365 results match your criteria: "Local and Regional Anesthesia"
Adding Dexmedetomidine to Methylene Blue in Thoracic Paravertebral Block for Video-Assisted Lobectomy: A Case Series Study.
Local Reg Anesth
December 2024
Department of Women, Children and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Purpose: Thoracic surgery often results in severe chronic postoperative pain. Current evidence favors two locoregional techniques. Thoracic Epidural Anesthesia (TEA), the gold standard, and Thoracic Paravertebral Block (TPVB), which is associated with fewer side effects but is limited by short duration of action of local anesthetics (LA) and potential failure due to improper drug distribution.
View Article and Find Full Text PDFUltrasound-Guided Bilateral Modified-Thoracoabdominal Nerve Block Through a Perichondral Approach in a Patient Undergoing Bilateral Laparoscopic Inguinal Hernia Repair: A Case Report.
Local Reg Anesth
November 2024
Department of Anesthesiology, ICU & Perioperative Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Background: Modified thoracoabdominal nerve block through the perichondrial approach (M TAPA), described by Tulgar et al in 2019, is a relatively new block. The block is relatively superficial and easy to perform. It has been successfully used in various laparoscopic surgeries and has been shown to reduce the perioperative opioid requirements.
View Article and Find Full Text PDFFoot Drop Following a Popliteal Sciatic Nerve Block with Ropivacaine, A Case Report and Literature Review.
Local Reg Anesth
July 2024
Department of Anesthesiology and Intensive Care Medicine, Zealand University Hospital, Nykøbing, Denmark.
Article Synopsis
- * A case study discusses a 74-year-old man who experienced foot drop after receiving a popliteal sciatic nerve block with ropivacaine despite having several risk factors for peripheral neuropathy.
- * The authors propose that the vasoconstrictive effects of ropivacaine could have aggravated the patient's already compromised nerve, leading to further damage.
Opioid-Free Anesthesia in Bariatric Surgery: Is It the One and Only? A Comprehensive Review of the Current Literature.
Healthcare (Basel)
May 2024
1st Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Lindleya 4 Str., 02-005 Warsaw, Poland.
Article Synopsis
- Opioid-free anesthesia (OFA) eliminates opioids during general anesthesia to enhance patient safety and comfort, especially in high-risk groups like obese patients undergoing laparoscopic bariatric surgery.
- * While OFA aims to improve outcomes by using alternative pain management strategies, it comes with its own set of side effects and challenges, making the transition from traditional multi-drug anesthesia complicated.
- * Current research comparing OFA to conventional anesthesia is mixed, with concerns about its long-term effects and ongoing debates about its overall advantages.*
Comparison of Spinal Morphine and Transversus Abdominis Plane Block on Opioid Requirements After Caesarean Section: An Observational Study.
Local Reg Anesth
June 2024
Department of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Article Synopsis
- Acute postoperative pain is common in cesarean section patients (89.8% prevalence) and can lead to discomfort and increased risk of chronic pain if not managed properly.
- The study compares the effectiveness of 0.1mg spinal morphine versus Transversus Abdominis Plane (TAP) block with bupivacaine 0.2% in managing opioid needs post-surgery.
- Results indicate that spinal morphine allows for a longer duration before needing more opioids and requires a lower total dose of additional opioids compared to TAP block.
Current Status and Global Trend of Rebound Pain After Regional Anesthesia: A Bibliometric Analysis.
Local Reg Anesth
May 2024
Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Translational Research Institute of Brain and Brain-Like Intelligence, Department of Anesthesiology and Perioperative medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai City, People's Republic of China.
Article Synopsis
- The study examines rebound pain, a common issue after regional anesthesia, using a bibliometric analysis of relevant literature from the past decade.
- A total of 70 articles were reviewed, with the highest contributions from 2021, and notable authors and institutions, particularly from the USA.
- The findings suggest that while research on rebound pain is relatively new, it is rapidly growing, with emerging focus areas in perioperative management and patient outcomes related to fracture surgery.
The Gluteus Deep Investing Fascia Compartment Block: A Novel Technique for Posterior Femoral Cutaneous Nerve Block.
