MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Regional Anesthesia and Pain Medicine' source. Mon, 07 Mar 2011 15:42:22 +0100 http://journals.lww.com/rapm/Fulltext/2011/01000/Evidence_Basis_for_Regional_Anesthesia_in.14.aspx Fast-track programs have been developed with the aim to reduce perioperative surgical stress and facilitate patient's recovery after surgery. Potentially, regional anesthesia and analgesia techniques may offer physiological advantages to support fast-track methodologies in different type of surgeries. The aim of this article was to identify and discuss potential advantages offerred by regional anesthesia and analgesia techniques to fast-track programs. In the first section, the impact of regional anesthesia on the main elements of fast-track surgery is addressed. In the second section, procedure-specific fast-track programs for colorectal, hernia, esophageal, cardiac, vascular, and orthopedic surgeries are presented. For each, regional anesthesia and analgesia techniques more frequently u... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=4319095 Thu, 06 Jan 2011 10:43:01 +0100 4319095 http://journals.lww.com/rapm/Fulltext/2011/01000/Spinal_Anesthesia_for_Orthopedic_Surgery__A.12.aspx Discussion: The failure rate and quality-compromising behaviors identified in this study challenge the generalized assumption that performing a subarachnoid block in the orthopedic population is a simple procedure. The number and nature of the combined failed and difficult subarachnoid blocks suggest the need for quality improvement. Further research is needed to assess whether the use of image guidance may be a possible solution to navigate difficult anatomical pathology and confirm correct needle and drug placement. (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=4319094 Thu, 06 Jan 2011 10:42:04 +0100 4319094 http://journals.lww.com/rapm/Fulltext/2011/01000/A_Randomized_Comparison_of_Infraclavicular_and.7.aspx Conclusions: A local anesthetic infusion via an infraclavicular perineural catheter provides superior analgesia compared with a supraclavicular perineural catheter. (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=4319093 Thu, 06 Jan 2011 10:41:22 +0100 4319093 http://journals.lww.com/rapm/Fulltext/2011/01000/Decreasing_the_Local_Anesthetic_Volume_From_20_to.5.aspx Conclusions: Decreasing the volume for interscalene block from 20 to 10 mL did not reduce the incidence of hemidiaphragmatic paresis or impairment in pulmonary function, which persisted at discharge from recovery room. No significant differences in quality or duration of analgesia were observed. (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=4319092 Thu, 06 Jan 2011 10:40:42 +0100 4319092 http://journals.lww.com/rapm/Fulltext/2010/09000/Experience_With_724_Epidurograms_for_Epidural.6.aspx Conclusions: Our experiments suggest that confirmation of epidural catheter placement via epidurogram is highly efficacious. Epidurography is the only currently available technique that accomplishes all of the following: (a) confirms correct placement, (b) rules out incorrect anatomic space, and (c) predicts analgesic coverage. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3966363 Tue, 14 Sep 2010 14:56:18 +0100 3966363 http://journals.lww.com/rapm/Fulltext/2010/09000/Dexamethasone_Added_to_Mepivacaine_Prolongs_the.4.aspx Conclusions: The addition of dexamethasone to mepivacaine prolongs the duration of analgesia but does not reduce the onset of sensory and motor blockade after ultrasound-guided supraclavicular block compared with mepivacaine alone. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3966362 Tue, 14 Sep 2010 14:55:39 +0100 3966362 http://journals.lww.com/rapm/Fulltext/2010/09000/Perioperative_Inflammatory_Response_in_Total_Knee.2.aspx Conclusions: Preconditioning of the lower extremity in the setting of TKA under regional anesthesia may have limited value in reducing the systemic inflammatory response and level of lung injury. However, preconditioning may be associated with beneficial effects such as reduction in postoperative pain levels, and thus, further investigations are warranted. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3966361 Tue, 14 Sep 2010 14:55:01 +0100 3966361 http://journals.lww.com/rapm/Fulltext/2010/09000/Ultrasound_Guided_Continuous_Oblique_Subcostal.7.aspx Conclusions: A catheter can be placed along the oblique subcostal line in the transversus abdominis plane for continuous infusion of local anesthetic. Multimodal analgesia and intravenous opioid are used in addition because visceral pain is not blocked. Continuous oblique subcostal transversus abdominis plane block is a new technique and requires both a detailed knowledge of sonographic anatomy and technical skill for it to be successful. