The effect of heated lidocaine gel on pain reduction during transrectal ultrasound-guided prostate biopsy: a randomized-controlled study

AbstractPurposeTo determine whether intrarectal local anesthesia (IRLA) with heated lidocaine gel provides pain reduction during transrectal ultrasound (TRUS)-guided prostate biopsy.MethodsWe conducted a randomized-controlled study with 153 participants who underwent TRUS-guided, systematic 12-core prostate biopsy from May 2018 to June 2019. These participants were divided into three test groups. Before prostate biopsy, group A (51 patients) received no local anesthesia, group B (51 patients) received IRLA with 20  mL 2% lidocaine gel stored at room temperature, and group C (51 patients) received IRLA with heated (40 ℃) 20 mL 2% lidocaine gel. Pain was assessed using the 0–10 visual analogue scale (VAS) at three time points: VAS-1: during probe insertion, VAS-2: during biopsy, VAS-3: 30 min after the p rocedure. Complications during and after the procedure were evaluated.ResultsThe mean VAS-2 score was significantly lower in group C compared to groups A and B (A, 4.6; B, 4.2; and C, 3.2;p 
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research

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Condition:   Hip Pain Intervention:   Procedure: Ultrasound guided injection Sponsors:   University of Rochester;   American Medical Society for Sports Medicine Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Ann Card Anaesth. 2022 Jan-Mar;25(1):97-99. doi: 10.4103/aca.ACA_62_20.ABSTRACTPersistent poststernotomy pain (PSP) is a well-known entity following cardiac surgery done with midline strenotomy. The severity of pain is usually mild to moderate in the majority of the patients. However, a small percentage of patients develop severe and persistent pain and need aggressive treatment. Our patient, a 63-year-old lady developed chronic severe parasternal pain following coronary artery bypass graft surgery. As multiple medications did not relieve her pain effectively, we did an ultrasound-guided pectoral-intercostal fascial plane ...
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Ann Card Anaesth. 2022 Jan-Mar;25(1):26-33. doi: 10.4103/aca.ACA_23_20.ABSTRACTOBJECTIVE: Thoracic Epidural Analgesia (TEA) was compared with ultrasound-guided bilateral erector spinae plane (ESP) block in aorto-femoral arterial bypass surgery for analgesic efficacy, hemodynamic effects, and pulmonary rehabilitation.DESIGN: Prospective randomized.SETTING: Tertiary care centre.PARTICIPANTS: Adult patients, who were scheduled for elective aorto-femoral arterial bypass surgery.INTERVENTIONS: It was a prospective pilot study enrolling 20 adult patients who were randomized to group A (ESP block = 10) and group B (TEA = 10). Mon...
Source: Annals of Cardiac Anaesthesia - Category: Anesthesiology Authors: Source Type: research
AbstractBackgroundQuadratus lumborum block (QLB) guided by ultrasound is a novel local block anesthesia technique, which can be used in various surgeries for multimodal analgesia. Its analgesic effectiveness for renal surgery is still uncertain. The aim of this meta-analysis was to assess the postoperative analgesic efficacy of QLB in adult patients undergoing renal surgery.MethodsWe systematically searched randomized controlled trials (RCTs) through the databases of Cochrane Library, Embase, and PubMed until June 21, 2021. Postoperative consumption of opioid in the first 24-h was set as the primary outcome. The risk of bi...
Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research
Conditions:   Anesthesia;   Analgesia;   Acute Pain;   Patient Controlled Analgesia Interventions:   Procedure: Bilateral ultrasound-guided ESPB;   Procedure: Bilateral ultrasound-guided ESPB and superficial PIPB Sponsor:   Ondokuz Mayıs University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSION: MR-HIFU is an emerging noninvasive treatment for alleviating CIBP, with increasing evidence on treatment efficacy. This costing study can support MR-HIFU reimbursement negotiations and facilitate the adoption of MR-HIFU as first-line treatment for CIBP. The present TD-ABC model creates the opportunity of benchmarking the provision of MR-HIFU to bone tumor.Key pointsMagnetic resonance-guided high-intensity focused ultrasound (MR-HIFU) is an emerging noninvasive treatment modality for alleviating cancer-induced bone pain (CIBP).From a hospital perspective, the total cost of MR-HIFU amounted to €5147 per trea...
Source: International Journal of Hyperthermia - Category: Internal Medicine Authors: Source Type: research
This study aimed to evaluate the postoperative analgesic effects of ultrasound-guided TRLB in children undergoing open cardiac surgery via median sternotomy incision.METHODS: Sixty-six patients aged 2 to 8 years undergoing cardiac open cardiac surgery via median sternotomy incision were recruited. In the TRLB group, 0.25% bupivacaine 0.4mL/kg was injected into the retrolaminar space on each side at the level of T4 lamina. Patients in the control group were injected with 0.9% saline. The primary outcome measure was the 24h post-extubation fentanyl consumption. The secondary outcome measures were total intraoperative fentany...
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Authors: Source Type: research
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