scholarly journals Monitored Anesthesia Care and Soft-Tissue Infiltration With Local Anesthesia for Short Cephalomedullary Nailing in Medically Complex Patients: A Technique Guide

Cureus ◽  
2021 ◽  
Author(s):  
Andrew S Bi ◽  
Nina D Fisher ◽  
Abhishek Ganta ◽  
Sanjit R Konda
Keyword(s):  
Soft Tissue ◽  
Local Anesthesia ◽  
Anesthesia Care ◽  
Monitored Anesthesia Care ◽  
Complex Patients ◽  
Cephalomedullary Nailing

Monitored Anesthesia Care and Soft-Tissue Infiltration with Local Anesthesia (MAC-STILA)

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sanjit R. Konda ◽  
Rachel A. Ranson ◽  
Nicket Dedhia ◽  
Yixuan Tong ◽  
Evens Saint-Cyrus ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Local Anesthesia ◽  
Anesthesia Care ◽  
Monitored Anesthesia Care

Pain control for interstitial cystitis/bladder pain syndrome patients undergoing pelvic reconstructive surgery

2019 ◽  
Vol 11 (4) ◽  
pp. 201-206
Author(s):  
Tess Crouss ◽  
Briana Mancenido ◽  
Neha Rana ◽  
Xibei Jia ◽  
Kristene Whitmore
Keyword(s):  
Interstitial Cystitis ◽  
Local Anesthesia ◽  
Reconstructive Surgery ◽  
Pain Control ◽  
Perioperative Outcomes ◽  
Anesthesia Care ◽  
Pelvic Reconstructive Surgery ◽  
Monitored Anesthesia Care ◽  
Bladder Pain ◽  
Interstitial Cystitis Patient

Introduction: Scant research exists on pain control for interstitial cystitis patients undergoing pelvic reconstructive surgery. Our aim was to compare the perioperative courses in patients with and without interstitial cystitis undergoing pelvic reconstructive surgery performed using primarily monitored anesthesia care with local anesthesia. Methods: A retrospective chart review of surgical cases performed at a single site from November 2015 to July 2018 was performed. Joint non-gynecologic cases were excluded. Data including demographics, intraoperative variables, medication requirements, and postoperative courses were abstracted. Chi-square, independent t, and Mann–Whitney U tests were used to compare interstitial cystitis with non-interstitial cystitis patients. Results: In total, 65 separate cases met inclusion criteria and were analyzed, with 57 individual subjects. Out of the 65 cases, 33 cases were performed on interstitial cystitis patients. Only 2 of the 33 interstitial cystitis patient cases required general anesthesia. Interstitial cystitis patients did not require higher concentrations of 1% lidocaine with epinephrine (average of 3.8 mg/kg) compared to patients without (2.8 mg/kg). There was no difference between groups in perioperative complications, length of recovery, or postoperative narcotic consumption. Conclusion: Perioperative outcomes and pain control do not differ in those with and without interstitial cystitis undergoing pelvic reconstructive surgery. Prolapse surgery can be safely performed on a patient population with a high proportion of chronic pelvic pain using monitored anesthesia care with local anesthesia, without increased morbidity or difficultly with perioperative pain control.

scholarly journals Combined local anesthesia and monitored anesthesia care for cochlear implantation

2014 ◽  
Vol 131 (4) ◽  
pp. 261-262 ◽  
Author(s):  
M. Alzahrani ◽  
F. Martin ◽  
C. Bobillier ◽  
A. Robier ◽  
E. Lescanne
Keyword(s):  
Local Anesthesia ◽  
Cochlear Implantation ◽  
Anesthesia Care ◽  
Monitored Anesthesia Care

Anesthesia for Carpal Tunnel Surgery

2018 ◽  
pp. 369-378
Author(s):  
Curtis Choice
Keyword(s):  
General Anesthesia ◽  
Local Anesthesia ◽  
Carpal Tunnel ◽  
Ambulatory Surgery ◽  
Carpal Tunnel Release ◽  
Anesthesia Care ◽  
Monitored Anesthesia Care ◽  
Ambulatory Surgery Centers ◽  
Carpal Tunnel Surgery ◽  
Wide Awake

Carpal tunnel surgery to release the entrapped median nerve is a common outpatient procedure performed in ambulatory surgery centers. The more common, traditional technique is the open carpal tunnel release. The newer minimally invasive surgical technique is the endoscopic carpal tunnel release. The most common anesthetic technique is monitored anesthesia care consisting of intravenous sedation with local anesthetic infiltration by the surgeon. Intravenous local anesthesia, the Bier block, was previously offered as an alternative to general anesthesia. Wide awake local anesthesia no tourniquet surgery or wide awake hand surgery is an option growing in popularity. Finally, ultrasound-guided peripheral nerve blocks can be performed for procedures on the upper extremity. The shifting of outpatient surgeries from the hospital to ambulatory surgery centers has placed an emphasis on patient selection and utilizing monitored anesthesia care and regional anesthesia in place of general anesthesia for outpatient procedures.

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