A comparison of carbon dioxide absorption rates in gynecologic laparoscopy with a valveless versus standard insufflation system: A Randomized Controlled Trial

ConclusionCO2 absorption rates, anesthesiologists’ ability to maintain adequate etCO2 and post-operative shoulder pain did not differ based on insufflation system type or IAP. Surgeons’ rating of visualization of the operative field was significantly improved when using the valveless over the standard insufflation system.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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Authors: Rahimzadeh P, Mahmoudi K, Khodaverdi M, Faiz SHR Abstract Introduction: Laparoscopic gynecologic surgery is one of the most well-known procedures. Pneumoperitoneum with carbon dioxide insufflation can cause unfavorable hemodynamic effects due to catecholamine and vasopressin release. Aim: To examine the effects of stellate ganglion block on hemodynamic response and postoperative pain. Material and methods: In a prospective double blinded randomized parallel study we included 40 patients with ASA physical status I and II, aged between 18 and 50 years with a gynecologic problem candidate for laparosc...
Source: Videosurgery and Other Miniinvasive Techniques - Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research
As a component of multimodal analgesia, the administration of systemic lidocaine is a well-known technique. We aimed to evaluate the efficacy of lidocaine infusion on postoperative pain-related outcomes in pat...
Source: BMC Anesthesiology - Category: Anesthesiology Authors: Tags: Research article Source Type: research
Conclusion: ITM 5 μg/kg provides better intraoperative and postoperative analgesia and reduces postoperative PCA fentanyl requirement in laparoscopic donor nephrectomy compared to TAP block or intravenous fentanyl.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Authors: Abdelhamid BM, Khaled D, Mansour M, Hassan MM Abstract BACKGROUND: Pain control in the morbidly obese has presented as an anesthetic challenge. The aim of this study is to assess the analgesic efficacy of ultrasound guided bilateral erector spinae block compared to bilateral subcostal transversus abdominis plane block. METHODS: Prospective randomized, double-blinded controlled study was conducted at Kasr Alainy Hospital on 66 patients scheduled for laparoscopic sleeve gastrectomy. Patients were randomly allocated into three groups and received general anesthesia: bilateral erector spinae block at the l...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
In this meta-analysis, Hamid et al[1] discuss a subset of the currently available data on the impact of transversus abdominis plane (TAP) block on postoperative pain and opioid consumption. In the era of protocols to enhance recovery this is a worthy endeavor. The MBSAQIP D.R.O.P program (Decreasing Readmissions Through Opportunities Provided), described in 2014 by John Morton, was the first QI initiative to originate from this accreditation program [2]. Notably, the DROP program originated from a desire to decrease readmissions, and postoperative pain was not one of the author ’s proposed causes for readmission.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
We read with interest the article “Effect of Intraperitoneal Bupivacaine on Postoperative Pain in Laparoscopic Bariatric Surgeries” [1]. We thank and congratulate the Iranian colleagues for this important contribution to this topic. Even if supported by scarce literature, effectiveness of peritoneal irrigation with local anesthe tics still remains controversial [2], although it seems to be one useful tool to control postoperative pain after bariatric surgery, as recently stated by a meta-analysis published within your Journal [3].
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
CONCLUSIONS: Robotic inguinal hernia repair is safe and effective. 1) Proper training, including simulators and proctors, is necessary; 2) having the same operating room team and an interested first assistant at the OR table is very helpful; 3) the learning curve is about 50 patients; 4) postoperative narcotics are rarely more than three hydrocodone pills; 4) no fixation of the mesh is necessary, but fibrin sealant was used routinely in these patients; and 5) urinary retention is the most common postoperative issue and is best planned for by knowing the patients urinary history, use of peripheral alpha-blockers, and straig...
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research
CONCLUSIONS: Since ERAS was introduced, the advantages of epidural anesthesia vanished while the incidence of serious neurological complications is higher than previously thought. The authors conclude that epidural anesthesia in abdominal surgery has become less preferred, and is limited to patients and types of surgery known to be accompanied with difficult pain management. This requires the use of other methods for analgesia, such as intravenous ketamine, peripheral nerve blocks, continuous wound infiltration, intrathecal morphine, and intravenous, and non-invasive PCA. PMID: 32420713 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
ConclusionProgrammed intermittent boluses of local anesthetic for continuous QLB did not produce better analgesia or wider sensory blockade compared with continuous basal infusion in patients undergoing laparoscopic colorectal surgery.
Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research
Conditions:   Laparoscopic Surgery;   Anesthesia Intervention:   Sponsors:   Shenzhen Second People's Hospital;   Shenzhen Third People's Hospital Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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