Showing papers in "Regional Anesthesia and Pain Medicine in 2016"

TL;DR: The ESP block holds promise as a simple and safe technique for thoracic analgesia in both chronic neuropathic pain as well as acute postsurgical or posttraumatic pain.

TL;DR: The quadratus lumborum block was more effective in reducing morphine consumption and demands than transversus abdominis plane blocks after cesarean section up to 48 hours postoperatively.

TL;DR: Findings from the meta-analysis suggest that neuraxial ultrasound reduces the risk of traumatic procedures, and thus may possibly contribute to the safety of lumbar central neuraxIAL blocks.

TL;DR: Quadratus lumborum block resulted in a widespread and long-lasting analgesic effect after laparoscopic ovarian surgery and resulted in lower peak arterial ropivacaine concentrations as compared with those of lateral TAPB after 150 mg ropIVacaine injection.

TL;DR: The results suggest that both the saphenous nerve and the nerve to vastus medialis contribute to the innervation of the anteromedial knee joint and are therefore important targets of adductor canal block.

TL;DR: High-level evidence supports ultrasound guidance contributing to superior characteristics with selected blocks, although absolute differences with the comparator technique are often relatively small (especially for upper-extremity blocks).

TL;DR: This analysis strengthens the original conclusions that US guidance has no significant effect on the incidence of postoperative neurologic symptoms and that UGRA reduces the incidence and intensity of HDP but does so in an unpredictable manner and emerging evidence supports the effectiveness of US guidance for reducing LAST across its clinical presentation continuum.

TL;DR: The evidence for ultrasound (US) guidance for truncal blocks in 2010 was summarized by performing a systematic literature review and rating the strength of evidence for each block using a system developed by the United States Agency for Health Care Policy and Research.

TL;DR: While SSAX provides better quality pain relief at rest and fewer adverse effects at 24 hours, ISB provides better analgesia in the immediate postoperative period, for arthroscopic shoulder surgery.

TL;DR: Peripheral nerve block for total knee arthroplasty is ideally motor sparing while providing effective postoperative analgesia while understanding surgical dissection techniques, distribution of nociceptive generators, sensory innervation of the knee, and nerve topography in the thigh.

TL;DR: Radiofrequency treatments on the knee joint (major or periarticular nerve supply or intra-articular branches) have the potential to reduce pain from osteoarthritis or persistent postarthroplasty pain.

TL;DR: The results suggest that the quadratus lumborum block may be more effective than the ultrasound-guided lateral transverse abdominis plane (TAP) block; clearly, further research into this novel block technique is warranted.

TL;DR: A review summarizes recent advances in the knowledge base for DRG-targeted treatments for neuropathic pain and suggests that, by targeting this site, robust new options for pain management will be revealed.

TL;DR: These findings provide important insight into the dynamics of the adoption of regional anesthetic techniques, and with accumulating evidence in favor of regional anesthesia, promoting the use of NA and a further increase in PNB utilization could have far-reaching medical and economic implications.

TL;DR: Adductor canal blockade with bupivacaine 0.25% with epinephrine 1:300,000 effectively reduces pain and opioid requirement in the postoperative period after TKA.

TL;DR: Patients who received single-shot brachial plexus blocks for ambulatory wrist fracture surgery had a higher rate of unplanned health care resource utilization caused by pain after hospital discharge than those undergoing GA.

TL;DR: Clinically apparent local anesthetic-induced myotoxicity has been documented rarely in humans undergoing non-ophthalmic surgery, and 3 sentinel cases associated with continuous ACB are described.

TL;DR: The anatomy and topography of the cords of the brachial plexus are evaluated and they share a consistent relation relative to one another and to the axillary artery, at the CCS.

TL;DR: For spinal anesthesia in patients undergoing ambulatory knee arthroscopy, chloroprocaine has the shortest time to complete recovery of sensory and motor block compared with bupivacaine and lidocaine.

TL;DR: The technique indicates an easy and effective roadmap to target the pudendal nerve inside the Alcock canal by following the margin of the hip bone sonographically along the greater sciatic notch, the ischial spine, and the lesser Sciatic notch.

TL;DR: Addition of ONB to FTB significantly reduced opioid consumption and pain after TKA compared with a single FTB or LIA, without impaired ambulation.

TL;DR: Stronger evidence from the literature suggests that ultrasound-guided peripheral blocks decrease block performance time when compared with nerve stimulation, increase block success, and increase block quality (as measured by analgesic consumption, block duration, and pain scores).

TL;DR: The results provide the anatomic basis to define the stoplight sign as one made of, from cephalad to caudal, the root of C5, the upper fascicle(s) of C6, and the lower fascicle of C7 without contribution from C7.

TL;DR: Compared with its IV counterpart, PN dexamethasone (5 mg) provides a longer duration of motor block, sensory block, and postoperative analgesia for US-guided infraclavicular block.

TL;DR: Opening injection pressure greater than 15 psi was associated with a block needle tip position slightly indenting the epineurium of the femoral nerve and the fascia iliaca and Needle tip positions not indenting these structures were associated with OIP of less than15 psi.

TL;DR: Analysis of the literature supports the use of US over other nerve localization techniques as being beneficial for several block performance outcomes including block performance time, reducing the number of needle passes and the incidence of vascular puncture, shortening sensory block onset time, and improving block success.

TL;DR: In this article, the femoral nerve block (FNB) and adductor canal block (ACB)/saphenous nerve block were used to reduce post-operative pain after total knee arthroplasty.

TL;DR: For the pudendal group, the pain scores for the first 24 hours after the surgery were significantly lower and the duration of analgesia was longer and the family satisfaction rate was significantly higher than in the caudal group.

TL;DR: A 73-year-old woman with sternal fracture in whom enteral analgesia was inadequate and who was intolerant to intravenous opiates was successfully treated with a continuous infusion of local anesthetic into the subpectoral interfascial plane.

TL;DR: The problem of decreasing caseload can be tackled with epidural simulators to supplement in vivo learning and fluoroscopy and ultrasonography could be used to navigate the complex anatomy of the thoracic spine.