abstract：BACKGROUND AND OBJECTIVES:Epidural anesthesia is a technically challenging regional anesthetic technique that can be difficult to teach to novices. Epidural simulators are now available to allow realistic training within a safe and controlled environment before attempting the procedure on patients. Potentially, this ma...

journal_title：Regional anesthesia and pain medicine

authors： Friedman Z,Siddiqui N,Katznelson R,Devito I,Bould MD,Naik V

更新日期：2009-05-01 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：BACKGROUND AND OBJECTIVES:The posterior approach to performing a continuous brachial plexus block at the level of the nerve roots has been described using traditional superficial landmarks. We describe an ultrasound-guided approach for the placement of a continuous interscalene brachial plexus catheter at the level of ...

journal_title：Regional anesthesia and pain medicine

authors： Antonakakis JG,Sites BD,Shiffrin J

更新日期：2009-01-01 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：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：: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：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

authors： Mizogami M,Tsuchiya H,Ueno T,Kashimata M,Takakura K

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:We hypothesized that ultrasound-guided wrist blocks may be faster to perform, and may increase success rate, compared with nerve stimulation-guided wrist blocks. METHODS:Sixty patients undergoing ambulatory endoscopic carpal tunnel release were randomly allocated to receive median and ulnar n...

journal_title：Regional anesthesia and pain medicine

authors： Macaire P,Singelyn F,Narchi P,Paqueron X

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The current intensity at which a motor response is elicited with an intraneural needle placement has been inadequately studied. We hypothesized that electrical current delivered through an intraneurally placed needle does not always result in an evoked motor response. Our secondary objective w...

journal_title：Regional anesthesia and pain medicine

authors： Tsai TP,Vuckovic I,Dilberovic F,Obhodzas M,Kapur E,Divanovic KA,Hadzic A

更新日期：2008-05-01 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:Conflicting definitions concerning the exact location of the lumbar plexus have been proposed. The present study was carried out to detect anatomical variants regarding the topographical relation between the lumbar plexus and the psoas major muscle as well as lumbar plexus anatomy at the L4-L5...

journal_title：Regional anesthesia and pain medicine

authors： Kirchmair L,Lirk P,Colvin J,Mitterschiffthaler G,Moriggl B

更新日期：2008-03-01 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

authors： McCutchen T,Gerancher JC

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Continuous spinal anesthesia via a spinal catheter allows adjusting the duration and extent of anesthesia to surgical needs, maintenance of hemodynamic stability, and good postoperative analgesia. This study was designed to determine the median effective local anesthetic dose of plain ropivaca...

journal_title：Regional anesthesia and pain medicine

authors： Michalek-Sauberer A,Kozek-Langenecker SA,Heinzl H,Deusch E,Chiari A

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Glomangiomas are rare, vascular tumors consisting of an afferent artery, arteriovenous canal, neuro-reticular elements, collagen, and efferent veins, and are most often located in the soft tissue of the upper extremities. We describe how the use of ultrasound-guided nerve blockade altered the ...

journal_title：Regional anesthesia and pain medicine

authors： Duggan E,Brull R,Lai J,Abbas S

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:In addition to their blockade of voltage-dependent sodium channels, the action of local anesthetics at 5-hydroxytryptamine-3 (5-HT3) receptors may be clinically relevant. Because local anesthetics have different clinical properties, we have tested the hypothesis that differences in interaction...

journal_title：Regional anesthesia and pain medicine

authors： Ueta K,Suzuki T,Sugimoto M,Uchida I,Mashimo T

更新日期：2007-11-01 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 AND OBJECTIVES:Ultrasound-guided regional anesthesia is a rapidly growing field. There exists little information regarding the competencies involved with such a practice. The objective of this exploratory study was to characterize the behavior of novices as they undertook the challenges of learning a new tec...

journal_title：Regional anesthesia and pain medicine

authors： Sites BD,Spence BC,Gallagher JD,Wiley CW,Bertrand ML,Blike GT

更新日期：2007-03-01 00:00:00

abstract：BACKGROUND:We report the first prospective sonoanatomic study in neonates with the aim to perform ultrasonographic-guided epidural catheter placement in this age group. METHOD:One hundred forty-five neonates with a body weight < or =4 kg (0.53-4 kg) were included in this prospective study. The study was divided into 3...

journal_title：Regional anesthesia and pain medicine

authors： Willschke H,Bosenberg A,Marhofer P,Willschke J,Schwindt J,Weintraud M,Kapral S,Kettner S

