Fascia Iliaca Block Decreases Hip Fracture Postoperative Opioid Consumption: A Prospective Randomized Controlled Trial

Conclusions: Preoperative fascia iliaca compartment block significantly decreases postoperative opioid consumption while improving patient satisfaction. We recommend the integration of this safe and efficacious modality into institutional geriatric hip fracture protocols as an adjunctive pain control strategy. Level of Evidence: Therapeutic Level II See Instructions for Authors for a complete description of levels of evidence.
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article Source Type: research

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AbstractThis IRB-approved prospective pilot study evaluates the safety and feasibility of performing stereotactic robot-assisted transperineal MRI-US fusion targeted prostate biopsy under local anaesthesia (LA) with sedation. 30 patients who underwent robotic transperineal prostate biopsy between September 2017 and June 2018 were recruited. All biopsies were performed with the iSR ’obot Mona Lisa® and BK3000 ultrasound system. Intravenous paracetamol 1  g, with midazolam and fentanyl were given at positioning. After administration of 5 mL of 1%-lidocaine into the perineal skin 2 cm above and latera...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research
This study included 95 patients aged>18 years who underwent bone surgery in the ankle area from June to December 2018. All operations were performed under anesthetic PNB, and additional PNB was given for pain control ∼11 hours after preoperative PNB. An additional PCA with ketorolac, started before rebound pain was experienced, was used for pain control in group A (49 patients) but not group B (46 patients). We used intramuscular injection with pethidine or ketorolac as rescue analgesics if pain persisted. A visual analogue scale (VAS) for pain was used to quantify pain at 6, 12, 18, 24, 36, 48, and 72 hours postope...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
In this report, we presented the analgesic efficacy of QLB in 15 patients, which included nine renal and six ureter stones for ESWL. The mean of the VAS scores ranged from 0.20±0.41 to 2.73±1.22, and mean fentanyl consumption was 15.00±15.08 mcg during the procedure. No opioid-related side effects were observed in any of the patients. Full fragmentation was obtained in nine of the 15 patients, and partial fragmentation was obtained in five patients. PMID: 32030700 [PubMed - in process]
Source: Agri Dergisi - Category: Anesthesiology Tags: Agri Source Type: research
This study aims to investigate the effects of suprascapular nerve and axillary nerve block on postoperative pain, tramadol consumption, sevoflurane consumption and visual clarity of the surgical field in arthroscopic shoulder surgery. METHODS: Forty-six patients undergoing arthroscopic shoulder surgery were randomized to receive either both suprascapular and axillary nerve block with ultrasound guidance (20 ml 0.25% bupivacaine) before general anesthesia (group SSAXB, n=23) or a subacromial local infiltration (20 ml 0.25% bupivacaine) after the procedure (group control, n=23). End-tidal sevoflurane consumption, visuali...
Source: Agri Dergisi - Category: Anesthesiology Tags: Agri Source Type: research
Publication date: Available online 7 February 2020Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Nuno Sá Malheiro, Nuno Ricardo Afonso, Diamantino Pereira, Belinda Oliveira, Carmélia Ferreira, Ana Cristina CunhaAbstractIntroductionPainful shoulder syndrome is a frequent condition among the elderly and an important cause of functional disability. As the conservative is not always effective, ultrasound guided suprascapular nerve blockade presents as an important alternative treatment.ObjectiveTo evaluate the efficacy and safety of the use of 0.25% levobupivacaine and 40 mg of tri...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
Authors: Fontana C, Rocco M, Vetrugno L, Bignami E Abstract Continuous peripheral nerve block is a relevant part of multimodal treatment of postoperative pain. In this context the continuous popliteal nerve block is described as an option for postoperative pain management for surgical procedures on the leg, and particularly on the ankle and foot. We applied continuous popliteal nerve block for different types of anesthesia and postoperative pain management via the same catheter. No clear evidence of this specific use has been described in the literature. A 38 year-old patient wounded in combat with a displaced frac...
Source: Local and Regional Anesthesia - Category: Anesthesiology Tags: Local Reg Anesth Source Type: research
CONCLUSIONS: The posterior quadratus lumborum block with 0.25% bupivacaine 0.5 ml/kg provided better pain control than the ilioinguinal/iliohypogastric nerve block with 0.25% bupivacaine 0.2 ml/kg after open herniotomy in children. The ultrasound guidance technique for the posterior quadratus lumborum block is safe and as simple as the ultrasound-guided ilioinguinal/iliohypogastric nerve block for pediatric patients. PMID: 32030845 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
Pain control for patients in the Emergency Department (ED) with acute pancreatitis (AP) can be difficult and is often limited to intravenous opioids. The acute side effects from opioids are well known and their use in the treatment of AP is associated with prolonged length of hospitalization. Additionally, up to 10% of patients hospitalized for acute pancreatitis are still receiving opioids 6 months after discharge. Ultrasound-guided regional anesthesia by emergency physicians has increasingly proven to be an integral part of a multi-modal opioid sparing pain control strategy for patients in the ED.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
Medovate, a two-year-old UK firm, is bringing its SAFIRA regional anesthesia system to the United States. The SAFIRA (Safer Injection for Regional Anesthesia) allows anesthesiologists to deliver regional anesthesia (block) without relying on an assis...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Source Type: blogs
Conclusions: The analgesic effect of QLB2 and posterior TAPB was not different in patients undergoing gynecologic laparoscopic surgery. Cutaneous sensory blockade produced by QLB2 and posterior TAPB was limited to 3 dermatomal levels in the majority of the patients. However, these findings need to be confirmed in a larger comparative study. PMID: 32008278 [PubMed - as supplied by publisher]
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
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