Assessing the Efficacy of Buffered vs. Nonbuffered Lidocaine in Dental Extractions: A Double-Blinded Randomized Controlled Trial
Injections using buffered lidocaine may decrease discomfort, have a quicker onset, and be a more efficacious local anesthetic. Previous studies have been inconclusive in the oral context. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - March 12, 2024 Category: ENT & OMF Authors: Yotom Rabinowitz, Skyler Williams, Reese R. Triana, Md Tareq Ferdous Khan, Kassie J. Hooker, Aayush Dubey, Anshya Tewari, Eric Holmes, James A. Phero Source Type: research

Assessing the Efficacy of Buffered Versus Nonbuffered Lidocaine in Dental Extractions: A Double-Blinded Randomized Controlled Trial
Injections using buffered lidocaine may decrease discomfort, have a quicker onset, and be a more efficacious local anesthetic. Previous studies have been inconclusive in the oral context. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - March 12, 2024 Category: ENT & OMF Authors: Yotom Rabinowitz, Skyler Williams, Reese R. Triana, Md Tareq Ferdous Khan, Kassie J. Hooker, Aayush Dubey, Anshya Tewari, Eric Holmes, James A. Phero Tags: Dentoalveolar Surgery Source Type: research

Effectiveness of perineural administration of dexamethasone with lidocaine on onset time of sensory block and early postoperative analgesia in axillary brachial plexus block: a prospective cohort study, Ethiopia
CONCLUSION AND RECOMMENDATIONS: The addition of 8 mg dexamethasone to 1% lidocaine with adrenaline solution in trans-arterial axillary brachial plexus block for ambulatory elective hand, wrist, and forearm surgeries prolonged the duration of sensory blockade and the first analgesic request time but did not reduce the onset time of sensory block. The authors recommend the addition of 8 mg dexamethasone to 1% lidocaine with adrenaline solution to prolong the duration of sensory block and the first analgesic request time.PMID:38463067 | PMC:PMC10923323 | DOI:10.1097/MS9.0000000000001741 (Source: Hand Surgery)
Source: Hand Surgery - March 11, 2024 Category: Surgery Authors: Simeneh Mola Betelihem Girma Source Type: research

Analgesia for rib fractures: a narrative review
CONCLUSION: Rib fracture(s) continues to be a serious diagnosis, with high rates of mortality, development of chronic pain, and disability. A multidisciplinary approach to management, combined with appropriate analgesia and adherence to care bundles/protocols, has been shown to decrease morbidity and mortality. Most of the risk-stratifying care pathways identified perform poorly in predicting mortality and complications after rib fracture(s).PMID:38459368 | DOI:10.1007/s12630-024-02725-1 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - March 8, 2024 Category: Anesthesiology Authors: Theunis van Zyl Anthony M-H Ho Gregory Klar Christopher Haley Adrienne K Ho Susan Vasily Glenio B Mizubuti Source Type: research

Analgesia for rib fractures: a narrative review
CONCLUSION: Rib fracture(s) continues to be a serious diagnosis, with high rates of mortality, development of chronic pain, and disability. A multidisciplinary approach to management, combined with appropriate analgesia and adherence to care bundles/protocols, has been shown to decrease morbidity and mortality. Most of the risk-stratifying care pathways identified perform poorly in predicting mortality and complications after rib fracture(s).PMID:38459368 | DOI:10.1007/s12630-024-02725-1 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - March 8, 2024 Category: Anesthesiology Authors: Theunis van Zyl Anthony M-H Ho Gregory Klar Christopher Haley Adrienne K Ho Susan Vasily Glenio B Mizubuti Source Type: research

Analgesia for rib fractures: a narrative review
CONCLUSION: Rib fracture(s) continues to be a serious diagnosis, with high rates of mortality, development of chronic pain, and disability. A multidisciplinary approach to management, combined with appropriate analgesia and adherence to care bundles/protocols, has been shown to decrease morbidity and mortality. Most of the risk-stratifying care pathways identified perform poorly in predicting mortality and complications after rib fracture(s).PMID:38459368 | DOI:10.1007/s12630-024-02725-1 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - March 8, 2024 Category: Anesthesiology Authors: Theunis van Zyl Anthony M-H Ho Gregory Klar Christopher Haley Adrienne K Ho Susan Vasily Glenio B Mizubuti Source Type: research

Analgesia for rib fractures: a narrative review
ConclusionRib fracture(s) continues to be a serious diagnosis, with high rates of mortality, development of chronic pain, and disability. A multidisciplinary approach to management, combined with appropriate analgesia and adherence to care bundles/protocols, has been shown to decrease morbidity and mortality. Most of the risk-stratifying care pathways identified perform poorly in predicting mortality and complications after rib fracture(s). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 8, 2024 Category: Anesthesiology Source Type: research

Retrospective Study on Optimizing Breast Augmentation Outcomes in Transgender Patients: A Comprehensive Analysis of Tumescent Local Anesthesia Technique
ConclusionsOverall, augmentation mammaplasty is a valuable choice for transgender women aiming to enhance their feminine characteristics and alleviate gender dysphoria. It is imperative for patients to conduct thorough research, grasp the potential pros and cons, and consult experienced healthcare professionals in transgender care. Additionally, tumescent local anesthesia (TLA) has proven to be a safe and efficient method for sub-muscular breast augmentation, providing effective pain control with minimal postoperative complications, resulting in high patient satisfaction.Level of Evidence IVThis journal requires that autho...
Source: Aesthetic Plastic Surgery - March 8, 2024 Category: Cosmetic Surgery Source Type: research