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3966360 Tue, 14 Sep 2010 14:54:16 +0100 3966360 http://journals.lww.com/rapm/Fulltext/2010/07000/Prospective_Survey_of_Patient_Controlled_Epidural.7.aspx Conclusions: Patient-controlled epidural analgesia with bupivacaine and hydromorphone provides effective and safe postoperative analgesia for orthopedic surgery. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3738377 Wed, 30 Jun 2010 23:00:00 +0100 3738377 http://journals.lww.com/rapm/Fulltext/2010/07000/The_Effect_of_Fluid_Injection_on_Lesion_Size.5.aspx The objective of this study was to investigate the effects of the preinjection of small volumes of different fluids on lesion dimensions. Methods: Monopolar radiofrequency lesioning with temperature control at 80[degrees]C for 90 secs in ex vivo chicken samples with 100-mm, 18-gauge cannulas and 10-mm active tips was performed with 1 reference group without fluid injection and 4 comparison groups with 0.5 mL of volumes of sterile water, 0.9% sodium chloride, 1% lidocaine, or 6% hydroxyethyl starch injected before ablation. A fifth comparison group of 3 mL of 0.9% sodium chloride was used to evaluate the influence of increased volume. Lesions were measured in horizontal diameter, vertical diameter, maximal effective radius, and distal radius from the tip of electrode. Results: Injecting f... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3738376 Wed, 30 Jun 2010 23:00:00 +0100 3738376 http://journals.lww.com/rapm/Fulltext/2010/07000/Ultrasound_Guidance_and_Peripheral_Nerve_Injury_.4.aspx No abstract available (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3738375 Wed, 30 Jun 2010 23:00:00 +0100 3738375 http://journals.lww.com/rapm/Fulltext/2010/07000/The_2009_John_J__Bonica_Award_Lecture__The_Impact.13.aspx No abstract available (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3738374 Wed, 30 Jun 2010 23:00:00 +0100 3738374 http://journals.lww.com/rapm/Fulltext/2010/05000/Clinical_Sonopathology_for_the_Regional.10.aspx The use of ultrasound to facilitate regional anesthesia is an evolving area of clinical, education, and research interests. As our community's experience grows, it has become evident that anesthesiologists performing "routine" ultrasound-guided blocks may very well be confronted with atypical or even pathologic anatomy. As an educational resource for anesthesiologists, the following articles present examples of common sonopathology that may be encountered during ultrasound-guided regional anesthesia. This present article describes sonopathology related to bone, viscera, and subcutaneous tissue. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3574649 Fri, 30 Apr 2010 23:00:00 +0100 3574649 http://journals.lww.com/rapm/Fulltext/2010/05000/Clinical_Sonopathology_for_the_Regional.9.aspx The use of ultrasound to facilitate regional anesthesia is an evolving area of clinical, education, and research interests. As our community's experience grows, it has become evident that anesthesiologists performing "routine" ultrasound-guided blocks may very well be confronted with atypical or even pathologic anatomy. As an educational resource for anesthesiologists, the following articles present examples of common sonopathology that may be encountered during ultrasound-guided regional anesthesia. This present article describes sonopathology related to blood vessels and nerves. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3574648 Fri, 30 Apr 2010 23:00:00 +0100 3574648 http://journals.lww.com/rapm/Fulltext/2010/05000/Evaluation_of_the_Addition_of_Bupivacaine_to.7.aspx Conclusions: The addition of bupivacaine to intrathecal morphine and fentanyl significantly reduced intravenous morphine consumption after laparoscopic liver resection. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3574647 Fri, 30 Apr 2010 23:00:00 +0100 3574647 http://journals.lww.com/rapm/Fulltext/2010/05000/Revisiting_Anatomic_Landmarks__Lateral_Popliteal.1.aspx Conclusions: Our simulated lateral popliteal SN block on MRIs shows a 15- to 45-degree range of needle-insertion angles. As the skin-to-femur distance was greater than 4.5 cm, the angles were progressively smaller than 30 degrees. Although this was an MRI study, it does provide some evidence that indicates the conventional clinically recommended 25- to 30-degree-angle ranges may need to be reevaluated. Needle insertion of 10 cm or greater proximal to the popliteal crease may increase the chance of placement at or proximal to the SN bifurcation. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3574646 Fri, 30 Apr 2010 23:00:00 +0100 3574646 http://journals.lww.com/rapm/Fulltext/2010/05000/Labat_Lecture__The_Primary_Sensory_Neuron__Where.14.aspx No abstract available (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3574645 Fri, 30 Apr 2010 23:00:00 +0100 3574645 http://journals.lww.com/rapm/Fulltext/2010/03000/Ultrasound_Guided_Perineural_Catheter_Insertion_.1.aspx ultrasound and continuous perineural catheters (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3347618 Mon, 01 Mar 2010 00:00:00 +0100 3347618 http://journals.lww.com/rapm/Fulltext/2010/03000/Pulsed_Radiofrequency_for_the_Treatment_of.6.aspx Conclusions: Pulsed radiofrequency treatment of the greater and/or lesser occipital nerve is a promising treatment of occipital neuralgia. This study warrants further placebo-controlled trials. