Thoracic Erector Spinae Plane Catheter as a Bridge to Patient-Controlled Thoracic Epidural Analgesia in Unilateral Lung Transplantation.

Erector spinae plane (ESP) blocks may be an acceptable alternative to thoracic epidural analgesia during the postoperative period in lung transplant patients. In this case report, we describe the use of an ESP block to manage acute postoperative pain in a unilateral lung transplant, although it was inferior to the thoracic epidural, which was eventually placed.

Current and emerging therapies in premature ejaculation: Where we are coming from, where we are going.

Premature ejaculation is the most common form of sexual dysfunction among men. The pathophysiology of premature ejaculation appears to be multifactorial, implicating the need for multimodal therapeutic regimens to successfully treat premature ejaculation. Multiple treatment regimens have been shown to be effective in extending the time between penetration and ejaculation.

Adherence to surgical antibiotic prophylaxis remains a challenge despite multifaceted interventions.

Background: Adherence to prophylactic antibiotics guidelines is challenging and poorly documented. We hypothesized that a multiphase, multifaceted quality improvement initiative would engage relevant stakeholders, address known barriers to adoption, and improve overall adherence.

Methods: From 2011 to 2014, a series of interventions were introduced in the pediatric operating rooms.