An unruly case of functional 2:1 atrioventricular block
A newborn boy was born at term through cesarean delivery because of acute fetal distress and fetal bradycardia, necessitating emergency pacemaker implantation. Physical examination revealed dysmorphic facial features and syndactyly in both upper and lower limbs. An electrocardiogram showed a 2:1 atrioventricular (AV) block and a prolonged QT interval along with biphasic T waves in V3 (Figure  1A). During hospitalization, the infant experienced multiple seizures and episodes of hypoglycemia. Considering the possibility of a 2:1 AV block when sinus intervals are shorter than the ventricular refractory period, intravenous ad...
Source: Heart Rhythm - March 8, 2024 Category: Cardiology Authors: Muhammed Ali Eksi, Yasemin Ozdemir Sahan, Serhat Koca, Ozcan Ozeke Source Type: research

Combined Supra-Inguinal Fascia Iliaca, Sciatic Nerve, and Posterior Femoral Cutaneous Nerve Blocks in Austere Settings for Hemodynamically Unstable Patients with Vascular Injuries from Weapon Wounds: A Case Series
CONCLUSION: The combined block technique for the Sciatic Nerve (SN), Posterior Femoral Cutaneous Nerve (PFCN), and the Supra-Inguinal Fascia Iliaca (SIFI) appears to be a safe anesthetic option for unstable or high-risk patients requiring lower limb surgery. Further research with a larger cohort is necessary to validate our findings and to potentially standardize this approach.PMID:38450003 | PMC:PMC10916515 | DOI:10.2147/LRA.S452367 (Source: Local and Regional Anesthesia)
Source: Local and Regional Anesthesia - March 7, 2024 Category: Anesthesiology Authors: Majaliwa Shabani Seydina Alioune Beye Abdoulaye Traore Xavier Raingeval Daouda Coulibaly Sophie Crespo Source Type: research

Subcutaneous injection of lidocaine around ischemic ankle provides safe and effective foot analgesia in patients with critical limb ischemia
CONCLUSION: Subcutaneous injection of lidocaine around the ischemic ankle affectively alleviated pain in patients with CLI without serious adverse effects under anticoagulant therapy.PMID:38452400 | DOI:10.1177/17085381241238841 (Source: Vascular)
Source: Vascular - March 7, 2024 Category: Surgery Authors: Akifumi Kanai Masatomo Ara Ryusei Saito Toshiaki Mishima Yuichiro Takahashi Source Type: research

Combined Supra-Inguinal Fascia Iliaca, Sciatic Nerve, and Posterior Femoral Cutaneous Nerve Blocks in Austere Settings for Hemodynamically Unstable Patients with Vascular Injuries from Weapon Wounds: A Case Series
CONCLUSION: The combined block technique for the Sciatic Nerve (SN), Posterior Femoral Cutaneous Nerve (PFCN), and the Supra-Inguinal Fascia Iliaca (SIFI) appears to be a safe anesthetic option for unstable or high-risk patients requiring lower limb surgery. Further research with a larger cohort is necessary to validate our findings and to potentially standardize this approach.PMID:38450003 | PMC:PMC10916515 | DOI:10.2147/LRA.S452367 (Source: Local and Regional Anesthesia)
Source: Local and Regional Anesthesia - March 7, 2024 Category: Anesthesiology Authors: Majaliwa Shabani Seydina Alioune Beye Abdoulaye Traore Xavier Raingeval Daouda Coulibaly Sophie Crespo Source Type: research

Subcutaneous injection of lidocaine around ischemic ankle provides safe and effective foot analgesia in patients with critical limb ischemia
CONCLUSION: Subcutaneous injection of lidocaine around the ischemic ankle affectively alleviated pain in patients with CLI without serious adverse effects under anticoagulant therapy.PMID:38452400 | DOI:10.1177/17085381241238841 (Source: Vascular)
Source: Vascular - March 7, 2024 Category: Surgery Authors: Akifumi Kanai Masatomo Ara Ryusei Saito Toshiaki Mishima Yuichiro Takahashi Source Type: research

Combined Supra-Inguinal Fascia Iliaca, Sciatic Nerve, and Posterior Femoral Cutaneous Nerve Blocks in Austere Settings for Hemodynamically Unstable Patients with Vascular Injuries from Weapon Wounds: A Case Series
CONCLUSION: The combined block technique for the Sciatic Nerve (SN), Posterior Femoral Cutaneous Nerve (PFCN), and the Supra-Inguinal Fascia Iliaca (SIFI) appears to be a safe anesthetic option for unstable or high-risk patients requiring lower limb surgery. Further research with a larger cohort is necessary to validate our findings and to potentially standardize this approach.PMID:38450003 | PMC:PMC10916515 | DOI:10.2147/LRA.S452367 (Source: Local and Regional Anesthesia)
Source: Local and Regional Anesthesia - March 7, 2024 Category: Anesthesiology Authors: Majaliwa Shabani Seydina Alioune Beye Abdoulaye Traore Xavier Raingeval Daouda Coulibaly Sophie Crespo Source Type: research

Subcutaneous injection of lidocaine around ischemic ankle provides safe and effective foot analgesia in patients with critical limb ischemia
CONCLUSION: Subcutaneous injection of lidocaine around the ischemic ankle affectively alleviated pain in patients with CLI without serious adverse effects under anticoagulant therapy.PMID:38452400 | DOI:10.1177/17085381241238841 (Source: Vascular)
Source: Vascular - March 7, 2024 Category: Surgery Authors: Akifumi Kanai Masatomo Ara Ryusei Saito Toshiaki Mishima Yuichiro Takahashi Source Type: research