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Don't mix ropivacaine and dexamethasone.
Am J Emerg Med
December 2024
Department of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Article Synopsis
- The study investigates the effectiveness of directly mixing dexamethasone into regional nerve blocks versus administering it intravenously in patients undergoing a specific type of wrist surgery.
- It was a randomized controlled trial involving 50 participants who received either direct or indirect dexamethasone delivery during their anesthesia.
- Results indicated that direct dexamethasone administration significantly affects the duration of the nerve block and its recovery, but there was no clear impact on postoperative pain scores or opioid use within the first 24 hours.
Utility of Ultrasound-Guided Anesthetic Intra-articular Injection to Estimate the Outcome of Hip Arthroscopy in Patients with Femoroacetabular Impingement Syndrome.
Orthop Surg
August 2021
Department of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, Beijing, China.
Objective: To investigate the effectiveness of ultrasound (US) guided intra-hip joint injection to estimate the outcome of hip arthroscopy in patients with femoroacetabular impingement (FAI) syndrome.
Methods: Patients with FAI syndrome (n = 60) were prospectively enrolled in our study. Before hip arthroscopy, a mix of 4 mL 2% lidocaine and 4 mL 1% ropivacaine were injected into the hip joint under the guidance of US.
A case report: the use of ultrasound guided peripheral nerve block during above knee amputation in a severely cardiovascular compromised patient who required continuous anticoagulation.
Medicine (Baltimore)
March 2018
Department of Dental Anesthesiology, Seoul National University Dental Hospital Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Rationale: Although lower-extremity surgeries are mainly performed under general or central neuraxial anesthesia, ultrasound-guided peripheral nerve block (PNB) can be a good alternative, especially for patients who require continuous anticoagulation treatment and present with poor cardiovascular conditions.
Patients Concerns: The patient required continuous anticoagulation treatment due to the high risk of thromboembolism and poor cardiovascular conditions.
Diagnoses: The patient required lower-extremity amputation due to atherosclerotic and thromboembolic obstruction.
Preoperative flap-site injection with ropivacaine and epinephrine in BABA robotic and endoscopic thyroidectomy safely reduces postoperative pain: A CONSORT-compliant double-blinded randomized controlled study (PAIN-BREKOR trial).
Medicine (Baltimore)
June 2017
Department of Surgery, Seoul National University Bundang Hospital, Gyeonggi-do Department of Surgery, Seoul National University Hospital and College of Medicine Cancer Research Institute, Seoul National University College of Medicine, Seoul Thyroid and Endocrine Surgery Section, Department of Surgery, Gachon University Gil Medical Center, Incheon, Republic of Korea.
Background: Clinical trials on bilateral axillo-breast approach (BABA) thyroidectomy show that levobupivacaine and ropivacaine significantly reduce postoperative pain, but they focused on BABA robotic thyroidectomy only and did not identify specific sites of significant pain relief. Our objective was to assess the pain reduction at various sites and safety of ropivacaine-epinephrine flap injection in BABA thyroidectomy.
Methods: This prospective double-blinded randomized controlled trial was conducted in compliance with the revised CONSORT statement (ClinicalTrials.
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