Maximum Recommended Dosage of Ropivacaine and Bupivacaine for Pediatric Regional Anesthesia
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: LETTERS TO THE EDITOR Source Type: research

Reply to Dr Orebaugh
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: LETTERS TO THE EDITOR Source Type: research

An Afterthought on “Standard of Care”
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: LETTERS TO THE EDITOR Source Type: research

Reply to Drs Hamilton and Manickam
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: LETTERS TO THE EDITOR Source Type: research

Is a Thoracic Fascial Plane Block the Answer to Upper Abdominal Wall Analgesia?
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: LETTERS TO THE EDITOR Source Type: research

Reply to Dr Woodham et al
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: LETTERS TO THE EDITOR Source Type: research

Anesthesia During Awake Breast Surgery: Additional Questions
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: LETTERS TO THE EDITOR Source Type: research

Comparison of the ED50 and ED95 of Intrathecal Bupivacaine in Parturients Undergoing Cesarean Delivery With or Without Prophylactic Phenylephrine Infusion: A Prospective, Double-Blind Study
Conclusions The administration of prophylactic phenylephrine infusion results in higher intrathecal hyperbaric bupivacaine dosing requirements in parturients undergoing cesarean delivery. Clinical Trial Registration This study was registered at the Chinese Clinical Trial Registry, identifier ChiCTR-TRC-16008938. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: OBSTETRIC ANALGESIA: ORIGINAL ARTICLES Source Type: research

Topical Sphenopalatine Ganglion Block Compared With Epidural Blood Patch for Postdural Puncture Headache Management in Postpartum Patients: A Retrospective Review
Background and Objectives Postdural puncture headache (PDPH) is a severe and debilitating complication of unintentional dural puncture. The criterion-standard treatment for PDPH has been epidural blood patch (EBP), but it is an invasive intervention with the potential for severe complications, such as meningitis and paralysis. We believe this is the first ever 17-year retrospective chart review in which we compare the effectiveness of sphenopalatine ganglion block (SPGB) to EBP for PDPH treatment in postpartum patients. Methods We conducted a chart review of the first authors' obstetric patients who experienced PDPH f...
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: OBSTETRIC ANALGESIA: ORIGINAL ARTICLES Source Type: research

Ketamine for Refractory Headache: A Retrospective Analysis
Conclusions Ketamine was associated with short-term analgesia in many refractory headache patients with tolerable adverse events. A prospective study is warranted to confirm this and elucidate responder characteristics. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: CHRONIC AND INTERVENTIONAL PAIN: BRIEF TECHNICAL REPORT Source Type: research

Anatomical Look Into OnabotulinumtoxinA Injection for Chronic Migraine Headache
Conclusions Our study demonstrates that with increasing BMI there is a greater distance between the skin surface and the muscle fascia of muscles that are targeted for injection in standard chronic migraine botulinum toxin injection protocols. Because of this, patient body habitus may be an important factor in injection technique. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: CHRONIC AND INTERVENTIONAL PAIN: ORIGINAL ARTICLE Source Type: research

Is a Retrolaminar Approach to the Thoracic Paravertebral Space Possible?: A Human Cadaveric Study
Conclusions Injectate spread to the paravertebral space, epidural space, intercostal space, and intervertebral foramina is possible in the RB but is quite variable. In comparison to the thoracic paravertebral block, injectate spread within the paravertebral space is more limited. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: BRIEF TECHNICAL REPORTS Source Type: research

Pericapsular Nerve Group (PENG) Block for Hip Fracture
In this report, we describe the technique and its application in 5 consecutive patients. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: BRIEF TECHNICAL REPORTS Source Type: research

Serratus Plane Block: A Cadaveric Study to Evaluate Optimal Injectate Spread
Conclusions Our data showed that a high-volume double-injection technique provides extensive and consistent dye spread in the anterior chest wall and axilla, regardless of the plane of injection relative to the SAM. This technique likely provides more reliable analgesic coverage for breast procedures especially those that involve the axilla, pending confirmation in future clinical studies. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research

Thirty-Day Acute Health Care Resource Utilization Following Outpatient Anterior Cruciate Ligament Surgery
Background and Objectives The need for hospital-based acute care following outpatient surgical procedures is expensive and measured as marker for quality. However, little information is available about events leading to emergency department visit or inpatient admission after ambulatory anterior cruciate ligament (ACL) surgery. Methods We studied adult patients who underwent outpatient ACL surgery in New York State between 2009 and 2013 using the Healthcare Cost and Utilization Project database. Emergency department visits and inpatient admissions within 30 days of surgery were identified by cross-matching 2 additional...
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research

