In the last 12 months, the Food and Drug Administration issued two documents warning the medical profession about the concurrent use of low molecular weight heparins (LMWHs) and neuroaxial blocks. This article summarizes the American and European experiences with LMWH thromboprophylaxis that could help with risk assessment.
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Pathways of dye spread after injections in the paraspinal spaces-A cadaveric study.
Saudi J Anaesth
March 2024
Department of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India.
Article Synopsis
- The erector spinae plane (ESP) block has become popular but its diffusion toward the paravertebral area is unpredictable; researchers evaluated dye diffusion patterns in human cadavers to clarify this.
- In an experiment with six cadavers, different dyes were injected using an ultrasound technique at the thoracic vertebrae, with evaluations conducted to see how far the dye spread in surrounding areas.
- Results showed that dye from the ESP injection spread only to the dorsal area and not to the paravertebral space, while the inter-ligament space injection allowed for extensive dye spread both anteriorly and posteriorly, suggesting it could be a more effective approach.
Transversus Abdominis Plane Block versus Epidural Anesthesia for Pain Management Post-Caesarean Delivery: A Pilot Study.
Local Reg Anesth
April 2024
Department of Medicine, San Martín University Foundation, Sabaneta, Antioquia, Colombia.
Article Synopsis
- - The study explored whether the Transversus Abdominis Plane (TAP) block provided better post-operative pain relief than epidural analgesia for patients after caesarean delivery.
- - Participants were divided into two groups: one received the TAP block while the other received epidural analgesia, and pain levels were measured at various intervals using a Visual Analog Scale (VAS).
- - Results showed the TAP block group had significantly lower pain scores at 0 and 6 hours post-surgery, supporting its effectiveness as a pain relief method with greater impact compared to epidural analgesia.
[Old and New Regional Anesthesia Procedures Under Review - Abdomen to Toe].
Anasthesiol Intensivmed Notfallmed Schmerzther
March 2024
Ultrasound (US) technology has significantly expanded the spectrum of regional anesthesiological procedures in recent years. Abdominal wall blocks are becoming an increasingly integral part of a multimodal postoperative pain concept after abdominal surgery, gynecological or urological interventions. Thoracic epidural analgesia remains the gold standard for extensive surgery.
View Article and Find Full Text PDFProton Craniospinal Irradiation with Immunotherapy in Two Patients with Leptomeningeal Disease from Melanoma.
J Immunother Precis Oncol
February 2024
Department of Oncology, Mayo Clinic, Rochester, MN, USA.
Introduction: Proton craniospinal irradiation (pCSI) is a treatment option for leptomeningeal disease (LMD), which permits whole neuroaxis treatment while minimizing toxicity. Despite this, patients inevitably experience progression. Adding systemic therapy to pCSI may improve outcomes.
View Article and Find Full Text PDFCervical split cord malformation (diastematomyelia) with associated Klippel-Feil deformity presenting in adulthood with bimanual synkinesis.
Eur Spine J
July 2024
Department of Neurosurgery, Hull University Teaching Hospitals, Hull, UK.
Background: Split cord malformation (SCM) is a rare congenital malformation of the spinal cord in which the cord is split longitudinally. Identification and diagnosis in adulthood is rare, with the majority of cases diagnosed in the paediatric population. Isolated segmental cervical SCM is rarer still.
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