline builds upon the foundation created ...

journal_title：Regional anesthesia and pain medicine

authors： Rosenquist RW,Rosenberg J,United States Veterans Administration.

更新日期：2003-07-01 00:00:00

abstract：:Directors for Regional Anesthesiology and Acute Pain Medicine fellowships develop and maintain guidelines for fellowship training in the subspecialty. The first edition of the guidelines was published in 2005 with a revision published in 2010. This set of guidelines updates the 2010 revision. The guidelines address 3 ...

journal_title：Regional anesthesia and pain medicine

authors： Regional Anesthesiology and Acute Pain Medicine Fellowship Directors Group.

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:We describe a new therapeutic modality for sacroiliac joint syndrome that represents an alternative to other treatment modalities. We report on four cases of sacroiliac joint syndrome with severe pain. METHODS:Three patients had undergone operative treatment of the lumbar spine and one patien...

journal_title：Regional anesthesia and pain medicine

authors： Srejic U,Calvillo O,Kabakibou K

更新日期：1999-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:It has recently been proposed that an infraclavicular brachial plexus block (BPB) at the costoclavicular (CC) space may overcome some of the limitations of the lateral sagittal (LS) approach. In this study, we hypothesized that the CC approach will produce faster onset of sensory blockade of t...

journal_title：Regional anesthesia and pain medicine

authors： Songthamwat B,Karmakar MK,Li JW,Samy W,Mok LYH

更新日期：2018-11-01 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：BACKGROUND AND OBJECTIVES:Prolongation of the QT interval may result in grave cardiac arrhythmias, polymorphic ventricular tachycardia ("torsades de pointes"), and ventricular fibrillation. We assessed the influence of spinal anesthesia on the QTc interval and the potential arrhythmogenicity of this method of anesthesi...

journal_title：Regional anesthesia and pain medicine

authors： Owczuk R,Sawicka W,Wujtewicz MA,Kawecka A,Lasek J,Wujtewicz M

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:Ivor-Lewis esophagectomy is associated with significant postoperative analgesic requirements and perioperative complications. A dual-epidural technique may improve perioperative outcomes compared with single thoracic epidural analgesia. METHODS:This study identified all cases of Ivor-Lewis esophagectomy ove...

journal_title：Regional anesthesia and pain medicine

authors： Brown MJ,Kor DJ,Allen MS,Kinney MO,Shen KR,Deschamps C,Nichols FC,Mauck WD,Mantilla CB

更新日期：2013-01-01 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:Ultrasound-guided regional anesthesia is a rapidly growing field. There exists little information regarding the competencies involved with such a practice. The objective of this exploratory study was to characterize the behavior of novices as they undertook the challenges of learning a new tec...

journal_title：Regional anesthesia and pain medicine

authors： Sites BD,Spence BC,Gallagher JD,Wiley CW,Bertrand ML,Blike GT

更新日期：2007-03-01 00:00:00

abstract：:Conventional opioids are widely used for acute pain management in the postoperative setting. However, a primary concern with conventional opioids is their therapeutic window-the range between doses that produce the desired therapeutic effect (analgesia) and doses that produce unwanted opioid-related adverse events (OR...

journal_title：Regional anesthesia and pain medicine

authors： Viscusi ER

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:Given the readily increasing membership of the pain physician community, efforts toward correcting notable gender disparities are instrumental. The under-representation of women is particularly prevalent within leadership roles in academic medicine, thought to be driven largely by diminished research efforts...

journal_title：Regional anesthesia and pain medicine

authors： Karri J,Navarro SM,Duong A,Tang T,Abd-Elsayed A

更新日期：2019-11-02 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：OBJECTIVE:We present a case of reappearance of spinal anesthesia despite the use of plain (isobaric) lidocaine and without an associated cough or Valsalva maneuver. CASE REPORT:A 66-year-old man had spinal anesthesia for knee arthroscopy. Two hours after the induction of spinal anesthesia and after the patient's motor...

journal_title：Regional anesthesia and pain medicine

authors： Deleon AM,Benzon HT,Eisenman TS,Doty RA Jr,Newell B,McLaughlin K

更新日期：2008-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The duration of nerve block is longer in streptozotocin (STZ)-induced diabetic rats for all local anesthetics (with and without adjuvants) compared with normal rats. Perioperative glycemic control is currently practiced to reduce adverse events in many at-risk patients, especially in diabetic ...