更新日期：2007-01-01 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

authors： Alemanno F,Capozzoli G,Egarter-Vigl E,Gottin L,Alberto B

更新日期：2006-11-01 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：OBJECTIVE:This report describes the effects of ganglionic local opioid application (GLOA) in patients with chronic headache and persistent idiopathic facial pain. CASE REPORT:We present 2 patients with chronic headaches and 1 patient with persistent idiopathic facial pain who were refractory to medical treatment. Thes...

journal_title：Regional anesthesia and pain medicine

authors： Harris CL,Hamid B,Rosenquist RW,Schultz-Stubner SH

更新日期：2006-09-01 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

authors： Friedman Z,Katznelson R,Devito I,Siddiqui M,Chan V

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

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

更新日期：2006-05-01 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：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:Prolongation of the QT interval may result in grave cardiac arrhythmias, polymorphic ventricular tachycardia ("torsades de pointes"), and ventricular fibrillation. We assessed the influence of spinal anesthesia on the QTc interval and the potential arrhythmogenicity of this method of anesthesi...

journal_title：Regional anesthesia and pain medicine

authors： Owczuk R,Sawicka W,Wujtewicz MA,Kawecka A,Lasek J,Wujtewicz M

更新日期：2005-11-01 00:00:00

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：:Potassium (K+) channels form the largest family of ion channels with more than 70 such genes identified in the human genome. They are organized in 3 superfamilies according to their predicted membrane topology: (1) subunits with 6 membrane-spanning segments and 1-pore domain, (2) subunits with 2 membrane-spanning segm...

journal_title：Regional anesthesia and pain medicine

authors： Kindler CH,Yost CS

更新日期：2005-05-01 00:00:00

abstract：:Pain patients can be difficult. They can provoke negative feelings of frustration and anger among clinicians and damage the doctor-patient relationship. This article helps practitioners to identify those pain patients who would be prone to difficult behavior and sheds light on some of the reasons behind the behavior t...

journal_title：Regional anesthesia and pain medicine

authors： Wasan AD,Wootton J,Jamison RN

更新日期：2005-03-01 00:00:00

abstract：BACKGROUND:Because of the uncertainty and limitations in available randomized controlled trials, we performed an analysis of the Medicare claims database to determine whether an association exists between postoperative epidural analgesia and mortality. METHODS:A 5% nationally random sample of Medicare beneficiaries fr...

journal_title：Regional anesthesia and pain medicine

authors： Wu CL,Hurley RW,Anderson GF,Herbert R,Rowlingson AJ,Fleisher LA

更新日期：2004-11-01 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

authors： Takenami T,Yagishita S,Nara Y,Hoka S

更新日期：2004-09-01 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：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:Peripheral nerve blocks can be successfully utilized in infants for neurosurgical procedures. Our objective was utilizing a series of peripheral nerve blocks for a neurosurgical procedure in a very low-birth-weight neonate. CASE REPORT:We report the use of supraorbital, great auricular, and g...

journal_title：Regional anesthesia and pain medicine

authors： Suresh S,Bellig G

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The incidence of postdural puncture headache (PDPH) after epidural wet tap for obstetric patients may be as high as 75%. We have studied how subsequent placement of a subarachnoid catheter immediately after confirmation of a wet tap, and leaving the catheter in place for 24 hours affects the i...

journal_title：Regional anesthesia and pain medicine

authors： Ayad S,Demian Y,Narouze SN,Tetzlaff JE

更新日期：2003-11-01 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：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：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:Postoperative pain is the expected but nonetheless undesirable byproduct of all surgical procedures. Humanitarian concerns and recent quasi-governmental regulations have heightened awareness about the importance of treating postoperative pain. This guideline builds upon the foundation created ...

journal_title：Regional anesthesia and pain medicine

authors： Rosenquist RW,Rosenberg J,United States Veterans Administration.

更新日期：2003-07-01 00:00:00

abstract：OBJECTIVE:We present a case of intense herpes zoster-related pain and itching in the ophthalmic division of the trigeminal nerve (V1). Successful pain and itch management was achieved after insertion of a high thoracic epidural catheter with a continuous infusion of bupivacaine and clonidine. CASE REPORT:A 73-year-old...

journal_title：Regional anesthesia and pain medicine

authors： Elkersh MA,Simopoulos TT,Malik AB,Cho EH,Bajwa ZH

更新日期：2003-07-01 00:00:00