Recent Advances in Regional Anesthesia and Ultrasound Techniques

Publication date: Available online 17 July 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Richard D. Urman, Alan David Kaye
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research

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Quadratus lumborum block (QLB) is an effective analgesia that lowers opioid consumption after lower abdominal and hip surgeries. The subcostal approach to transmuscular QLB is a novel technique that can provid...
Source: BMC Anesthesiology - Category: Anesthesiology Authors: Tags: Research article Source Type: research
CONCLUSIONS: FI O2 did not affect significant atelectasis formation in mechanically ventilated children who received ultrasound-guided recruitment maneuver and positive end-expiratory pressure. PMID: 31411351 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
We present the first documented case of an emergency clinician treating the pain of an acute Acromioclavicular (AC) joint separation through ultrasound (US) guided injection of an anesthetic agent. A 41  year old male presented with an acute traumatic grade III AC joint separation after falling off a scooter, and his pain was not significantly improved with oral medication. The AC joint was located by US, and bupivacaine was injected into the joint effusion under US guidance, yielding near comple te resolution of pain.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
Editor ’s PerspectiveWhat We Already Know about This TopicInterscalene nerve block is commonly used for shoulder surgery for anesthesia and postoperative analgesiaUnfortunately, interscalene blocks commonly result in hemidiaphragmatic paralysisWhat This Article Tells Us That Is NewWhen interscalene block was compared with superior trunk block, less frequent hemidiaphragmatic paralysis was seen in the superior trunk block groupSuperior trunk block was noninferior to interscalene block in terms of worst pain scores in the recovery room, and superior trunk block patients were more satisfiedBackground Interscalene nerve ...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Editor ’s PerspectiveWhat We Already Know about This TopicCardiac output is an independent regulator of cerebral blood flow in healthy awake humansThe relationship between cardiac output and cerebral blood flow in anesthetized patients undergoing laparoscopy has not been previously characterizedWhat This Article Tells Us That Is NewAt steady-state depth of anesthesia, in patients undergoing laparoscopic cholecystectomy, creation of pneumoperitoneum decreased cardiac output and internal carotid artery blood flow while mean arterial pressure and end-tidal carbon dioxide levels remained unchangedBackground Little is kno...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Editor ’s PerspectiveWhat We Already Know about This TopicAdductor canal nerve block is useful for a range of knee surgeries, although the optimal injection location has not been definedUnfortunately, analgesia achieved using adductor canal block is sometimes accompanied by unwanted motor blockWhat This Article Tells Us That Is NewProximal adductor canal injections were associated with lower first 24-h morphine consumption than when injections were more distalDecreases in quadriceps strength were similar whether the injection was made in a proximal, mid-, or distal adductor canal locationBackground The ideal location...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Conclusions Ultrasound enables identification of specific early diaphragm atrophy that affects the majority of mechanically ventilated patients and septic shock patients. Diaphragm atrophy and pectoral muscle atrophy seem to be two unrelated processes.
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Conditions:   Anesthesia, Regional;   Brachial Plexus Block Intervention:   Procedure: Hand surgery under regional anesthesia Sponsor:   University Hospital, Bordeaux Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Anesthesia, Regional;   Brachial Plexus Block Intervention:   Procedure: Hand surgery under regional anesthesia Sponsor:   University Hospital, Bordeaux Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Anesthesia, Regional;   Brachial Plexus Block Intervention:   Procedure: Hand surgery under regional anesthesia Sponsor:   University Hospital, Bordeaux Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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