scholarly journals Anesthesiologist Provided Regional Nerve Block Against Surgeon Provided Infiltration Block for Abdominal Surgery: Case Series

Cureus ◽  
2021 ◽  
Author(s):  
Poonam Pai BH ◽  
Samiat Jinadu
Keyword(s):  
Abdominal Surgery ◽  
Nerve Block ◽  
Case Series ◽  
Regional Nerve Block

Perineural Dexamethasone as a Peripheral Nerve Block Adjuvant in the Emergency Department: A Case Series

2021 ◽  
Vol 61 (5) ◽  
pp. 574-580
Author(s):  
Nicole M. Duggan ◽  
Arun Nagdev ◽  
Bryan D. Hayes ◽  
Hamid Shokoohi ◽  
Lauren A. Selame ◽  
...  
Keyword(s):  
Emergency Department ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Case Series

scholarly journals How Effective Is a Regional Nerve Block for Treating Pain Associated With Hip Fractures?

2018 ◽  
Vol 71 (3) ◽  
pp. 378-380 ◽  
Author(s):  
Michael Gottlieb ◽  
Nicholas Chien ◽  
Thomas Seagraves
Keyword(s):  
Nerve Block ◽  
Hip Fractures ◽  
Regional Nerve Block

Does a digital regional nerve block improve the accuracy of noninvasive hemoglobin monitoring?

2012 ◽  
Vol 26 (6) ◽  
pp. 845-850 ◽  
Author(s):  
Ronald D. Miller ◽  
Theresa A. Ward ◽  
Charles E. McCulloch ◽  
Neal H. Cohen
Keyword(s):  
Nerve Block ◽  
Regional Nerve Block

scholarly journals Ultrasound-guided epidural anesthesia and sedation foropen abdominal surgery in 20 consecutive children:a prospective case series and proof-of-concept study

2020 ◽  
Author(s):  
Werner Schmid ◽  
Philipp Opfermann ◽  
Markus Zadrazil ◽  
Ursula Tonnhofer ◽  
Martin Metzelder ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Airway Management ◽  
Epidural Anesthesia ◽  
Recovery Room ◽  
Case Series ◽  
Skin Incision ◽  
Study Endpoint ◽  
Primary Study ◽  
Ultrasound Guided ◽  
Drug Induced

Abstract General anesthesia (GA) in children is associated with respiratory events and a potential for drug-induced neurotoxicity. Aiming to reduce airway manipulation and the use of GA drugs, we designed a study of abdominal surgery under epidural anesthesia in sedated, spontaneously breathing children. We enrolled 20 children (3 − 83 months, 6.3 − 25.0 kg) scheduled for open abdominal surgery with Pfannenstiel incision. Sedation was followed by ultrasound-guided epidural anesthesia. Increases in heart rate by > 15% and or patient movements upon skin incision were rated as block deficiencies. Intubation equipment for advanced airway management was kept on standby. The primary study endpoint was successful blockade, meaning that no sequential airway management was required during surgery. Secondary endpoints included any use of fentanyl/propofol intraoperatively and of postoperative analgesics in the recovery room. All 20 blocks were successful, with no block deficiencies upon skin incision, no need for sequential airway management, and stable SpO2 levels (97–100%). Surgery took a median of 120.5 minutes (IQR: 89.3–136.5) and included one bolus of fentanyl 120 minutes into a protracted operation. No more systemic analgesia had to be provided in the recovery room. Sedation and epidural anesthesia emerged as a useful alternative to GA from our consecutive case series.

scholarly journals Rhomboid intercostal and subserratus plane block -a case series-

2020 ◽  
Vol 73 (6) ◽  
pp. 550-556 ◽  
Author(s):  
Hesham Elsharkawy ◽  
Hassan Hamadnalla ◽  
Ece Yamak Altinpulluk ◽  
Rodney A. Gabriel
Keyword(s):  
Pain Management ◽  
Abdominal Surgery ◽  
Case Series ◽  
Randomized Control Trials ◽  
Satisfaction Rate ◽  
Analgesic Regimen ◽  
High Satisfaction ◽  
Perioperative Pain Management ◽  
High Satisfaction Rate ◽  
Randomized Control

Background: The rhomboid intercostal and subserratus plane (RISS) block is a new interfascial block technique that has shown promising results for abdominal and thoracic surgeries. Our objective was to describe the improved analgesia and dermatomal coverage in patients who received bilateral RISS blocks after a major abdominal surgery.Case: Twenty-one patients who underwent abdominal surgery received the rhomboid intercostal component of the block at the T5 to T6 levels, and the subserratus component block was performed at the T6 to T9 levels.The RISS blocks provided effective postoperative analgesia. There was a variation in the dermatomal coverage ranging from T3 to T12. Patients reported a high satisfaction rate from pain management. Conclusions: The RISS block in abdominal surgery seems to have an important role in perioperative pain management, complementing the multimodal analgesic regimen. To determine the efficacy of the RISS block for abdominal surgery, we need further randomized control trials.

