Proactive error analysis of ultrasound-guided axillary brachial plexus block performance.

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: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: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 AND OBJECTIVES:No study has compared cervical interlaminar epidural steroid injection (CIESI) with epidural catheter advancement to the side and level of pathology versus standard C7-T1 CIESI. This study investigated whether cervical radicular pain is more effectively treated by CIESI with a targeted epidura...

journal_title：Regional anesthesia and pain medicine

authors： McCormick ZL,Nelson A,Bhave M,Zhukalin M,Kendall M,McCarthy RJ,Khan D,Nagpal G,Walega DR

更新日期：2017-01-01 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: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: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 AND OBJECTIVES:Whether patients titrate themselves to an individualized blood or plasma opioid concentration (the so-called minimum effective concentration or [MEC]) has been debated extensively. Nevertheless, there is consistent opinion that during patient controlled analgesia (PCA) patients balance accepta...

journal_title：Regional anesthesia and pain medicine

authors： Woodhouse A,Mather LE

更新日期：2000-05-01 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: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: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：: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 AND OBJECTIVES:The typical blind insertion of a catheter into the epidural space risks catheter misplacement into the intrathecal space. The epidural stimulation test is designed to confirm the correct epidural location of a catheter but may also detect unintended intrathecal catheter placement by evaluating...

journal_title：Regional anesthesia and pain medicine

authors： Sutherland MA,Viscomi CM,Dominick TS,Anderson EL

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:In order to prolong labor analgesia, one may add intrathecal epinephrine to the combination of bupivacaine and fentanyl. In this study, we tested the hypothesis that the addition of intrathecal epinephrine would lessen the requirement for a rescue dose of epidural analgesia during labor. METH...

journal_title：Regional anesthesia and pain medicine

authors： Okutomi T,Mochizuki J,Amano K,Datta S

更新日期：2003-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Local anesthetics in blood absorbed from the epidural space attenuate bronchial hyperreactivity to chemical stimuli. However, it is not documented whether local anesthetics at clinically relevant concentrations improve active wheezing in patients with bronchial asthma. CASE REPORT:We managed ...

journal_title：Regional anesthesia and pain medicine

authors： Shono S,Higa K,Harasawa I,Sugano H,Dan K

更新日期：1999-09-01 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：:Perioperative outcomes research has gained widespread interest and is viewed as increasingly important among different specialties, including anesthesiology. Outcomes research studies serve to help in the adjustment of risk, allocation of resources, and formulation of hypotheses to guide future research. Pursuing high...

journal_title：Regional anesthesia and pain medicine

authors： Memtsoudis SG,Mazumdar M,Stundner O,Hargett MJ

更新日期：2014-09-01 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：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: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：BACKGROUND AND OBJECTIVES:We have investigated how the vascular components of the spine determine the resistance and capacitance of the spinal epidural space and determined the magnitude of the longitudinal pressure gradient in the space during fluid infusion. METHODS:Pigs were studied during isoflurane anesthesia. Tu...

journal_title：Regional anesthesia and pain medicine

authors： Blix EU,Buffington CW

更新日期：2009-03-01 00:00:00

abstract：:Abrupt cessation of intrathecal baclofen (ITB) administration can cause a life-threatening withdrawal syndrome that requires prompt diagnosis and urgent treatment. The current therapy for this condition is administration of propofol, benzodiazepines, paralytics and supportive care. This study reports a 53-year-old pat...

journal_title：Regional anesthesia and pain medicine

authors： Bellinger A,Siriwetchadarak R,Rosenquist R,Greenlee JD

更新日期：2009-11-01 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：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: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：BACKGROUND AND OBJECTIVES:The aim of this study was to determine whether an intrabursal morphine and bupivacaine mixed infusion provides useful analgesia for prolonged pain relief after subacromial arthroscopic operation. METHODS:A continuous intrabursal infusion catheter was inserted at the conclusion of the subacrom...

journal_title：Regional anesthesia and pain medicine

authors： Park JY,Lee GW,Kim Y,Yoo MJ

更新日期：2002-03-01 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：: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 OBJECTIVE:Calciphylaxis is a painful complication of end-stage renal disease and secondary hyperparathyroidism. Calcification most commonly affects skin and soft tissue of the lower extremities resulting in excruciatingly painful skin ulcers. Treatment involves correction of hypercalcemia and hyperphosph...

journal_title：Regional anesthesia and pain medicine

authors： Green JA,Green CR,Minott SD

更新日期：2000-05-01 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