A randomized, prospective, double-blind study comparing benzyl alcohol with epinephrine, 1:100,000 (BA), and lidocaine with epinephrine, 1:100,000 (LID), as local anesthetics was carried out on adult patients with simple lacerations. The two study groups were compared for pain of infiltration (100 mm visual analog scale) and need for additional anesthesia. Pain scores were compared by a Mann Whitney Independent Rank Sum test and need for additional anesthesia by a Fishers Exact test. A total of 52 subjects (26 per group) were analyzed. The groups were similar in demographics and wound characteristics. The median pain score for BA, 7.5 mm, was less than for LID, 19.5 mm (p = 0.049). Although more patients receiving BA required additional anesthesia as compared to LID (8/26 versus 2/26), this difference did not reach statistical significance. BA is a reasonable alternative local anesthetic to LID for patients who are allergic to LID.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0736-4679(01)00404-8 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Management of type 1 diabetes is constantly evolving. Hybrid closed loop technology is replacing multiple dose insulin and continuous subcutaneous insulin infusions as the preferred manner for managing type 1 diabetes in the community. Currently, there are no case reports or clinical guidelines to instruct practitioners on the safe peri-operative use of hybrid closed loop technology for patients requiring emergency surgery.
View Article and Find Full Text PDFLiver Transplant Provider Perspectives on Posttransplant Management of Alcohol Use Disorder.
Transplant Direct
April 2025
Group for Research, education, and the Future of Transplantation (GRaFT), Transplant Surgery Department, Massachusetts General Hospital, Boston, MA.
Background: Liver transplantation (LT) is the standard treatment for liver failure secondary to alcohol-associated liver disease, but limited literature and best practices exist for post-LT treatment of alcohol use disorder (AUD). This study explores current AUD management practices and providers' perceived barriers to effective post-LT AUD management.
Methods: A 45-item survey on post-LT AUD treatment practices was distributed to members of the American Society of Transplant Surgeons, the Association of Consult/Liaison Psychiatry Transplant Special Interest Group, and both the American Society of Transplantation's Liver and Intestine Community of Practice and Psychosocial and Ethics Community of Practice discussion boards, between December 2021 and April 2022.
Opioid-Sparing Anesthesia for Open Total Pancreatectomy and Splenectomy Using the External Oblique Intercostal (EOI) Block: A Case Report.
Cureus
February 2025
Department of Anaesthesiology, Singapore General Hospital, Singapore, SGP.
The external oblique intercostal (EOI) block is a relatively new fascial plane block that had been described for upper abdominal surgery. While it has had relatively good analgesia efficacy in the literature for various upper abdominal surgeries, it has yet to be proven to be effective as the sole analgesia technique. We present a 74-year-old Chinese female patient undergoing an open total pancreatectomy and splenectomy using the bilateral EOI block as the primary analgesia technique.
View Article and Find Full Text PDFStrategies to Maximize the Benefits of Evidence-Based Enteral Nutrition: A Narrative Review.
Nutrients
February 2025
Department of Critical Care Medicine, Yokohama City University Hospital, Yokohama 236-0004, Japan.
Enteral nutrition (EN) has been reported to have some physiological importance for critically ill patients. However, the advantage of EN over parenteral nutrition remains controversial in recent paradigms. To maximize the benefits and efficiency of EN, implementing measures based on comprehensive evidence is essential.
View Article and Find Full Text PDFMultivariable Analysis of the Association Between Lumbar and Lumbosacral MRI-Diagnosed Spinal Pathologies and Pain in Dogs.
Animals (Basel)
March 2025
Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, 46115 Valencia, Spain.
Lumbar and lumbosacral pain in dogs often involves multiple concurrent spinal pathologies, complicating the identification of primary pain generators. This study assessed the associations between MRI-diagnosed spinal pathologies and pain to provide clinically relevant insights for their diagnosis and management. MRI scans and clinical records of 518 client-owned dogs were retrospectively reviewed, documenting demographic data, pain status, and MRI findings.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!