Local Reg Anesth
April 2024
Health Unit, International Committee of the Red Cross, Geneva, Switzerland.
Article Synopsis
- The study presents a new ultrasound-guided technique for blocking the posterior femoral cutaneous nerve (PFCN) called the "Gluteus-Deep Investing Fascia compartment Block" (GDIF block), which targets the space between the gluteus maximus muscle and deep investing fascia.
- Nineteen above-knee surgeries were performed on nine patients using the GDIF block as part of the Complete Lower Extremity Fascia Tri-compartment Block (CLEFT Block) without complications.
- Results indicate that the GDIF block effectively achieved complete PFCN blockade, allowing surgeries to proceed without the need for additional pain relief or conversion to general anesthesia.
Prolonged Duration of Peripheral Nerve Blockade in a Pediatric Patient with Charcot Marie Tooth Disease: A Case Report.
Local Reg Anesth
April 2024
Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, SC, USA.
Article Synopsis
- Charcot Marie Tooth disease is a frequent cause of peripheral nerve issues in kids, leading to muscle weakness and potential surgeries.
- An 11-year-old boy with this disease received a peripheral nerve block of bupivacaine for ankle surgery, with effects lasting up to 36 hours post-surgery.
- It’s important for patients with Charcot Marie Tooth disease to have close follow-ups after receiving nerve blocks to check for complications or worsening of their condition.
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.
Anesthetic Considerations in Combined TAVR and Aortic Endovascular Procedures, a Case Report.
Ann Card Anaesth
April 2024
Department of Cardiac Anesthesia and Intensive Care, Ospedale Policlinico San Martino IRCCS - IRCCS Cardiovascular Network, Genova, Italy.
Article Synopsis
- The text discusses a case of performing both transcatheter aortic valve replacement and endovascular aneurysm repair simultaneously, highlighting the effectiveness of local and regional anesthesia in maintaining stable blood pressure during the procedure.* -
- The increasing popularity of combined endovascular procedures is noted, but they pose substantial risks due to their effects on hemodynamics.* -
- The authors emphasize the importance of adapting anesthesia methods to enhance patient stability, finding that local and regional anesthesia are particularly beneficial in managing blood pressure changes.*
Knowledge, Attitudes and Practices Regarding Use of Local Anaesthetics Among Non-Anaesthesia Healthcare Professionals at Mulago National Referral Hospital.
Local Reg Anesth
March 2024
Department of General Surgery, Royal Hospital, Mogadishu, Somalia.
Article Synopsis
- Local anaesthetics (LA) are widely used in dental and surgical settings but there are no established guidelines for non-anaesthesia professionals regarding monitoring vital signs or managing LA toxicity.
- A study at Mulago National Referral Hospital assessed knowledge, attitudes, and practices of 43 non-anaesthesia healthcare professionals regarding LA use, using a questionnaire for data collection.
- The results showed that a significant portion of these professionals had unsatisfactory knowledge about LA, with 87.5% not routinely administering a test dose and 63.64% not sterilizing injection sites, highlighting the need for improved training and guidelines.
Combined Supra-Inguinal Fascia Iliaca, Sciatic Nerve, and Posterior Femoral Cutaneous Nerve Blocks in Austere Settings for Hemodynamically Unstable Patients with Vascular Injuries from Weapon Wounds: A Case Series.
Local Reg Anesth
March 2024
Health Unit, International Committee of the Red Cross, Geneva, Switzerland.
Article Synopsis
- * Seven patients were treated using this nerve block method in district hospitals between May and December 2023, successfully completing their surgeries without complications or the need for general anesthesia.
- * The findings suggest that this combined technique is a safe option for high-risk surgical patients, although further research with a larger sample size is needed to confirm effectiveness.
Successful Use of Ultrasound Guided Quadratus Lumborum Block Without General Anesthesia for Open Appendectomy in a Patient with Heart Failure with Reduced Ejection Fraction- A Case Report and Literature Review.
Local Reg Anesth
February 2024
Department of Anesthesiology, Critical Care and Perioperative Medicine, Hamad Medical Corporation, Doha, Qatar.
