Ultrasound-guided erector spinae nerve block for relief of endometriosis pain in the emergency department
We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success. The patient had medication intolerances to opioid analgesics and was given ketorolac intramuscularly with no relief of her pain. The emergency physician discussed and offered to perform an erector spinae plane nerve block (ESPB) for pain relief. Ultrasonography was utilized for visualization of landmarks with a curvilinear transducer; a ...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Robert Stenberg Kristen Septaric Erin L Simon Source Type: research
A silk-based hydrogel containing dexamethasone and lipoic acid microcrystals for local delivery to the inner ear
In this study, to endow viscous effects of hydrogels, nonspherical dexamethasone (DEX) and lipoic acid (LA) MCs were incorporated into silk fibroin (SF) hydrogels, which were subsequently administered to the tympanic cavity to investigate their pharmaceutical properties. First, we prepared DEX and LA MCs by a traditional precipitation technique followed by SF hydrogel incorporation (SF+DEX+LA). After characterization of the physicochemical features, including morphology, rheology, and dissolution, both a suspension of combined DEX and LA MCs (DEX+LA) and SF+DEX+LA were administered to guinea pigs by IT injection, after whi...
Source: Colloids and Surfaces - March 21, 2024 Category: Biotechnology Authors: Haixia Xiong Peili Zhang Dongcheng Wang Zhimin Zhou Jianjun Sun Mingfang Diao Source Type: research
Ultrasound-guided erector spinae nerve block for relief of endometriosis pain in the emergency department
We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success. The patient had medication intolerances to opioid analgesics and was given ketorolac intramuscularly with no relief of her pain. The emergency physician discussed and offered to perform an erector spinae plane nerve block (ESPB) for pain relief. Ultrasonography was utilized for visualization of landmarks with a curvilinear transducer; a ...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Robert Stenberg Kristen Septaric Erin L Simon Source Type: research
Ultrasound-guided erector spinae nerve block for relief of endometriosis pain in the emergency department
We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success. The patient had medication intolerances to opioid analgesics and was given ketorolac intramuscularly with no relief of her pain. The emergency physician discussed and offered to perform an erector spinae plane nerve block (ESPB) for pain relief. Ultrasonography was utilized for visualization of landmarks with a curvilinear transducer; a ...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Robert Stenberg Kristen Septaric Erin L Simon Source Type: research
Postoperative nausea and vomiting in orthognathic surgery: systematic review and meta-analysis
ConclusionsThroat packs have not been found to be effective in preventing PONV. Although no definitive protocol has been established in the literature, the Enhanced Recovery After Surgery (ERAS) protocol could be a useful approach. Overall, a multimodal approach may be taken to prevent PONV, and further research is needed to establish definitive protocols. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - March 21, 2024 Category: ENT & OMF Source Type: research
