Risk Factors for and Prediction of a Difficult Neuraxial Block: A Cohort Study of 73,579 Patients from the Danish Anaesthesia Database.

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：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:Use of nonsteroidal anti-inflammatory drug (NSAIDs) analgesics is controversial because of cardiovascular risk, but perioperative use may be advantageous for total joint replacement. Thus, we performed this single-center observational cohort study to determine any association between NSAID use...

journal_title：Regional anesthesia and pain medicine

authors： Liu SS,Bae JJ,Bieltz M,Ma Y,Memtsoudis S

更新日期：2012-01-01 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: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

authors： Hurley RW,Cohen SP,Williams KA,Rowlingson AJ,Wu CL

更新日期：2006-05-01 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: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:In ambulatory lower limb surgery, spinal anesthesia with rapid onset and a short duration of block is preferable. We hypothesized that the use of 2-chloroprocaine would be associated with a faster motor block recovery compared with prilocaine in knee arthroscopy. A difference of 15 min was considered clinica...

journal_title：Regional anesthesia and pain medicine

authors： Wesselink E,Hurk GJD,Vegt RV,Slagt C,Aa JV,Franssen E,Ven PV,Swart N,Boer C,Leeuw M

更新日期：2019-08-21 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: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: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：INTRODUCTION:The posterior lumbar plexus block (LPB) has been used for decades to provide acute pain management after hip surgery. Unfamiliarity with the technique and its perceived difficulty, potential risks, and possible adverse effects such as quadriceps weakness have limited broader use. The quadratus lumborum blo...

journal_title：Regional anesthesia and pain medicine

authors： Polania Gutierrez JJ,Ben-David B,Rest C,Grajales MT,Khetarpal SK

更新日期：2021-02-01 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:Success in performing ultrasound-guided peripheral nerve blockade (PNB) demands sound knowledge of sonoanatomy, good scanning techniques, and proper hand-eye coordination. The objectives of our study were to evaluate whether simulator training aids success of novice operators in ultrasound-gui...

journal_title：Regional anesthesia and pain medicine

authors： Niazi AU,Haldipur N,Prasad AG,Chan VW

更新日期：2012-01-01 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：:The blood-brain barrier (BBB) describes the unique properties of endothelial cells (ECs) that line the central nervous system (CNS) microvasculature. The BBB supports CNS homeostasis via EC-associated transport of ions, nutrients, proteins and waste products between the brain and blood. These transport mechanisms also...

journal_title：Regional anesthesia and pain medicine

authors： Viscusi ER,Viscusi AR

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:After peripheral inflammatory stimuli, spinal cord cyclooyxgenase-2 (COX-2) mRNA and protein levels increase, whereas COX-1 is unchanged. In animal models of inflammatory pain, intrathecal COX-2 selective inhibitors suppress hyperalgesia. However, the role of spinal COX-2 inhibition in postope...

journal_title：Regional anesthesia and pain medicine

authors： Kroin JS,Buvanendran A,McCarthy RJ,Hemmati H,Tuman KJ

更新日期：2002-09-01 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:This study reports our early experience with continuous cervical paravertebral block (CCPVB) using a stimulating catheter for the management of acute pain after shoulder surgery. METHODS:This prospective observational study presents 256 CCPVB for pain relief after 14 different shoulder operat...

journal_title：Regional anesthesia and pain medicine

authors： Boezaart AP,De Beer JF,Nell ML

更新日期：2003-09-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:There is a need for local anesthetics that provide consistent analgesia through 72 hours after surgery. This study evaluates the use of HTX-011 (bupivacaine and meloxicam in Biochronomerpolymer technology), an extended-release, dual-acting local anesthetic, in reducing both postoperative pain ...

journal_title：Regional anesthesia and pain medicine

authors： Viscusi E,Gimbel JS,Pollack RA,Hu J,Lee GC

更新日期：2019-05-21 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:Concern for block-related injury and liability has dissuaded many anesthesiologists from using regional anesthesia for eye and extremity surgery, despite many studies demonstrating the benefits of regional over general anesthesia. To determine injury patterns and liability associated with eye ...

journal_title：Regional anesthesia and pain medicine

authors： Lee LA,Posner KL,Cheney FW,Caplan RA,Domino KB

更新日期：2008-09-01 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: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 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: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

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:The acetylcholinesterase inhibitor neostigmine has shown peripherally mediated analgesic action in recent preclinical and clinical studies. The present study investigates the effectiveness of adding neostigmine to a local anesthetic, mepivacaine, in patients receiving axillary brachial plexus ...

journal_title：Regional anesthesia and pain medicine

authors： Bone HG,Van Aken H,Booke M,Bürkle H

更新日期：1999-09-01 00:00:00

abstract：BACKGROUND:Robotic and hand-assisted laparoscopic nephrectomies are often associated with moderate to severe postoperative pain. The aim of the current study was to investigate the analgesic efficacy of the transmuscular quadratus lumborum (TQL) block for patients undergoing robotic or hand-assisted laparoscopic nephre...

journal_title：Regional anesthesia and pain medicine

authors： Dam M,Hansen C,Poulsen TD,Azawi NH,Laier GH,Wolmarans M,Chan V,Bendtsen TF,Børglum J

更新日期：2021-01-01 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