Article Synopsis
- - Patients with Heart Failure with Reduced Ejection Fraction (HFrEF) are at greater risk for complications during surgery, making it essential to optimize their cardiac function and address other risk factors before the procedure.
- - A case study of a mid-50s patient with severe heart failure undergoing an open appendectomy demonstrates the effectiveness of a quadratus lumborum block as an anesthesia alternative, promoting stability and comfort during surgery.
- - The use of quadratus lumborum block is recommended for high-risk patients as it reduces cardiovascular complications, maintains stable blood pressure, improves patient satisfaction, and can lead to shorter hospital stays.
A Novel Ultrasound-Guided "Three in One" Approach Plus Interfascial Plane Blocks for the Treatment of Cervicogenic Headache.
Local Reg Anesth
February 2024
Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Article Synopsis
- - Cervicogenic headache (CEH) is linked to issues in the upper cervical spine and can significantly lower quality of life; a new ultrasound-guided technique called the "three in one" approach aims to improve treatment outcomes by targeting specific nerve areas with one injection.
- - The study involved patients who didn’t respond to other treatments and utilized ultrasound and fluoroscopy to accurately perform nerve blocks, with follow-ups assessing pain relief through numerical rating scales at different intervals post-treatment.
- - Results showed that all patients experienced improved pain scores after using the new technique, with no complications reported, suggesting that the "Three in One" approach and interfascial plane blocks may be effective treatments for CEH.
Analgesic Effects of Different Local Infiltration Anesthesia Techniques Combined with Femoral Nerve Block in Patients Undergoing Total Knee Arthroplasty: A Randomized Controlled Clinical Trial.
Local Reg Anesth
December 2023
Department of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, People's Republic of China.
Article Synopsis
- The study investigates the effectiveness of intra-articular injection (IAI) combined with femoral nerve block (FNB) for pain relief after total knee arthroplasty (TKA), highlighting ongoing issues with post-surgery pain management.
- Results show that patients in the IAI group experienced significantly less need for additional pain medication, lower pain scores, and a quicker return to mobility compared to those receiving periarticular injection (PAI) or FNB alone.
- The conclusion emphasizes that IAI, when used with FNB, provides better pain relief and recovery outcomes than PAI or FNB on its own.
The Impact of Missing Postoperative Longitudinal Pain Data on Study Results Investigating Analgesia from Transversus Abdominis Plane Block on Postoperative Day One Following Abdominal Surgery: A Single-Center Retrospective Chart Review.
Local Reg Anesth
November 2023
Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Article Synopsis
- The study investigates the relationship between pain score recordings after surgery and factors like baseline pain, analgesic technique (including TAP block), and patient demographics such as age and race.
- A review of 486 patients with 2562 recorded pain scores found older patients record fewer pain scores, while Black patients also reported significantly lower scores on average.
- Different methods for handling missing data led to consistently lower pain scores in patients who did not receive TAP block, with notable differences in scores recorded at specific times of the day.
Quadratus Lumborum Block as a Cornerstone for Neonatal Intestinal Surgery Enhanced Recovery (ERAS): A Case Series.
Local Reg Anesth
October 2023
Pediatric Surgery, University Hospitals Rainbow Babies and Children's Hospital, Cleveland, OH, USA.
Purpose: Neonates present unique challenges for pediatric surgical teams. To optimize outcomes, it is imperative to standardize perioperative care by using early extubation and multimodal analgesic techniques. The quadratus lumborum (QL) block provides longer duration and superior pain relief than other single-injection abdominal fascial plane techniques.
View Article and Find Full Text PDFEffect of 2% Topical Lidocaine Gel on Discomfort from Electrical Stimulation During Nerve Conduction Studies- A Prospective Double-Blind Placebo-Controlled Study.
Local Reg Anesth
September 2023
Neurology Department, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Article Synopsis
- The study aimed to evaluate how topical lidocaine gel affects discomfort during nerve conduction studies (NCS) compared to a placebo gel (K-Y gel).
- A total of 130 patients participated, with one palm treated with lidocaine while the other received K-Y gel, and pain levels were measured through two pain scales.
