Publications by authors named "Yasutaka Konishi"
Background A preoperative sciatic nerve block (SNB) before total knee arthroplasty (TKA) frequently causes postoperative drop foot; however, this can also occur as an unintended result of surgical invasion. This study assessed the benefits of a postoperative SNB at the subgluteal space for patients who underwent TKA. Methodology This was a single-center, retrospective cohort study.
View Article and Find Full Text PDFPurpose: This pilot study evaluated the feasibility of investigating the effect of the erector spinae plane (ESP) block on the patient-centred outcomes of quality of recovery-15 (QoR-15), and brief pain inventory (BPI) in thoracic and breast surgery patients.
Methods: In this randomized-controlled pilot trial, 82 patients undergoing video-assisted thoracoscopic surgery (n = 77) and mastectomy (n = 5) received either continuous ESP block with ropivacaine (ropivacaine group) or the same procedure with 0.9% saline (saline group).
Article Synopsis
- The study examines risk factors for self-extubation (removing tubes) in postoperative patients, finding it leads to serious adverse events in those over 50 years old.
- Researchers compared 65 patients who self-extubated with 195 control patients, analyzing factors like age, sex, and health history.
- Key findings identified abdominal surgery, a history of dementia, and low preoperative hemoglobin levels as significant preoperative risk factors for self-extubation, suggesting these can help in preventing such incidents in at-risk patients.
A Cadaveric Study Investigating the Mechanism of Action of Erector Spinae Blockade.
Reg Anesth Pain Med
August 2018
Background And Objectives: Erector spinae block is an ultrasound-guided interfascial plane block first described in 2016. The objectives of this cadaveric dye injection and dissection study were to simulate an erector spinae block to determine if dye would spread anteriorly to the involve origins of the ventral and dorsal branches of the spinal nerves.
Methods: In 10 unembalmed human cadavers, 20 mL of 0.
Article Synopsis
- Cesarean deliveries for patients with placenta accreta can lead to severe bleeding and potentially fatal outcomes.
- A new treatment strategy involves performing uterine embolization immediately after cesarean delivery in a hybrid operating room, minimizing the need for patient transfers.
- In a specific case, this method was successfully implemented, resulting in no postpartum bleeding and a smooth hysterectomy 25 days later.