Publications by authors named "Cheryl S L Chooi"
Article Synopsis
- Inguinal hernia repair is the most common surgery for infants, and this study aimed to assess a new anesthetic technique combining caudal block, high-flow nasal oxygen, and dexmedetomidine sedation instead of general anesthesia.
- Conducted in Australia and New Zealand, the study involved 50 infants and found that the new technique successfully completed surgery in 82% of the cases without needing to switch to general anesthesia.
- The approach resulted in few intraoperative and postoperative complications, suggesting it could be a safer alternative for this type of surgery in infants.
Background: The PEricapsular Nerve Group (PENG) block is a novel regional analgesia technique that provides improved analgesia in patients undergoing hip surgery while preserving motor function. In this study the PENG block was investigated for analgesia in elective total hip arthroplasty (THA).
Methods: In this multi-centre double-blinded randomized-controlled trial, in addition to spinal anesthesia and local infiltration analgesia (LIA), THA patients received either a PENG block or a sham block.
Following the placement of lumbar plexus and parasacral sciatic catheters for complex lower extremity surgery, a 19-kg child had dense sensory and motor blockades in the postanesthesia care unit. The surgical team felt obligated to exclude anatomically modifiable compression of the sciatic nerve and planned for surgical reexploration. Using an insulated short, beveled needle, direct electrical nerve stimulation distal to the parasacral sciatic block and proximal to the surgical site elicited tibial nerve motor function and confirmed nerve integrity.
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