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Pericapsular nerve group (PENG) block combined with local infiltration analgesia is not superior to local infiltration analgesia for the management of postoperative pain after primary elective total hip arthroplasty: A prospective, randomized, controlled, single-blind trial.
Heliyon
July 2024
Département d'Anesthésie-Réanimation, Hôpital Pierre-Paul Riquet, Centre Hospitalo-universitaire (CHU) Purpan, Toulouse, France.
Background: Local infiltration analgesia (LIA) has been advocated for the pain management after total hip arthroplasty (THA). The analgesic benefits of an added pericapsular nerve group (PENG) block remain questionable.
Methods: This randomized, single-blind trial enrolled patients undergoing elective THA under general anaesthesia and standardized postoperative analgesia.
Effect of preoperative patient education and simulated mouth breathing training on opioid requirements in the post-anesthesia care unit after nasal surgery: a randomized controlled study.
BMC Anesthesiol
October 2023
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Korea.
Article Synopsis
- A study explored whether preoperative education on managing nasal discomfort could reduce opioid use after elective nasal surgery.
- 110 patients were divided into two groups: one received extensive training on mouth breathing and the expected discomfort (education group), while the other received standard information (control group).
- Results showed no significant difference in opioid use or pain levels between the two groups, indicating that the preoperative education did not lessen the need for pain relief post-surgery.
Comparison of the perfusion index as an index of noxious stimulation in monitored anesthesia care of propofol/remifentanil and propofol/dexmedetomidine: a prospective, randomized, case-control, observational study.
BMC Anesthesiol
May 2023
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Background: Dexmedetomidine, one of the sedatives, has an analgesic effect. We aimed to investigate postoperative analgesia with dexmedetomidine as adjuvants for procedural sedation using perfusion index (PI).
Methods: In this prospective, randomized, case-control, observational study, 72 adult patients, 19-70 years, who were scheduled for chemoport insertion under monitored anesthesia care were performed.
Drowsiness following ondansetron given the day after general anesthesia for postoperative nausea: a pediatric case report.
JA Clin Rep
February 2023
Department of Critical Care and Anesthesia, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.
Background: Ondansetron is an antiemetic drug that is useful not only for prevention but also for the treatment of postoperative nausea and vomiting (PONV). We report a rare case of drowsiness in a child after using ondansetron for nausea on the day after general anesthesia.
Case Presentation: A 5-year-old boy underwent circumcision under general anesthesia and suffered from postoperative nausea and vomiting.
Routine postoperative admission to the neurocritical intensive care unit after microvascular decompression: necessary or can it be abandoned?
Neurosurg Rev
December 2022
Department of Neurosurgery, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Postoperative neurocritical intensive care unit (NICU) admission of patients who underwent craniotomy for close observation is common practice. In this study, we performed a comparative analysis to determine if there is a real need for NICU admission after microvascular decompression (MVD) for cranial nerve disorders or whether it may be abandoned. The present study evaluates a consecutive series of 236 MVD surgeries performed for treatment of trigeminal neuralgia (213), hemifacial spasm (17), vagoglossopharyngeal neuralgia (2), paroxysmal vertigo (2), and pulsatile tinnitus (2).
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