Publications by authors named "P Daroszewski"
Article Synopsis
- A study compared the effectiveness of two nerve blocks (PENG and lumbar ESPB) for managing pain in kids undergoing hip surgeries while under spinal anesthesia.
- Both techniques showed significantly lower pain scores, inflammatory markers, and reduced opioid use post-surgery compared to a control group.
- The findings suggest that both blocks are effective options for relieving pain and minimizing stress responses after such surgeries in children.
Article Synopsis
- The study evaluated the impact of perineural dexamethasone on pain relief, opioid use, and stress response metrics in children undergoing foot and ankle surgery.
- Key findings included that a higher dose of dexamethasone (0.1 mg/kg) significantly extended the time before the first need for rescue opioids and increased motor block duration compared to lower doses and a control group.
- No significant changes were observed in blood glucose levels or stress markers (NLR and PLR) among the different treatment groups post-surgery.
Article Synopsis
- The study investigated the effects of an ultrasound-guided erector spinae plane block (ESPB) on pain management and stress response in patients undergoing idiopathic scoliosis surgery, comparing it to standard analgesia methods.
- Results indicated that patients receiving the ESPB reported significantly lower pain levels, required less opioid medication, and experienced reduced surgical stress, as measured by specific blood ratios (NLR and PLR).
- The use of ESPB did not negatively impact intraoperative motor-evoked potentials, suggesting it is a safe and effective analgesic technique for this type of surgery.
A practical solution to the incidental unreliability of intraoperative neuromonitoring (IONM) may be the simultaneous neurophysiological recording and control of the surgical field through a camera (the concept of "Real-time" IONM). During "Real-time" IONM, the surgeon is immediately warned about the possibility of damage to the neural structures during, but not after, standard idiopathic scoliosis (IS) corrective surgery procedures (the concept of "Surgeon-neurophysiologist" interactive, verbal IONM). This study aimed to compare the advantages, utilities, reliabilities, and time consumption of the two IONM scenarios.
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- This study evaluated the effects of a pain management technique involving the iPACK block combined with the ACB in patients undergoing total knee arthroplasty, focusing on pain relief and recovery.
- The research included 366 participants, comparing outcomes such as pain scores, opioid use, functional recovery, and stress response indicators (NLR and PLR) between a sham group and the treatment group.
- Results showed significant improvements in pain relief, reduced opioid consumption, better functional recovery, and lower stress response levels in the iPACK + ACB group, suggesting its effective role in postoperative care.