Evidence basis for the use of ultrasound for upper-extremity blocks.

abstract：:Reports exist of severe upper back pain of unknown etiology after administration of large volumes into the epidural space. We present a case of an otherwise healthy parturient who developed severe upper back and neck pain after receiving only a small volume of epidural medication. Magnetic resonance imaging revealed a...

journal_title：Regional anesthesia and pain medicine

authors： Dickerson DM,Dai R,Scavone BM,McDade W

更新日期：2016-11-01 00:00:00

abstract：OBJECTIVE:Although uncommon, residual effects from contrast agents used more than 2 decades ago are possible. This case report is to alert clinicians to the implications of residual oil-based ionic contrast agents in the intrathecal space. CASE REPORT:A 70-year-old female with evidence of degenerative disc disease und...

journal_title：Regional anesthesia and pain medicine

authors： Navani A,Dominguez CL,Hald JK,Fishman SM

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The incidence of postdural puncture headache (PDPH) after epidural wet tap for obstetric patients may be as high as 75%. We have studied how subsequent placement of a subarachnoid catheter immediately after confirmation of a wet tap, and leaving the catheter in place for 24 hours affects the i...

journal_title：Regional anesthesia and pain medicine

authors： Ayad S,Demian Y,Narouze SN,Tetzlaff JE

更新日期：2003-11-01 00:00:00

abstract：:This article provides a brief overview of earlier work of our group on the peripheral signaling of pain, summarizes more recent studies on the role of opioids in chronic neuropathic pain, and speculates on the future of gene-based therapies as novel strategies to enhance the peripheral modulation of pain. Neurophysiol...

journal_title：Regional anesthesia and pain medicine

authors： Raja SN

更新日期：2012-03-01 00:00:00

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 AND OBJECTIVES:The transarterial axillary block and the ultrasound-guided infraclavicular block are both effective methods of anesthetizing the upper extremity. This study compares these methods with respect to subjective postoperative dysesthesias, block adequacy, patient comfort, and patient satisfaction. ...

journal_title：Regional anesthesia and pain medicine

authors： Tedore TR,YaDeau JT,Maalouf DB,Weiland AJ,Tong-Ngork S,Wukovits B,Paroli L,Urban MK,Zayas VM,Wu A,Gordon MA

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Arthroscopic anterior cruciate ligament (ACL) reconstruction of the knee is a painful procedure requiring intensive postoperative pain management. This prospective study investigates analgesic quality after a femoral block as compared with intra-articular injection of local anesthetic. METHOD...

journal_title：Regional anesthesia and pain medicine

authors： Iskandar H,Benard A,Ruel-Raymond J,Cochard G,Manaud B

更新日期：2003-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Stimulation of the radial nerve at the axilla may cause either a proximal movement (forearm extension) or distal movements (supination, wrist or finger extension). In the most recent studies on axillary block, only a distal twitch was accepted as valid. However, this approach was based only on...

journal_title：Regional anesthesia and pain medicine

authors： Sia S,Lepri A,Magherini M,Doni L,Di Marco P,Gritti G

更新日期：2005-09-01 00:00:00

abstract：:β-Adrenergic blockade is an important mechanism for reducing morbidity and mortality in patients with hypertension and heart failure. Esmolol has been used widely for its chronotropic and antihypertensive effects. However, there has been recent inquiry regarding perioperative esmolol use and nociceptive modulation. Co...

journal_title：Regional anesthesia and pain medicine

authors： Bahr MP,Williams BA

更新日期：2018-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Epidural anesthesia is a technically challenging regional anesthetic technique that can be difficult to teach to novices. Epidural simulators are now available to allow realistic training within a safe and controlled environment before attempting the procedure on patients. Potentially, this ma...

journal_title：Regional anesthesia and pain medicine

authors： Friedman Z,Siddiqui N,Katznelson R,Devito I,Bould MD,Naik V

更新日期：2009-05-01 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：BACKGROUND AND OBJECTIVES:This prospective randomized trial compared ultrasound-guided single-injection (SI) and triple-injection (TI) subparaneural popliteal sciatic nerve block. We hypothesized that multiple injections are not required when local anesthetic (LA) is deposited under the paraneurium because the latter e...

journal_title：Regional anesthesia and pain medicine

authors： Tiyaprasertkul W,Bernucci F,González AP,Leurcharusmee P,Yazer MS,Techasuk W,Arnuntasupakul V,de la Garza DC,Finlayson RJ,Tran DQ

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Chronic hip pain from osteoarthritis and other degenerative conditions is a common problem. A few publications have recently reported analgesic success of radiofrequency (RF) procedures on nerves innervating the hip, but interpretation is hampered by lack of clarity regarding indications, clin...

journal_title：Regional anesthesia and pain medicine

authors： Bhatia A,Hoydonckx Y,Peng P,Cohen SP

更新日期：2018-01-01 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:The benefit of adding sciatic nerve block (SNB) to femoral nerve block to improve analgesia after total knee arthroplasty (TKA) is uncertain. We hypothesized that the effective duration of single-injection SNB is too short to improve postoperative analgesia and that this contributes to conflic...

journal_title：Regional anesthesia and pain medicine

authors： Sato K,Adachi T,Shirai N,Naoi N

更新日期：2014-05-01 00:00:00

abstract：OBJECTIVE:We present an occurrence of a severe but transient neurologic complication after intraneural injection during an ultrasound-guided interscalene block. CASE REPORT:A 36-year-old man underwent ultrasound-guided interscalene nerve blockade before shoulder incision and drainage. On postoperative day 1, he exhibi...

