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 consumption, increased patient satisfaction, and earlier achievement of discharge criteria. Improved acute postoperative analgesia can facilitate effective rehabilitation. Investigators are in the early stages of reporting the effects of regional anesthesia on functional outcome. Recent studies reporting functional outcomes have been plagued with sample sizes of inadequate power to generate meaningful results. Furthermore, the functional outcome measures are used inappropriately in terms of clinically meaningful difference, assessment intervals, and/or duration of follow-up. This report aims to address these issues by discussing functional outcomes used in the physiotherapy or orthopedic literature and their appropriate utilization, so that future research into the effects of regional anesthesia can be methodologically sound. Outcomes discussed include those that are physical-performance-based (ie, range of motion, quadriceps strength, Timed Up and Go test, 6-Minute Walk Test, Stair Time, and Self-paced Walk Test) and those that are self-reported (ie,Western Ontario and McMaster Universities Osteoarthritis Index, Knee Osteoarthritis Severity Score, Lower Extremity Function Scale).
journal_name
Reg Anesth Pain Medjournal_title
Regional anesthesia and pain medicineauthors
Choi S,Trang A,McCartney CJdoi
10.1097/AAP.0b013e318295d973subject
Has Abstractpub_date
2013-07-01 00:00:00pages
340-9issue
4eissn
1098-7339issn
1532-8651pii
00115550-201307000-00014journal_volume
38pub_type
杂志文章abstract：BACKGROUND:Approximately 15% of patients report persistent knee pain despite surgical success following total knee arthroplasty (TKA). The purpose of this study was to determine the association of acute-postsurgical pain (APSP) with chronic postsurgical pain (CPSP) 6 months after TKA controlling for patient, surgical a...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章
doi：10.1136/rapm-2018-100036
更新日期：2019-02-15 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
pub_type： 杂志文章,评审
doi：10.1097/AAP.0000000000000694
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Spontaneous intracranial hypotension is a postural headache syndrome unrelated to dural puncture. Due to the apparent failure of epidural blood patch to relieve headache in spontaneous intracranial hypotension, we investigated the epidemiologic features and treatment outcomes of this condition...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章
doi：10.1053/rapm.2001.28275
更新日期：2001-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:We sought to describe a case of an epidural hematoma after a cervical interlaminar epidural steroid injection (ILESI) performed using contralateral oblique view. We also discuss factors that could have placed this patient at increased risk, including concurrent use of omega-3 fatty acids and n...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章
doi：10.1136/rapm-2018-000005
更新日期：2019-02-01 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
pub_type： 杂志文章
doi：10.1136/rapm-2018-000007
更新日期：2019-01-01 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
pub_type： 杂志文章
doi：10.1016/s1098-7339(00)90018-x
更新日期：2000-05-01 00:00:00
abstract：OBJECTIVE:Femoral nerve block (FNB) is increasingly used as an analgesic modality in patients with femoral fracture both in the emergency department and preoperatively. We describe an occurrence of unexpected dislocation of the fracture after FNB. CASE REPORT:An FNB was administered to treat pain in a 48-year-old pati...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章
doi：10.1097/AAP.0000000000000049
更新日期：2014-03-01 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
pub_type： 杂志文章
doi：10.1053/rapm.2002.31206
更新日期：2002-05-01 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
pub_type： 杂志文章
doi：10.1097/aap.0b013e3181ac7f38
更新日期：2009-07-01 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
pub_type： 杂志文章,随机对照试验
doi：10.1097/AAP.0b013e3182791157
更新日期：2013-03-01 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
pub_type： 杂志文章
doi：10.1136/rapm-2020-101918
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND/IMPORTANCE:Ultrasound (US)-guided cervical selective nerve root injections (CSNRI) have been proposed as an alternative to fluoroscopic (FL) -guided injections. When choosing US guidance, the proceduralist should be aware of potential issues confirming vertebral level, be clear regarding terminology, and up ...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章,评审