journal_title：Regional anesthesia and pain medicine

authors： Kroin JS,Buvanendran A,Tuman KJ,Kerns JM

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:A common analgesic technique for total knee arthroplasty (TKA) is to inject local anesthetic into the periarticular tissue during surgery, known as local infiltration analgesia (LIA). Since the solution used typically contains a large amount of local anesthetic, concerns arise about exceeding ...

journal_title：Regional anesthesia and pain medicine

authors： Koniuch KL,Buys MJ,Campbell B,Gililland JM,Pelt CE,Pace NL,Johnson KB

更新日期：2019-01-11 00:00:00

abstract：BACKGROUND AND OBJECTIVE:The study goal was to compare the effect of epinephrine in different doses on pulmonary gas exchange in a rat model of bupivacaine-induced cardiac depression. METHODS:Twenty-four adult male Sprague-Dawley rats were divided into 4 groups (n = 6), and each group received a bupivacaine infusion (...

journal_title：Regional anesthesia and pain medicine

authors： Wang QG,Wu C,Xia Y,Dong JJ,Lin TT,Liu QY,Papadimos TJ,Xu XZ

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Recent clinical trials suggest that subfascial (sometimes termed subepineural) injections result in faster block onset and success compared with conventional techniques. This prospective, randomized, observer-blinded study measured and compared the 3-dimensional spread pattern and volume of pe...

journal_title：Regional anesthesia and pain medicine

authors： Missair A,Weisman RS,Suarez MR,Yang R,Gebhard RE

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Epidural catheters are seldom difficult to remove from patients. In fact, a review of the literature demonstrates only a few cases pertaining to epidurals and the unusual complication of catheter entrapment. METHODS:This case report involves an uncomplicated obstetric patient who had an epidu...

journal_title：Regional anesthesia and pain medicine

authors： Jongleux EF,Miller R,Freeman A

更新日期：1998-11-01 00:00:00

abstract：:The introduction of ultrasound guidance for regional anesthesia has resulted in an explosion of interest in its use for postoperative analgesia, particularly for orthopedic surgery. Regional anesthesia demonstrates unequivocal superiority compared with systemic opioids with respect to analgesia, reduced opioid consump...

journal_title：Regional anesthesia and pain medicine

authors： Choi S,Trang A,McCartney CJ

更新日期：2013-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Morphine may elicit potent antinociceptive effects by binding and activating peripheral opioid receptors. However, the results in clinical studies have varied. We examined the postoperative analgesic effects of incisional morphine in patients undergoing lumpectomies and axillary node dissectio...

journal_title：Regional anesthesia and pain medicine

authors： Yarussi A,Sands R,Edge S,Lema MJ,de Leon-Casasola OA

更新日期：1999-03-01 00:00:00

abstract：OBJECTIVE:This report describes the effects of ganglionic local opioid application (GLOA) in patients with chronic headache and persistent idiopathic facial pain. CASE REPORT:We present 2 patients with chronic headaches and 1 patient with persistent idiopathic facial pain who were refractory to medical treatment. Thes...

journal_title：Regional anesthesia and pain medicine

authors： Harris CL,Hamid B,Rosenquist RW,Schultz-Stubner SH

更新日期：2006-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Cholestasis has been proposed as a side effect of interpleural bupivacaine. Therefore, the effects of various application techniques on liver enzymes were studied following ethics committee approval and informed patient consent. METHODS:Patients following scheduled thoracotomy and laparoscopi...

journal_title：Regional anesthesia and pain medicine

authors： Wulf H,Leger R,Raetzell M,Olmer A,Scheiderer U

更新日期：1998-05-01 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:Prior to this investigation, there was no approach to compare both the potency of local anesthetics and their time course of action in a reproducible nociceptive system in humans. We tested whether the vascularly isolated vein segment is appropriate for such an approach. METHODS:In six health...

journal_title：Regional anesthesia and pain medicine

authors： Holthusen H,Lipfert P,Klement W

更新日期：1999-07-01 00:00:00