journal_title：Regional anesthesia and pain medicine

authors： Cohen JM,Gray AT

更新日期：2010-07-01 00:00:00

abstract：:Continuous peripheral nerve blockade has become a popular method of achieving postoperative analgesia for many surgical procedures. The safety and reliability of infusion pumps are dependent on their flow rate accuracy and consistency. Knowledge of pump rate profiles can help physicians determine which infusion pump i...

journal_title：Regional anesthesia and pain medicine

authors： Weisman RS,Missair A,Pham P,Gutierrez JF,Gebhard RE

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducing needle followed by the delivery of electric current. This modality has been reported to treat chronic pain as well as postoperative pain the day following knee surg...

journal_title：Regional anesthesia and pain medicine

authors： Ilfeld BM,Gabriel RA,Said ET,Monahan AM,Sztain JF,Abramson WB,Khatibi B,Finneran JJ 4th,Jaeger PT,Schwartz AK,Ahmed SS

更新日期：2018-08-01 00:00:00

abstract：:The Accreditation Council for Graduate Medical Education has shifted to competency-based medical education. This educational framework requires the description of educational outcomes based on the knowledge, skills and behaviors expected of competent trainees. It also requires an assessment program to provide formativ...

journal_title：Regional anesthesia and pain medicine

authors： Woodworth G,Maniker RB,Spofford CM,Ivie R,Lunden NI,Machi AT,Elkassabany NM,Gritsenko K,Kukreja P,Vlassakov K,Tedore T,Schroeder K,Missair A,Herrick M,Shepler J,Wilson EH,Horn JL,Barrington M

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:0.1% bupivacaine for obstetric epidural analgesia is given by infusion, using a loading dose of a higher concentration alone or in combination with opioid analgesics. A single dose of 0.1% without any additive for relief of first-stage labor pain has not yet been documented. METHODS:Fifty-eig...

journal_title：Regional anesthesia and pain medicine

authors： Christiaens F,Verborgh C,Dierick A,Camu F

更新日期：1998-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Dorsal root ganglion stimulation is an emerging therapy in the treatment of chronic pain. Compared with traditional spinal cord stimulation, it allows a discretely targeted stimulation profile and may act via differing mechanisms of action. Despite these advantages, little is known about the c...

journal_title：Regional anesthesia and pain medicine

authors： Sivanesan E,Bicket MC,Cohen SP

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Multimodal analgesic clinical pathways for joint replacement patients often include perineural catheters, but long-term adherence to these pathways has not yet been investigated. Our primary aim was to determine adherence rate to a knee arthroplasty clinical pathway for patients undergoing sta...

journal_title：Regional anesthesia and pain medicine

authors： Steckelberg RC,Funck N,Kim TE,Walters TL,Lochbaum GM,Memtsoudis SG,Giori NJ,Indelli PF,Graham LJ,Mariano ER

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Peripheral nerve blocks reduce postoperative pain and enhance recovery after total knee arthroplasty (TKA). This study aims to assess the benefits of addition of intravenous dexmedetomidine (DexM) to intravenous dexamethasone on the analgesic duration of quadruple nerve blocks. METHODS:This d...

journal_title：Regional anesthesia and pain medicine

authors： Chassery C,Marty P,Rontes O,Chaubard M,Vuillaume C,Basset B,Merouani M,Marquis C,De Lussy A,Delbos MC,Casalprim J,Bataille B,Naudin C,Ferre F,Delbos A

更新日期：2021-02-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:This study aimed to describe and assess the accuracy and feasibility of a novel technique for ultrasound-guided maxillary nerve block using the lateral pterygoid plate (LPP) approach via the pterygopalatine fossa (PPF) in a soft cadaveric model. METHODS:Ten soft cadavers were studied. The cur...

journal_title：Regional anesthesia and pain medicine

authors： Kampitak W,Tansatit T,Shibata Y

更新日期：2018-08-01 00:00:00

abstract：:Shoulder surgery is associated with significant postoperative pain in many patients. The use of an interscalene nerve block offers good analgesia but is associated with a high incidence of an ipsilateral phrenic nerve block. Several strategies to avoid this adverse effect have been studied. Possible strategies are (1)...

journal_title：Regional anesthesia and pain medicine

authors： Verelst P,van Zundert A

更新日期：2013-01-01 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:The underlying mechanisms of neuropathic pain remain unclear. This work aimed to investigate the role of Sirtuin3 (SIRT3), an nicotinamide adenosine dinucleotide+-dependent histone deacetylase, in the development of neuropathic pain induced by type 2 diabetes mellitus (T2DM) and to explore the associated mec...

journal_title：Regional anesthesia and pain medicine

authors： Zhou C,Zhang Y,Jiao X,Wang G,Wang R,Wu Y

更新日期：2021-01-01 00:00:00

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:This study examined whether perioperative multimodal analgesia (MMA) improves the effectiveness of intravenous nutrition (IVN) as a means of preventing protein wasting following major upper abdominal surgery (UAS). The MMA regimen utilized combined epidural opioid/local anesthetic and the syst...

journal_title：Regional anesthesia and pain medicine

authors： Barratt SM,Smith RC,Kee AJ,Mather LE,Cousins MJ

更新日期：2002-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Perioperative systemic lidocaine provides postoperative analgesia, decreases opioid consumption, and facilitates rehabilitation in abdominal surgery. We hypothesized that systemic lidocaine has analgesic effects in women undergoing day-case laparoscopic sterilization. METHODS:Eighty women wer...

journal_title：Regional anesthesia and pain medicine

authors： Dewinter GB,Teunkens A,Vermeulen K,Al Tmimi L,Van de Velde M,Rex S

更新日期：2016-05-01 00:00:00