Pectoral Block Failure May Be Due to Incomplete Coverage of Anatomical Targets: A Dissection Study
Conclusions The MPN branches that innervate the lower part of the pectoralis major muscle are asymmetrical and variable in location and length; all located in a triangular area easily defined by sonographic landmarks, lateral to the TAA. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research

Lipid Emulsion Pretreatment Decreased the Maximum Total and Free Plasma Concentration of Levobupivacaine for Femoral and Sciatic Nerve Block in Below-Knee Fracture Surgery
Background and Objectives Although intravenous lipid emulsion has been proved a powerful antidote for local anesthetic toxicity, there are few pharmacokinetic data on using lipid infusion as a pretreatment for other clinical applications. We assessed the influence of lipid pretreatment on the pharmacodynamics and pharmacokinetics of levobupivacaine. Methods Altogether, 12 patients undergoing below-knee surgery for a fracture were randomly assigned to 2 groups (6 patients per group): pretreatment with 1.5 mL/kg lipid infusion (lipid group) or saline infusion (control subjects) followed by complete femoral and sciatic n...
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research

Ultrasound-Guided Selective Versus Conventional Block of the Medial Brachial Cutaneous and the Intercostobrachial Nerves: A Randomized Clinical Trial
Background and Objectives For superficial surgery of anteromedial and posteromedial surfaces of the upper arm, the medial brachial cutaneous nerve (MBCN) and the intercostobrachial nerve (ICBN) must be selectively blocked, in addition to an axillary brachial plexus block. We compared efficacy of ultrasound-guided (USG) versus conventional block of the MBCN and the ICBN. Methods Eighty-four patients, undergoing upper limb surgery, were randomized to receive either USG (n = 42) or conventional (n = 42) block of the MBCN and the ICBN with 1% mepivacaine. Sensory block was evaluated using light-touch on the upper and lowe...
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research

Ultrasound-Guided Infraclavicular Brachial Plexus Block: Prospective Randomized Comparison of the Lateral Sagittal and Costoclavicular Approach
In this study, we hypothesized that the CC approach will produce faster onset of sensory blockade of the 4 major terminal nerves of the brachial plexus than the LS approach. Methods Forty patients undergoing elective upper extremity surgery under a BPB were randomized to receive either the LS (Gp-LS, n = 20) or CC approach (Gp-CC, n = 20) for infraclavicular BPB. Twenty-five milliliters of 0.5% ropivacaine was used for the BPB in both study groups. Sensory-motor blockade of the ipsilateral median, radial, ulnar, and musculocutaneous nerves was assessed by a blinded observer at regular intervals for 45 minutes after the ...
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research

Improving Clinical Proficiency Using a 3-Dimensionally Printed and Patient-Specific Thoracic Spine Model as a Haptic Task Trainer
Conclusions By using patient-specific, 3-dimensionally printed, thoracic spine models, we demonstrated a significant improvement in clinical proficiency as compared with traditional teaching models. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research

Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care
β-Adrenergic blockade is an important mechanism for reducing morbidity and mortality in patients with hypertension and heart failure. Esmolol has been used widely for its chronotropic and antihypertensive effects. However, there has been recent inquiry regarding perioperative esmolol use and nociceptive modulation. Conventional postoperative analgesic treatment has relied primarily on opioids, which present their own adverse effects and pharmacoepidemiologic repercussions. Esmolol, to date, has not shown any direct analgesic or anesthetic properties; however, recent studies suggest that esmolol may have antinociceptiv...
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: DARING DISCOURSE Source Type: research

Perioperative Esmolol and Opioids: Is More Really Less?
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: EDITORIAL Source Type: research

In Memoriam: L. Donald Bridenbaugh, MD, 1923–2018
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - October 22, 2018 Category: Anesthesiology Tags: SPECIAL ARTICLE Source Type: research

Microanatomical Nerve Architecture of 6 Mammalian Species: is Trans-species Translational Anatomic Extrapolation Valid? Erratum
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Erratum Source Type: research

