Two Different Blocks for Postoperative Analgesia in Patients Undergoing Unilateral Total Knee Arthroplasty
Conditions: Knee Replacement, Total; Pain, Postoperative; Anesthesia, Regional Intervention: Drug: Bupivacaine Injection Sponsor: Sisli Hamidiye Etfal Training and Research Hospital Completed
Inadequately managed postsurgical pain impacts morbidity, mortality, and health care costs. More than 75% of surgical patients in the United States experience moderate, severe, or extreme postoperative pain.1,2 Despite efforts to control pain during and immediately after surgery with agents such as local anesthetics, opiates, gabapentinoids, acetaminophen, and nonsteroidal anti-inflammatory agents, pain often persists. The risk of developing chronic postoperative pain has been correlated to the intensity of acute postoperative pain.
We describe the anesthetic management for this innovative technique addressing technique-specific issues such as arrhythmia management, hemostasis, right heart failure and postoperative pain control.
FDA issues Emergency Use Authorization allowing for emergency use of certain anesthesia ventilators
AbstractPurpose of ReviewThis review will highlight early use of regional anesthesia for facilitating analgesia as both an adjunct and primary role in perioperative care of burned patients.Recent FindingsBurn patients are at risk of serious long-term medical and psychiatric consequences related to untreated pain. There is growing evidence that regional anesthesia is an acceptable and important modality in burn patients.SummaryRegional anesthesia provides many benefits, including a reduction in sedating medications and a model for improved productivity. There is limited data on the use of regional anesthesia for burn patien...
AbstractPurpose of ReviewThe purpose is to review current literature on pain management strategies from initial presentation to postoperative care on common fracture types.Recent Findings- Hip fractures benefit from use of multimodal pain control for early mobility and decreased narcotic requirement.- Distal radius fracture pain during reduction can be managed with hematoma block. Postoperatively, a soft dressing is adequate, and use of a compression glove may improve pain control and edema.- Ankle fractures can be reduced with hematoma block, though use of procedural sedation may reduce reduction attempts for fracture dis...
Elevated TnT levels associated with arrhythmias, use of glucocorticoid therapy, mechanical ventilation
Sharing mechanical ventilators should not be attempted, could put patients at increased risk
Abstract Purpose: The study aimed at investigating the effect of local infiltration analgesia (LIA) with ropivacaine on postoperative analgesia for patients undergoing ankle fracture surgery. Methods: Consecutive patients were retrospectively included and analysed according to their medical records from July 2014 to August 2018 in a tertiary hospital. Inclusion criteria were patients undergoing open reduction and internal fixation (ORIF) for ankle fractures under general anaesthesia. Moreover, patients should have received intravenous patient-controlled analgesia (iPCA) or LIA + iPCA for postope...
Conclusion In the patients who underwent S-VATS with primary spontaneous pneumothorax, the SAPB provided similar postoperative pain relief with reducing the NSAIDs consumption compared with ICNB. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text