Publications by authors named "Thilak Sreenivasalu"
Purpose: Sciatic nerve block (SNB) is commonly performed in combination with femoral nerve block (FNB) for postoperative analgesia following total knee arthroplasty (TKA). Despite the fact that 10-20 % of TKA patients require SNB for postoperative posterior knee pain, there are no existing studies that suggest a model to predict the need for SNB. The aim of our study was to develop a prediction tool to measure the likelihood of patients undergoing TKA surgery requiring a postoperative SNB.
View Article and Find Full Text PDFBackground: Ultrasound guidance for continuous femoral perineural catheters may be supplemented by electrical stimulation through a needle or through a stimulating catheter. The authors tested the primary hypothesis that ultrasound guidance alone is noninferior on both postoperative pain scores and opioid requirement and superior on at least one of the two. Second, the authors compared all interventions on insertion time and incremental cost.
View Article and Find Full Text PDFArticle Synopsis
- - The study aimed to determine if preoperative statin therapy affects the risk of acute kidney injury (AKI) in patients undergoing elective noncardiac surgery by analyzing records of over 57,000 patients from the Cleveland Clinic.
- - Out of nearly 28,500 patients evaluated after exclusions, the overall AKI incidence was 6.1%, with higher rates in statin users (7.5%) compared to nonusers (5.8%), along with very low rates of postoperative dialysis and hospital mortality.
- - After matching statin users and nonusers for comparison, the AKI occurrences were 7.1% for statin users and 8.0% for nonusers, suggesting no significant benefit of statins