#WomeninPainMedicine: We Are Here
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Reply to Dr Chin et al
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Understanding ESP and Fascial Plane Blocks: A Challenge to Omniscience
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Combined Retroclavicular Approach for Shoulder Surgery: A New Description Technique of 3-in-1 Combined Block
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Ultrasound-Guided Axillary Tunnel Block Revisited: In Answer
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Transverse Approach to the Erector Spinae Block
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Local Vancomycin Effectively Reduces Surgical Site Infection at Implant Site in Rodents
Conclusions This study suggests that local vancomycin should be added to systemic vancomycin to reduce SSI with cardiac pacemaker, defibrillator, implantable pulse generator of neurostimulator, or intrathecal pump implants. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Chronic and Interventional Pain: Original Articles Source Type: research

Long-Term Safety and Efficacy of Minimally Invasive Lumbar Decompression Procedure for the Treatment of Lumbar Spinal Stenosis With Neurogenic Claudication: 2-Year Results of MiDAS ENCORE
Conclusions MILD showed excellent long-term durability, and there was no evidence of spinal instability through 2-year follow-up. Reoperation and spinal fracture rates are lower, and safety is higher for MILD versus other lumbar spine interventions, including interspinous spacers, surgical decompression, and spinal fusion. Given the minimally invasive nature of this procedure, its robust success rate, and durability of outcomes, MILD is an excellent choice for first-line therapy for select patients with central spinal stenosis suffering from neurogenic claudication symptoms with hypertrophic ligamentum flavum. Clinical ...
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Chronic and Interventional Pain: Original Articles Source Type: research

Hypertonic Sodium Chloride Preinjectate Increases In Vivo Radiofrequency Ablation Size: Histological and Magnetic Resonance Imaging Findings
Conclusions This study validates the ability of hypertonic saline to increase in vivo RF lesion size. With further refinement, MRI may be a viable method to assess RF lesion size. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Chronic and Interventional Pain: Original Articles Source Type: research

The Impact of Tobacco Cigarette Smoking on Spinal Cord Stimulation Effectiveness in Chronic Spine–Related Pain Patients
Background and Objectives Despite the observation that select nicotine receptor agonists have analgesic effects, smokers report higher pain scores and more functional impairments than lifelong nonsmokers, attributable to exaggerated stress responses, receptor desensitization, and altered pharmacokinetics compounded by accelerated structural damage resulting from impaired bone healing, osteoporosis, and advancement of disk disease. We hypothesized that smoking diminishes the analgesic response to spinal cord stimulation (SCS) in patients with chronic spine–related pain conditions. Methods A retrospective cohort s...
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Chronic and Interventional Pain: Original Articles Source Type: research

A Novel Technique of Ultrasound-Guided Selective Mandibular Nerve Block With a Lateral Pterygoid Plate Approach: A Cadaveric Study
Conclusions This cadaveric study suggests that this novel technique, using an LPP approach under ultrasound guidance, is helpful for selective mandibular nerve block, with high accuracy and feasibility. Further studies are required to establish its safety and efficacy for clinical application. Clinical Trial Registration This study was registered at the Thai Clinical Trials Registry (ClinicalTrials.in.th), identifier TCTR20160601004. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Ultrasound Article Source Type: research

Erector Spinae Plane Block Versus Retrolaminar Block: A Magnetic Resonance Imaging and Anatomical Study
Conclusions The clinical effect of ESP and retrolaminar blocks can be explained by epidural and neural foraminal spread of local anesthetic. The ESP block produces additional intercostal spread, which may contribute to more extensive analgesia. The implications of these cadaveric observations require confirmation in clinical studies. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Brief Technical Reports Source Type: research

A Cadaver Study Investigating Structures Encountered by the Needle During a Retroclavicular Approach to Infraclavicular Brachial Plexus Block
Conclusions The suprascapular nerve is consistently in the path of the block needle posterior to the clavicle. This raises the possibility of risk of injury to the suprascapular nerve when using this approach to the brachial plexus. Vascular injury is also possible deep to the clavicle, and because of the noncompressible location, caution is advised in patients with disordered coagulation. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Brief Technical Reports Source Type: research

