Preprocedural checklist for regional anesthesia: impact on the incidence of wrong site nerve blockade (an 8-year perspective).

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

authors： Chen LK,Yang YM,Yang YH,Lee CN,Chen SS,Sun WZ

更新日期：2011-05-01 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 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：:The progression of sensory blockade in the hand following a forearm Bier block with ropivacaine is currently unknown. The hands of 10 healthy adult human subjects were anesthetized with ropivacaine, and their sensitivities to cold and touch were tested until the completion of anesthesia. On average, insensitivity to c...

journal_title：Regional anesthesia and pain medicine

authors： Horn JL,Cordo P,Künster D,Harvey C,Cherry A,Bratt A,Gurfinkel V

更新日期：2011-03-01 00:00:00

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:This prospective, randomized, double-blind study compared the effects of the ultrasound-guided popliteal sciatic nerve block performed by either intraneural or subparaneural approach followed by an electrophysiological evaluation. We hypothesized that intraneural injection provides a faster on...

journal_title：Regional anesthesia and pain medicine

authors： Cappelleri G,Cedrati VL,Fedele LL,Gemma M,Camici L,Loiero M,Gallazzi MB,Cornaggia G

更新日期：2016-07-01 00:00:00

abstract：:The American Society of Regional Anesthesia and Pain Medicine (ASRA) periodically updates its practice advisories and associated cognitive aids. The 2020 version of the ASRA Local Anesthetic Systemic Toxicity checklist was created in response to user feedback, simulation studies and advances in medical knowledge. This...

journal_title：Regional anesthesia and pain medicine

authors： Neal JM,Neal EJ,Weinberg GL

更新日期：2021-01-01 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：OBJECTIVE:Postdural puncture headache (PDPH) is an uncommon sequel of lumbar puncture in children. When conservative treatment with bed rest, hydration, and caffeine are ineffective, epidural blood patches are recommended and are generally effective. The purpose of this report was to highlight that when lumbar epidural...

journal_title：Regional anesthesia and pain medicine

authors： Dʼsouza G,Seidel FG,Krane EJ

更新日期：2017-03-01 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:Radiofrequency (RF) lesions are safe and effective in the treatment of spine pain; however, models developed to study factors affecting lesion dimensions have been performed in homogeneous media that may not accurately simulate human anatomy and electrophysiology. We present a novel ex vivo po...

journal_title：Regional anesthesia and pain medicine

authors： Eckmann MS,Martinez MA,Lindauer S,Khan A,Ramamurthy S

更新日期：2015-05-01 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：BACKGROUND AND OBJECTIVES:For pain relief after total knee arthroplasty (TKA), an injection at the midthigh level may produce analgesia inferior to that of a femoral nerve block as the anterior femoral cutaneous nerves (intermediate femoral cutaneous nerve (IFCN) and medial femoral cutaneous nerve (MFCN)) are not anest...

journal_title：Regional anesthesia and pain medicine

authors： Bjørn S,Nielsen TD,Moriggl B,Hoermann R,Bendtsen TF

更新日期：2019-12-10 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：BACKGROUND AND OBJECTIVES:The duration of nerve block is longer in streptozotocin (STZ)-induced diabetic rats for all local anesthetics (with and without adjuvants) compared with normal rats. Perioperative glycemic control is currently practiced to reduce adverse events in many at-risk patients, especially in diabetic ...

journal_title：Regional anesthesia and pain medicine

authors： Kroin JS,Buvanendran A,Tuman KJ,Kerns JM

更新日期：2012-11-01 00:00:00

abstract：OBJECTIVE:Our objective was to describe the first reported use of an axillary brachial plexus block to treat the entrapment of a transradial artery catheter due to vasospasm. CASE REPORT:A 42-year-old man undergoing transradial arterial cardiac catheterization suffered arterial vasospasm causing the catheter to become...

journal_title：Regional anesthesia and pain medicine

authors： Fitzgerald BM,Babbel LA,Bacomo FK,Dhanjal ST

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:Subarachnoid blocks are considered routine anesthetic procedures important in the daily practices of most anesthesiologists. However, few data exist regarding modern failure rates or quality-compromising behaviors. METHODS:Sixty adult patients having orthopedic surgery under spinal anesthesia were enrolled ...

journal_title：Regional anesthesia and pain medicine

authors： Weed J,Finkel K,Beach ML,Granger CB,Gallagher JD,Sites BD

更新日期：2011-01-01 00:00:00

abstract：OBJECTIVES:The majority of intrathecal pumps are implanted by anesthesiologists. Despite a recent increase in case reports involving intrathecal catheter-tip inflammatory masses, this complication is rarely reported in the anesthesiology literature. The present case report describes a patient with spinal cord compressi...

journal_title：Regional anesthesia and pain medicine

authors： Peng P,Massicotte EM

更新日期：2004-05-01 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:Amputations of the lower extremity remain a common procedure in a high-risk population. Perioperative morbidity and mortality reach as high as 14.1% in below-knee amputations. We aimed to determine whether regional, or neuraxial, anesthesia, when compared with general anesthesia (GA), would be...

journal_title：Regional anesthesia and pain medicine

authors： Malik O,Brovman EY,Urman RD

更新日期：2018-01-01 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: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: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：: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：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

authors： Diaz JH

更新日期：2001-11-01 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: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：: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：: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：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