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Reducing Postoperative Opioid Use: A Comparison of Open Versus Ultrasound-Guided Regional Anesthesia for Patients Undergoing Open Pancreatoduodenectomy.
J Surg Oncol
January 2025
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Background: Opioid crisis is a national issue with significant economic burden and marked increase in opioid-related deaths, particularly following surgical procedures. Reducing opioid requirements while maintaining effective analgesia is critically challenging, perioperatively. Multimodal drug regimens and guided regional anesthesia (RA) have been adopted to address this issue.
View Article and Find Full Text PDFEndoscopic techniques for the diagnosis of pancreatic cystic lesions.
World J Gastroenterol
January 2025
Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Foggia, Foggia 71122, Italy.
Pancreatic cysts are mostly incidental findings on computed tomography or magnetic resonance imaging scans, with few patients presenting with abdominal pain or other symptoms. The accurate diagnosis of cysts is important as management depends on the type (neoplastic or non-neoplastic). Cross-sectional imaging is fast being replaced with endoscopic ultrasound (EUS) and various techniques based on that such as EUS-guided fine needle aspiration, EUS-guided needle confocal laser endomicroscopy, EUS-through-the-needle biopsy, and contrast-enhanced EUS.
View Article and Find Full Text PDFIntracystic Glucose Measurement for On-Site Differentiation Between Mucinous and Non-Mucinous Pancreatic Cystic Lesions.
Cancers (Basel)
December 2024
IRCCS Azienda Ospedaliero Universitaria di Bologna, Policlinico S. Orsola, 40138 Bologna, Italy.
Background: Pancreatic cystic lesions (PCLs) are frequently detected incidentally and vary from benign to malignant. Accurate differentiation between mucinous (M-PCLs) and non-mucinous PCLs (NM-PCLs) is essential for appropriate management. This study aims to validate the accuracy of on-site glucose measurement using a glucometer with a cut-off of 50 mg/dL for distinguishing M-PCLs from NM-PCLs.
View Article and Find Full Text PDFUltrasound-guided vs. laparoscopic-guided transversus abdominis plane block for postoperative pain following laparoscopic cholecystectomy: a systematic review and meta-analysis.
Ir J Med Sci
January 2025
Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Article Synopsis
- Postoperative pain after laparoscopic cholecystectomy (LC) is significant, and the transversus abdominis plane block (TAPB) is a method to manage this pain, delivered via ultrasound (UTAPB) or laparoscopic (LTAPB) guidance.
- A systematic review of randomized studies indicated that UTAPB was more effective in reducing pain after 6 hours compared to LTAPB, while the difference in effectiveness diminished over time at 12, 24, and 48 hours.
- The study concludes that UTAPB provides better early pain relief after LC, suggesting that further research is necessary to confirm these findings.
Comparison of single-dose erector spinae plane block versus paravertebral block for pyeloplasty surgery in children - A prospective, randomized study.
J Anaesthesiol Clin Pharmacol
November 2024
Department of Pediatric Surgery, All India Institute of Medical Sciences Vijaypur, Jammu, India.
Article Synopsis
- The study compares the effectiveness of two pain management techniques, Erector Spinae Plane Block (ESPB) and Paravertebral Block (PVB), in children undergoing pyeloplasty surgery.
- Both techniques showed similar results in pain relief scores and the timing for first rescue analgesia, indicating they are both effective.
- However, ESPB had advantages such as easier application and a lower risk of complications, specifically hematoma formation at the injection site.
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