Publications by authors named "P Janusz"
Article Synopsis
- Intraoperative neuromonitoring (IONM) is essential for ensuring patient safety during scoliosis surgery by monitoring spinal cord and nerve function through motor-evoked potentials (MEPs), with anesthesia type affecting the accuracy of these signals.
- A systematic review was carried out, analyzing studies from major medical databases, which evaluated the impact of various anesthetic techniques on neuromonitoring during scoliosis procedures, narrowing down from 998 articles to 45 for detailed analysis.
- The findings suggest that the Erector Spinae Plane Block (ESPB) offers significant advantages over traditional spinal and epidural anesthesia by improving neuromonitoring accuracy, reducing complications, and providing effective pain management, leading to better patient outcomes.
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.
Background: Management of ankle joint deformity and instability are challenging issues in congenital fibular hemimelia (FH). This study aims to assess how much the SUPERankle procedure improves ankle alignment and provides durable ankle stability in patients with severe FH.
Methods: Seventeen children aged 53.
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.