- Results demonstrated that patients experienced significantly less pain with lidocaine gel, particularly in certain subgroups, although the overall clinical relevance of the findings may require further exploration and better drug delivery methods.
Systemic Ropivacaine Concentrations Following Local Infiltration Analgesia and Femoral Nerve Block in Older Patients Undergoing Total Knee Arthroplasty.
Local Reg Anesth
September 2023
Baltic Biomaterials Centre of Excellence, Headquarters at Riga Technical University, Riga, Latvia.
Article Synopsis
- The study investigated how a fixed dose of 225 mg ropivacaine for pain relief affects older patients undergoing knee surgery, considering different types of anesthesia and factors like age and weight.
- 24 patients were divided into three groups: one receiving a femoral nerve block, another with local infiltration of ropivacaine plus epinephrine, and the last without epinephrine, with blood samples taken at various intervals to measure ropivacaine levels.
- Results showed that using epinephrine with ropivacaine significantly lowered plasma levels, indicating a better safety profile, while age had some correlation with the drug's peak concentration, ensuring overall levels stayed below toxicity thresholds.
Magnesium Sulfate in Pediatric Abdominal Cancer Surgery: Safety and Efficacy in Ultrasound-Guided Transversus Abdominis Plane (US-TAP) Block in Conjugation with Levobupivacaine.
Local Reg Anesth
September 2023
Department of Anesthesia, ICU, and Pain Management, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Article Synopsis
- Magnesium sulfate (MgSO4) when combined with levobupivacaine improves postoperative pain management in pediatric cancer patients undergoing abdominal surgery via ultrasound-guided transversus abdominis plane (US-TAP) block.
- A study conducted involved 40 pediatric patients, comparing the pain relief effects and safety of US-TAP block with and without MgSO4.
- Results showed that the group receiving MgSO4 reported significantly lower pain scores and delayed first analgesic requests, indicating more effective pain relief, with no major adverse effects observed between the groups.
Neuropathies Following an Ultrasound-Guided Axillary Brachial Plexus Block.
Local Reg Anesth
September 2023
Department of Anesthesiology and Pain Medicine, Juntendo University Shizuoka Hospital, Izunokuni, Japan.
Purpose: Ultrasound-guided brachial plexus block (UGBPB) has interscalene, supraclavicular, infraclavicular, and axillary approaches. The axillary block is considered to be the safest and with fewer adverse events compared to the interscalene (eg, phrenic nerve block, spinal cord or vertebral artery puncture) and supraclavicular (eg, pneumothorax). However, with regard to postoperative neurological symptoms (PONS), it is controversial whether its incidence after an axillary block was higher than that after non-axillary approaches".
View Article and Find Full Text PDFIntrathecal Morphine versus Morphine-Dexmedetomidine Combination for Postoperative Pain Control After Total Knee Replacement: A Randomized Controlled Trial.
Local Reg Anesth
August 2023
Department of Anaesthesia and Surgical Intensive Care, Faculty of Medicine, Tanta University, Tanta, Egypt.
Article Synopsis
- This study compared the effectiveness and side effects of intrathecal morphine, dexmedetomidine, and a combination of both in patients undergoing total knee replacement surgery.
- 105 adult patients were randomly assigned to three groups receiving different combinations of medications, and their pain levels, analgesic needs, and complications were monitored post-surgery.
- Results showed that patients receiving dexmedetomidine required rescue analgesia sooner and experienced higher pain levels at rest and movement compared to the other groups, with fewer side effects reported in the dexmedetomidine group.
Article Synopsis
- * In a case series of 42 patients, 81% were extubated immediately after surgery, and only 21.4% needed reintubation, highlighting TAP blocks' potential benefits.
- * The findings suggest that TAP blocks can lead to positive postoperative outcomes, such as less hypotension and fluid use, comparable to combined regional block methods.
Article Synopsis
- * A literature review revealed that recent advancements, like ultrasound guidance and new local anesthetic drugs, have enhanced procedures and outcomes for upper-limb surgeries.
- * The overview highlights the evolution and modern use of upper-limb anesthesia techniques, especially during challenges like the COVID-19 pandemic.