doi：10.1136/rapm-2020-102325
更新日期：2021-01-13 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
pub_type： 传,历史文章,杂志文章
doi：10.1016/j.rapm.2008.04.011
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Histologic evidence of the comparative neurotoxicity of lidocaine, mepivacaine, and prilocaine is incomplete. We compared the intrathecal neurotoxicity in rats among these 3 drugs based on morphologic and neurofunctional findings. METHODS:Rats (n=169) randomly received 0.12 microL/g of 0%, 2%...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章
doi：10.1016/j.rapm.2004.06.013
更新日期：2004-09-01 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
pub_type： 杂志文章,随机对照试验
doi：10.1097/AAP.0b013e31824c6846
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Transversus abdominis plane (TAP) blocks have been shown to reduce postoperative pain after various abdominal surgical procedures in several studies. The motor nerves of the abdominal wall are located in the same plane as the sensory nerves affected by the TAP block. The aim of this study was ...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章,随机对照试验
doi：10.1097/AAP.0b013e3182330b95
更新日期：2011-11-01 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
pub_type： 杂志文章
doi：10.1097/AAP.0b013e3181e6acf1
更新日期：2010-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Demand is growing for objective assessment of manual skills and competencies of invasive procedures. The aim of this study was to validate an objective tool for assessing residents' skill in performing epidural anesthesia by use of a global assessment scale and a 3-scale, 27-stage checklist. W...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章
doi：10.1016/j.rapm.2006.04.006
更新日期：2006-07-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Gabapentin is an anticonvulsant that has been shown to be effective in the treatment of neuropathic and inflammatory pain in animal and human studies. The analgesic effect of its perioperative use has not been fully elucidated. METHODS:This systematic review (meta-analysis) included 12 random...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章,meta分析
doi：10.1016/j.rapm.2006.01.005
更新日期：2006-05-01 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
pub_type： 杂志文章
doi：10.1097/AAP.0b013e31820d4334
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:A variety of brachial plexus block techniques via the interscalene approach have been proposed. We describe here a new middle interscalene perivascular approach to the brachial plexus. To verify its effectiveness, we studied 719 patients scheduled for shoulder arthroscopy. Furthermore, to veri...
journal_title：Regional anesthesia and pain medicine
pub_type： 临床试验,杂志文章
doi：10.1016/j.rapm.2006.05.015
更新日期：2006-11-01 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
pub_type： 杂志文章
doi：10.1016/j.rapm.2007.09.006
更新日期：2008-03-01 00:00:00
abstract：:This study aimed to describe the anatomical distribution of dye injected in the erector spinae plane (ESP) in a porcine living model, which could aid to reveal factors potentially relevant to the unexplained clinical effects of the ESP block. Six pigs received 0.6 mL/kg of 0.25% new methylene blue at the level of the ...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章
doi：10.1136/rapm-2019-100964
更新日期：2020-03-01 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
pub_type： 杂志文章
doi：10.1016/j.rapm.2007.11.007
更新日期：2008-05-01 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
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s1098-7339(98)90030-x
更新日期：1998-09-01 00:00:00
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
pub_type： 杂志文章
doi：10.1097/AAP.0000000000000493
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:S(-)-Bupivacaine has the pharmacotoxicological advantage over its antipode and racemate. The interaction with lipid membranes was compared between S(-)-, R(+)- and racemic bupivacaine. METHODS:The bupivacaine-induced changes in membrane property were determined by turbidity and fluorescence p...
journal_title：Regional anesthesia and pain medicine
pub_type： 杂志文章
doi：10.1016/j.rapm.2007.05.011
更新日期：2008-07-01 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
pub_type： 杂志文章
doi：10.1016/j.rapm.2005.07.193
更新日期：2006-01-01 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
pub_type： 杂志文章,随机对照试验
doi：10.1097/AAP.0000000000000390
更新日期：2016-05-01 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
pub_type： 杂志文章
doi：10.1097/AAP.0b013e318276a714
更新日期：2013-01-01 00:00:00
