Efficacy of Liposomal Bupivacaine versus Ropivacaine in Adductor Canal Block for Total Knee Arthroplasty
J Knee Surg DOI: 10.1055/s-0040-1713114Adductor canal block (ACB) is advantageous for postoperative analgesia in total knee arthroplasty (TKA) because it results in minimal motor block. Liposomal bupivacaine (LB) is Food and Drug Administration-approved extended-release formulation of bupivacaine for interscalene peripheral nerve blocks. Its use is increasing in the TKA setting, mainly as a local infiltration agent. We compared the efficacy of ACB using LB versus ropivacaine in TKA. Two cohorts of patients were retrospectively analyzed at a single institution receiving ropivacaine and LB ACB for TKA. Duration of LB ACB, time to first opioid use postrecovery room, amount of opioid use postrecovery room, length of stay (LOS), and average and highest pain scores were collected. A total of 91 and 142 TKA patients received ropivacaine and LB for ACB, respectively. At 8 hours postrecovery room, more patients in the LB group required no opioids compared with the ropivacaine group (p = 0.026). Mean opioid consumption was lower in the LB group than in the ropivacaine group at 8 and 24 hours postrecovery room, although statistical significance was only observed at 8 hours (p = 0.022). The highest pain score for patients in the two groups was not statistically different. The average pain score for patients with a 2-day LOS was higher in the LB group, but average pain scores were similar for patients with 1- and 3-day LOS. Median LOS for t...
Authors: Gu Y, Yao Q, Xu Y, Zhang H, Wei P, Wang L Abstract BACKGROUND This was a prospective comparative study of mixed reality (MR) technology assisted lumbar pedicle screws placement and traditional lumbar pedicle screws placement. MATERIAL AND METHODS Fifty cases of lumbar pedicle screws placement were randomly divided into 2 groups: 25 cases with MR technology in group A, and 25 cases without MR technology in group B. All patients had their scores on the Oswestry disability index (ODI) of low back pain and the visual analog scale (VAS) of the affected lower limb recorded at pre-operation. Blood loss, operative...
Conclusions. The use of the extension device for manual height adjustment of the hospital bed developed from this study helps to prevent LBP among healthcare workers across settings. PMID: 32646297 [PubMed - as supplied by publisher]
Publication date: Available online 10 July 2020Source: Journal of PhysiotherapyAuthor(s): Stephanie Reischl, Joy C MacDermid
Publication date: Available online 10 July 2020Source: Journal of PhysiotherapyAuthor(s): Sanaa A Alsubheen, Joy C MacDermid
Publication date: Available online 10 July 2020Source: Journal of PhysiotherapyAuthor(s): Ronaldo Fernando de Oliveira, Leonardo Oliveira Pena Costa, Leonardo Penteado Nascimento, Lívia Leticia Rissato
Publication date: Available online 10 July 2020Source: Journal of PhysiotherapyAuthor(s): Stephanie Reischl, Armaghan Dabbagh, Joy C MacDermid
Publication date: Available online 10 July 2020Source: Journal of PhysiotherapyAuthor(s): Michael A Wewege, Matthew D Jones, James H McAuley
We present a case of chronic non-communicating hydrocephalus (NCH) in a US military recruit. Non-communicating hydrocephalus is a pathologic obstruction of cerebrospinal fluid (CSF) resulting in enlargement of the ventricles and elevated intracranial pressure. The patient is an 18-year-old male recruit who was evaluated in the Naval Medical Center emergency room for left hip pain and incidentally was found to have profound ventriculomegaly on head imaging. The diagnosis and evaluation of hydrocephalus is greatly dependent on clinical history and supported by radiographic imaging. Based on these factors, one can determine i...
ConclusionsAs ovarian edema is a rare entity, due to lack of clinical suspicion it is often overdiagnosed as a malignant tumor leading to radical surgery with subsequent loss of hormonal function and early infertility. A high degree of clinical suspicion during the intraoperative period is helpful for diagnosis to avoid unnecessary oophorectomy and infertility.
Do not Rx oral steroids for back pain.