Utilization of regional anesthesia for open reduction and internal fixation of clavicular fractures is associated with increased same-day discharge and not readmissions

2020 ◽  
Vol 45 (9) ◽  
pp. 716-719
Author(s):  
Alexander Beletsky ◽  
Brittany Nicole Burton ◽  
Matthew W Swisher ◽  
John J Finneran IV ◽  
Rodney Allanigue Gabriel
Keyword(s):  
Internal Fixation ◽  
Regional Anesthesia ◽  
Nerve Block ◽  
Open Reduction ◽  
Case Series ◽  
Secondary Outcome ◽  
Multivariable Logistic Regression Analysis ◽  
Improvement Program ◽  
Same Day Discharge ◽  
Significant Difference

BackgroundRegional anesthesia is becoming increasingly used for analgesia in clavicular surgery. The purpose of the study is to examine same-day discharge and readmissions in patients with clavicular fractures receiving open reduction and internal fixation, comparing those who received regional anesthesia to those that did not.MethodsThe National Surgical Quality Improvement Program registry was used to build a retrospective cohort with the primary and secondary outcomes of same-day discharge and readmission rates, respectively. The independent variable was type of anesthesia (ie, regional vs general). Unadjusted univariable followed by multivariable logistic regression analysis for the association of each covariate with the primary and secondary outcome was performed. A p<0.05 was considered statistically significant.ResultsA total of 2300 patients were included, in which 346 (15.0%) of received a nerve block. The only factor associated with same-day discharge on crude analysis was the use of a nerve block (OR 1.70, 95% CI 1.21 to 2.40, p<0.01). Factors not associated with same-day discharge included geriatric age (OR 0.39, 95% CI 0.26 to 0.57, p<0.01), diabetes mellitus (OR 0.54, 95% CI 0.33 to 0.89, p=0.01), dependent functional status (OR 0.27, 95% CI 0.11 to 0.69, p<0.01), hypertension (OR 0.39, 95% CI 0.29 to 0.52, p<0.01), bleeding disorder (OR 0.24, 95% CI 0.10 to 0.59, p<0.01) and an American Society of Anesthesiologists Physical Status score ≥3 (OR 0.33, 95% CI 0.25 to 0.45, p<0.01). On adjusted analysis, regional anesthesia was associated with increased odds of same-day discharge (OR 1.67, 95% CI 1.18 to 2.37, p<0.01), but not 30-day readmission (OR 0.57, 95% CI 0.13 to 2.52, p=0.46).ConclusionRegional anesthesia use in patients with clavicular fractures is associated with higher odds for same-day discharge. There is no significant difference in the rates of hospital readmission within a 30-day period.Level of EvidenceIV, retrospective case series.

A case series of suprascapular nerve block (with an historical comparator) for shoulder pain in motor neurone disease

2020 ◽  
Vol 34 (8) ◽  
pp. 1127-1133
Author(s):  
E Michael Shanahan ◽  
Karen Glaezter ◽  
Tiffany Gill ◽  
Catherine Hill ◽  
Scott Graf ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Nerve Block ◽  
Case Series ◽  
Suprascapular Nerve ◽  
Motor Neurone ◽  
Motor Neurone Disease ◽  
Control Group ◽  
Placebo Control ◽  
Time Interval ◽  
Suprascapular Nerve Block

Background: Shoulder pain is a distressing but under-reported and poorly managed symptom in people with motor neurone disease. Objectives: This study aimed to assess the efficacy of suprascapular nerve block for the management of shoulder pain in patients with motor neurone disease. Methods: A total of 27 patients with motor neurone disease and shoulder pain were offered a suprascapular nerve block. Ten of these patients had bilateral shoulder pain and both were injected, making a total of 37 shoulders. The patients were followed up for a total of 3 months, or until death. Shoulder pain was measured using the pain scale (out of 100) of the shoulder pain and disability index and compared with baseline scores and a placebo control group from an earlier study using the same methodology (ACTRN12619000353190). Results: Following the nerve block there was a significant improvement of pain scores from baseline (58.4) at week 1 (20.8, p < 0.000), week 6 (17.6, p < 0.000) and week 12 (30.4, p = 0.001) and a significant improvement compared with the control group across each time interval. Conclusion: Suprascapular nerve block is a safe, effective therapy for patients with chronic shoulder pain.

Efficacy of regional nerve block in management of myofascial pain of masseteric origin

CRANIO® ◽  
2015 ◽  
Vol 33 (4) ◽  
pp. 286-291 ◽  
Author(s):  
Samuel Y. P. Quek ◽  
Gayathri Subramanian ◽  
Jasma Patel ◽  
Sowmya Ananthan ◽  
Julyana G. Zagury ◽  
...  
Keyword(s):  
Nerve Block ◽  
Myofascial Pain ◽  
Regional Nerve Block
Sign in / Sign up

Export Citation Format

Share Document