Rhomboid Intercostal and Subserratus Plane Block: A Cadaveric and Clinical Evaluation
Conclusions Our preliminary cadaveric and clinical data suggest that RISS block anesthetizes the lateral cutaneous branches of the thoracic intercostal nerves and can be used in multiple clinical settings for chest wall and upper abdominal analgesia. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Selective Suprascapular and Axillary Nerve Block Versus Interscalene Plexus Block for Pain Control After Arthroscopic Shoulder Surgery: A Noninferiority Randomized Parallel-Controlled Clinical Trial
Conclusions Suprascapular-axillary nerve block is inferior to ISB in terms of analgesia and opioid requirement in the immediate period after arthroscopic shoulder surgery but is associated with a lower incidence of dyspnea and discomfort. The difference in pain and opioid consumption gradually decreases as the blocks wear off in order to reach similar pain scores during the first postoperative night and at 24 hours. Clinical Trial Registration This study was registered at ClinicalTrials.gov, identifier NCT02415088. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Perineural Versus Systemic Dexamethasone in Front-Foot Surgery Under Ankle Block: A Randomized Double-Blind Study
Conclusions In front-foot surgery, perineural and systemic administrations of dexamethasone are equivalent for postoperative pain relief when used as an adjuvant to ropivacaine ankle block. Clinical Trial Registration This study was registered at ClinicalTrials.gov, identifier NCT02904538. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Lack of Association Between Levels and Length of Intraoperative Controlled Hypotension and Acute Kidney Injury in Total Hip Arthroplasty Patients Receiving Neuraxial Anesthesia
Conclusions In this study, AKI was rare. We found a lack of association between IOH and postoperative AKI in a setting where neuraxial anesthesia–facilitated IOCH is routinely practiced. Therefore, it seems prudent for future research and clinical guidelines to consider the distinction between inadvertent and controlled hypotension. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Reduced Hemidiaphragmatic Paresis With a “Corner Pocket” Technique for Supraclavicular Brachial Plexus Block: Single-Center, Observer-Blinded, Randomized Controlled Trial
Conclusions The incidence of hemidiaphragmatic paresis was effectively reduced when local anesthetic was injected primarily in the corner pocket during right-sided SCBPB. However, the 28% incidence of hemidiaphragmatic paresis associated with the corner pocket technique may still represent a prohibitive risk for patients with preexisting pulmonary compromise. Clinical Trial Registration This study was registered at Clinical Trial Registry of Korea, identifier KCT0001769. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

An Ultrasound-Guided Lateral Approach for Proximal Sciatic Nerve Block: A Randomized Comparison With the Anterior Approach and a Cadaveric Evaluation
Conclusions The ultrasound-guided lateral approach for proximal SN block can be performed as successfully as the anterior approach and provides PFCN block more often than the anterior approach. Clinical Trial Registration: This study was registered at UMIN Clinical Trials Registry, identifier UMIN000026748. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Acute Pain Is Associated With Chronic Opioid Use After Total Knee Arthroplasty
Background and Objectives Pain scores are routinely reported in clinical practice, and we wanted to examine whether this routinely measured, patient-reported variable provides prognostic information, especially with regard to chronic opioid use, after taking preoperative and perioperative variables into account in a preoperative opioid user population. Methods In 32,874 preoperative opioid users undergoing primary total knee arthroplasty at Veterans Affairs hospitals between 2010 and 2015, we compared preoperative and perioperative characteristics in patients reporting lower versus higher acute pain (scores ≤4/10 v...
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Pharmacokinetics of 400 mg Locally Infiltrated Ropivacaine After Total Knee Arthroplasty Without Perioperative Tourniquet Use
Conclusions Although great interindividual variability in ropivacaine concentration was found, both total and unbound maximum serum concentrations remained below the assumed systemic toxic thresholds in all samples. Clinical Trial Registration This study was registered at Netherlands Trial Registry (http://www.trialregister.nl), trial ID NTR6306. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Gastric Ultrasound for the Regional Anesthesiologist and Pain Specialist
This article in our series on point-of-care ultrasound (US) for the regional anesthesiologist and pain management specialist describes the emerging role of gastric ultrasonography. Although gastric US is a relatively new point-of-care US application in the perioperative setting, its relevance for the regional anesthesiologist and pain specialist is significant as our clinical practice often involves providing deep sedation without a secured airway. Given that pulmonary aspiration is a well-known cause of perioperative morbidity and mortality, the ability to evaluate for NPO (nil per os) status and risk stratify patients sc...
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Review Article Source Type: research

The Effects of Smoking on Spinal Cord Stimulation Outcomes: Another Reason to Quit
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Editorial Source Type: research

Scientific Abstracts and ePosters: World Congress on Regional Anesthesia and Pain Medicine April 19–21, 2018 New York, New York
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Special Article Source Type: research

Sudden Intrathecal Drug Delivery Device Motor Stalls: A Case Series Update
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Reply to Dr Salvadores de Arzuaga et al
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research