Ultrasound-guided regional anesthesia performance in the early learning period: effect of simulation training.

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：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:Peripheral nerve and spinal cord stimulation techniques have been used for many years. However, electrical stimulation methods rarely have been used to confirm epidural catheter placement. This study examines the practicality of this technique to confirm epidural catheter placement in obstetri...

journal_title：Regional anesthesia and pain medicine

authors： Tsui BC,Gupta S,Finucane B

更新日期：1999-01-01 00:00:00

abstract：BACKGROUND:Neosaxitoxin (NeoSTX) is a potent site-1 sodium-channel blocker being developed as a local anesthetic. Doses of 100 μg have been used by local infiltration in anesthetized adult humans without adverse effect. We hypothesized that similar doses could cause significant respiratory, neuromuscular, and cardiovas...

journal_title：Regional anesthesia and pain medicine

authors： Wylie MC,Johnson VM,Carpino E,Mullen K,Hauser K,Nedder A,Kheir JN,Rodriguez-Navarro AJ,Zurakowski D,Berde CB

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The interscalene brachial plexus block (ISB) is an effective and well-established anesthetic technique for shoulder surgery. Using nerve stimulation as an aid in block placement, a motor response (twitch) in the biceps or a more distal upper limb muscle has been recommended to indicate accurat...

journal_title：Regional anesthesia and pain medicine

authors： Silverstein WB,Saiyed MU,Brown AR

更新日期：2000-07-01 00:00:00

abstract：OBJECTIVE:Sacroiliac joint injections are frequently performed procedures in the management of acute and chronic low-back pain, including patients with various immunocompromised states. Infectious complications following these procedures along with other spinal injections are rarely reported, but the true incidence is ...

journal_title：Regional anesthesia and pain medicine

authors： Nagpal G,Flaherty JP,Benzon HT

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:Ultrasound (US) guidance, in some instances, can increase the success rate and reduce the onset and procedure times for peripheral nerve blockade compared with traditional nerve localization techniques. The presumptive mechanism for these benefits is the ability to accurately inject local anesthetic circumfe...

journal_title：Regional anesthesia and pain medicine

authors： Brull R,Macfarlane AJ,Parrington SJ,Koshkin A,Chan VW

更新日期：2011-05-01 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：OBJECTIVE:To describe a late neurologic complication of intrathecal pump implantation and show the methods used for the diagnosis and successful treatment of transverse myelitis in this setting. CASE REPORT:A 32-year-old man with a chronic abdominal pain syndrome presented with right lower-extremity numbness 2 months ...

journal_title：Regional anesthesia and pain medicine

authors： Ubogu EE,Lindenberg JR,Werz MA

更新日期：2003-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Chronic pain is both prevalent and costly. Despite advances in understanding the anatomy, physiology, and biochemistry of nociception and development of potent analgesic agents and advanced technology, a significant number of people continue to experience pain and related disability. The perce...

journal_title：Regional anesthesia and pain medicine

authors： Turk DC

更新日期：2003-11-01 00:00:00

abstract：:The past century has seen immense progress in the advancement of methodology to evaluate efficacy of treatment interventions for acute and chronic pain. Continuing challenges revolve around how to best select and measure primary efficacy outcomes for a given analgesic trial. Recognizing the complex, multidimensional, ...

journal_title：Regional anesthesia and pain medicine

authors： Gilron I,Jensen MP

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The American College of Obstetricians & Gynecologists has opposed postpartum tubal ligation (PPTL) in patients whose pregnancies have been complicated by a medical condition, including hypertension. A prospective study was conducted to assess the appropriateness of spinal anesthesia for PPTL i...

journal_title：Regional anesthesia and pain medicine

authors： Suelto MD,Vincent RD Jr,Larmon JE,Norman PF,Werhan CF

更新日期：2000-03-01 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：: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：: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 aim of this study is to examine the effects of head-up tilt (70 degrees ) 30 minutes after right or left stellate ganglion block (SGB) on RR interval, QT interval, the rate-corrected QT (QTc) interval, QT dispersion (QTD), and the rate-corrected QT dispersion (QTcD) using computerized meas...

journal_title：Regional anesthesia and pain medicine

authors： Fujii K,Yamaguchi S,Egawa H,Hamaguchi S,Kitajima T,Minami J

更新日期：2004-07-01 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: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 AND OBJECTIVES:The aim of the study was to examine the analgesic effects of the anticonvulsant, gabapentin, in a validated model of acute inflammatory pain. METHODS:Twenty-two volunteers were investigated in a double-blind, randomized, placebo-controlled cross-over study. Gabapentin 1,200 mg or placebo was ...

journal_title：Regional anesthesia and pain medicine

authors： Werner MU,Perkins FM,Holte K,Pedersen JL,Kehlet H

更新日期：2001-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Ropivacaine is a potent local anesthetic that, experimentally at low concentrations, produces an effective block of pain conducting nerve fibers. Therefore, it was hypothesized that 0.1% and 0.2% ropivacaine would provide clinically adequate postoperative analgesia in continuous axillary plexu...

journal_title：Regional anesthesia and pain medicine

authors： Salonen MH,Haasio J,Bachmann M,Xu M,Rosenberg PH

更新日期：2000-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Patients treated with regional anesthesia often require concomitant medication for comfort and sedation. Propofol is widely used for this purpose. Remifentanil, a new ultra-short-acting opioid, exhibits at low doses distinct sedative properties that may be useful for supplementation of regiona...

journal_title：Regional anesthesia and pain medicine

authors： Lauwers MH,Vanlersberghe C,Camu F

更新日期：1998-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Stellate ganglion block (SGB) is one treatment option for human trigeminal nerve injury. The aim of this study was to evaluate the effectiveness of cervical sympathetic ganglia blocks (SB) by comparing the recovery of severed nerves in 2 rat models, treated or not treated by SB. METHODS:The i...

journal_title：Regional anesthesia and pain medicine

authors： Hanamatsu N,Yamashiro M,Sumitomo M,Furuya H

更新日期：2002-05-01 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: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, and multicentered study was undertaken to evaluate the success rate of coracoid infraclavicular nerve block performed with a nerve stimulator when either 1 or 3 motor responses were sought. METHODS:Eighty patients who presented for elbow, forearm, or wrist surger...

journal_title：Regional anesthesia and pain medicine

authors： Gaertner E,Estebe JP,Zamfir A,Cuby C,Macaire P

更新日期：2002-11-01 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: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:Several studies have evaluated the effect of pectoral nerve blocks to improve postoperative analgesia following breast cancer surgery resulting in contradictory findings. The aim of this study was to examine the effect of Pecs blocks on postoperative analgesia in women following mastectomies. ...

journal_title：Regional anesthesia and pain medicine

authors： Lovett-Carter D,Kendall MC,McCormick ZL,Suh EI,Cohen AD,De Oliveira GS

更新日期：2019-08-09 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Quadratus lumborum (QL) block is a new regional analgesic technique for upper and lower abdominal surgeries as part of a multimodal analgesic regime. It has also been reported to relieve pain after total hip arthroplasty (THA). In this prospective, randomized, double-blind study, we compared Q...

journal_title：Regional anesthesia and pain medicine

authors： Kukreja P,MacBeth L,Sturdivant A,Morgan CJ,Ghanem E,Kalagara H,Chan VWS

更新日期：2019-10-25 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