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3347617 Mon, 01 Mar 2010 00:00:00 +0100 3347617 http://journals.lww.com/rapm/Fulltext/2010/03000/Ultrasonographic_Appearance_of_Intraneural.15.aspx Conclusions: Ultrasonographic images compatible with nerve swelling during an injection are consistent with true intraneural injections as demonstrated by histologic analysis. Under the conditions studied, intensity of the stimulating current required to elicit motor response was not associated with intraneural needle placement. In the absence of fascicular injury, intraneural injections were associated with low injection pressure, although false-positive results can occur. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3347616 Mon, 01 Mar 2010 00:00:00 +0100 3347616 http://journals.lww.com/rapm/Fulltext/2010/03000/ASRA_Practice_Advisory_on_Local_Anesthetic.7.aspx The American Society of Regional Anesthesia and Pain Medicine Practice Advisory on Local Anesthetic Systemic Toxicity assimilates and summarizes current knowledge regarding the prevention, diagnosis, and treatment of this potentially fatal complication. It offers evidence-based and/or expert opinion-based recommendations for all physicians and advanced practitioners who routinely administer local anesthetics in potentially toxic doses. The advisory does not address issues related to local anesthetic-related neurotoxicity, allergy, or methemoglobinemia. Recommendations are based primarily on animal and human experimental trials, case series, and case reports. When objective evidence is lacking or incomplete, recommendations are supplemented by expert opinion from the Practice Advisory Panel... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3347615 Mon, 01 Mar 2010 00:00:00 +0100 3347615 http://journals.lww.com/rapm/Fulltext/2010/01000/Executive_Summary__Regional_Anesthesia_in_the.14.aspx Executive Summary (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3186553 Fri, 01 Jan 2010 00:00:00 +0100 3186553 http://journals.lww.com/rapm/Fulltext/2010/01000/Regional_Anaesthesia_Adventures__Carl_Koller.16.aspx No abstract available (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3143558 Fri, 01 Jan 2010 00:00:00 +0100 3143558 http://journals.lww.com/rapm/Fulltext/2010/01000/Modeling_Cost_of_Ultrasound_Versus_Nerve.12.aspx Conclusions: If revenue is generated, then ultrasound-guided blocks consistently become a profit center regardless of clinical scenario in our model. Without revenue, the clinical scenario dictates the cost of ultrasound. In an ambulatory setting, ultrasound is highly competitive with nerve stimulator and requires at least a 96% success rate with nerve stimulator before becoming more expensive. In a hospitalized scenario, ultrasound is consistently more expensive as the uniform use of general anesthesia and hospitalization negate any positive cost effects from greater efficiency with ultrasound. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3143557 Fri, 01 Jan 2010 00:00:00 +0100 3143557 http://journals.lww.com/rapm/Fulltext/2010/01000/The_Efficiency_of_Pulsed_Radiofrequency.4.aspx Conclusions: The hyperalgesia that develops as a result of neuropathic pain in rabbits was observed to be reduced by PRF application. (C)2010 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3143556 Fri, 01 Jan 2010 00:00:00 +0100 3143556 http://journals.lww.com/rapm/Fulltext/2010/01000/Regional_Anesthesia_in_the_Patient_Receiving.13.aspx The actual incidence of neurologic dysfunction resulting from hemorrhagic complications associated with neuraxial blockade is unknown. Although the incidence cited in the literature is estimated to be less than 1 in 150,000 epidural and less than 1 in 220,000 spinal anesthetics, recent epidemiologic surveys suggest that the frequency is increasing and may be as high as 1 in 3000 in some patient populations. Overall, the risk of clinically significant bleeding increase with age, associated abnormalities of the spinal cord or vertebral column, the presence of an underlying coagulopathy, difficulty during needle placement, and an indwelling neuraxial catheter during sustained anticoagulation (particularly with standard heparin or low-molecular weight heparin). The need for prompt diagnosis an... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=3143555 Fri, 01 Jan 2010 00:00:00 +0100 3143555 http://journals.lww.com/rapm/Fulltext/2009/11000/Redistribution_of_Tissue_Blood_Flow_After_Stellate.5.aspx Conclusions: These results indicate that lower limb and visceral blood flow as well as blood flow on the nonblock side are redistributed to the block side after SGB. Redistribution from peripheral tissue may have a more important role than that of visceral blood flow redistribution after SGB. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2964382 Sun, 01 Nov 2009 00:00:00 +0100 2964382 http://journals.lww.com/rapm/Fulltext/2009/11000/Less_Urinary_Tract_Infection_by_Earlier_Removal_of.3.aspx Conclusions: Leaving the bladder catheter as long as the epidural analgesia is maintained results in a higher incidence of UTI and prolonged hospital stay. Removal of the bladder catheter on the morning after surgery does not lead to higher rate of catheterizations. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2964381 Sun, 01 Nov 2009 00:00:00 +0100 2964381 http://journals.lww.com/rapm/Fulltext/2009/11000/Preliminary_Results_of_the_Australasian_Regional.2.aspx Conclusions: These results indicate that the incidence of serious complications after peripheral nerve blockade is uncommon and that the origin of neurologic symptoms/signs in the postoperative period is most likely to be unrelated to nerve blockade. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2964380 Sun, 01 Nov 2009 00:00:00 +0100 2964380 http://journals.lww.com/rapm/Fulltext/2009/11000/Ultrasound_in_Regional_Anesthesia__Where_Should.1.aspx No abstract available (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2964379 Sun, 01 Nov 2009 00:00:00 +0100 2964379 http://journals.lww.com/rapm/Fulltext/2009/09000/Parietal_Analgesia_Decreases_Postoperative.4.aspx Conclusions: Parietal analgesia delivered via a CPWI of ropivacaine reduces PODD induced by open colorectal surgery. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2839768 Mon, 31 Aug 2009 23:00:00 +0100 2839768 http://journals.lww.com/rapm/Fulltext/2009/09000/Diabetes_Mellitus,_Independent_of_Body_Mass_Index,.6.aspx Conclusions: We speculate that the "higher success" of SCB in patients with diabetes may be explained by: (i) higher sensitivity of diabetic nerve fibers to local anesthetics, (ii) possible unknown intraneural penetration before injection, and/or (iii) preexisting neuropathy with accompanying decreased sensation. In the absence of additional follow-up on these patients, these data should generate outcomes research addressing dose-response curves for patients with diabetes or at risk for diabetes. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2839767 Mon, 31 Aug 2009 23:00:00 +0100 2839767 http://journals.lww.com/rapm/Fulltext/2009/09000/Ultrasound_in_Pain_Medicine__Advanced_Weaponry_or.1.aspx No abstract available (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2839766 Mon, 31 Aug 2009 23:00:00 +0100 2839766 http://journals.lww.com/rapm/Fulltext/2009/09000/Electrical_Stimulation_Versus_Ultrasound_Guidance.17.aspx Conclusions: Placement of popliteal-sciatic perineural catheters takes less time and produces less procedure-related discomfort when using US guidance compared with ES. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2839765 Mon, 31 Aug 2009 23:00:00 +0100 2839765 http://journals.lww.com/rapm/Fulltext/2009/05000/Survey_of_the_Utilization_of_Regional_and_General.9.aspx Conclusions: Our prospective observational study suggests that anesthesiology-related reasons may be an important factor for not undertaking these techniques. Although we did not specifically examine the effect on resident education, our study does provide some evidence to support program directors and department chiefs to set up their regional rotations with faculty most likely to perform RA. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2474886 Fri, 01 May 2009 04:00:00 +0100 2474886 http://journals.lww.com/rapm/Fulltext/2009/05000/Ultrasound_Guided_Obturator_Nerve_Block__An.17.aspx Conclusions: Obturator nerve block using USG to achieve interfascial injection without nerve stimulation had success similar to that reported in studies using nerve stimulation. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2474885 Fri, 01 May 2009 04:00:00 +0100 2474885 http://journals.lww.com/rapm/Fulltext/2009/05000/Outcome_Predictors_for_Sacroiliac_Joint__Lateral.6.aspx Conclusions: Whereas several factors were found to influence outcome, no single clinical variable reliably predicted treatment results. The use of more stringent selection criteria was not associated with better outcomes. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2474884 Fri, 01 May 2009 04:00:00 +0100 2474884 http://journals.lww.com/rapm/Fulltext/2009/05000/Minimal_Local_Anesthetic_Volume_for_Peripheral.13.aspx Conclusions: Based on the ultrasound measured cross-sectional area and using ultrasound guidance, a mean volume of 0.7 mL represents the ED95 dose of 1% mepivacaine to block the ulnar nerve at the proximal forearm. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2474883 Fri, 01 May 2009 04:00:00 +0100 2474883 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19288610&dopt=Abstract Authors: PMID: 19288610 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2275830 Sun, 01 Mar 2009 05:00:00 +0100 2275830 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282704&dopt=Abstract Authors: Ilfeld BM, Yaksh TL PMID: 19282704 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262250 Sun, 01 Mar 2009 05:00:00 +0100 2262250 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282705&dopt=Abstract Authors: Smith HM, Kopp SL, Jacob AK, Torsher LC, Hebl JR PMID: 19282705 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262248 Sun, 01 Mar 2009 05:00:00 +0100 2262248 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282706&dopt=Abstract CONCLUSION: Continuous femoral nerve block provides better analgesia than the continuous patellar tendon wound and intra-articular infusions after anterior cruciate ligament reconstruction with patellar tendon. PMID: 19282706 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262246 Sun, 01 Mar 2009 05:00:00 +0100 2262246 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282707&dopt=Abstract CONCLUSION: There is a positive association between BMI and transforaminal epidural depth, but not with age, sex, race, oblique angle, or intervertebral level. PMID: 19282707 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262244 Sun, 01 Mar 2009 05:00:00 +0100 2262244 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282708&dopt=Abstract CONCLUSION: Topical application of EMLA (5%) provides postoperative analgesia comparable to infiltration with 1% lidocaine after inguinal hernia repair in children. PMID: 19282708 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262242 Sun, 01 Mar 2009 05:00:00 +0100 2262242 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282709&dopt=Abstract CONCLUSIONS: Complex regional pain syndrome is a severe disabling pain disorder that results in physical as well as emotional and financial consequences to patients. The disease complexity requires coordination of multidisciplinary care that can be achieved by educational efforts directed to general practitioners. PMID: 19282709 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262240 Sun, 01 Mar 2009 05:00:00 +0100 2262240 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282710&dopt=Abstract CONCLUSIONS: There is a small longitudinal pressure gradient within the epidural space during fluid infusion. Hence, the major source of resistance occurs where fluid leaves the epidural space. Death reduced resistance, perhaps by depressurizing spinal arteries in the intervertebral foramina, but did not affect capacitance. Blood in epidural veins is a major determinant of late epidural capacitance. PMID: 19282710 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262238 Sun, 01 Mar 2009 05:00:00 +0100 2262238 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282711&dopt=Abstract CONCLUSIONS: Our systematic review suggests that the use of buffered local anesthetics seems to be associated with a statistical decrease in pain of infiltration when compared with unbuffered local anesthetic. PMID: 19282711 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262235 Sun, 01 Mar 2009 05:00:00 +0100 2262235 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282712&dopt=Abstract CONCLUSIONS: The milk-plasma concentration ratio of ropivacaine was found to be lower than that reported for other local anesthetics It seems that PCEA with ropivacaine/fentanyl after cesarean delivery is not associated with excessive milk-plasma concentrations of ropivacaine. PMID: 19282712 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262234 Sun, 01 Mar 2009 05:00:00 +0100 2262234 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282713&dopt=Abstract CONCLUSIONS: In comparison to systemic administration, there is no selective benefit to adding ketamine to the IVRA injectate. PMID: 19282713 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262232 Sun, 01 Mar 2009 05:00:00 +0100 2262232 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282714&dopt=Abstract Authors: Neal JM, Gerancher JC, Hebl JR, Ilfeld BM, McCartney CJ, Franco CD, Hogan QH Brachial plexus blockade is the cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. As part of the American Society of Regional Anesthesia and Pain Medicine's commitment to providing intensive evidence-based education related to regional anesthesia and analgesia, this article is a complete update of our 2002 comprehensive review of upper extremity anesthesia. The text of the review focuses on (1) pertinent anatomy, (2) approaches to the brachial plexus and techniques that optimize block quality, (4) local anesthetic and adjuvant pharmacology, (5) complications, (6) perioperative issues, and (6) challenges for future research. PMID: 19282714 [PubMed - in proc... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262230 Sun, 01 Mar 2009 05:00:00 +0100 2262230 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282715&dopt=Abstract CONCLUSIONS: Ultrasound-guided supraclavicular block is associated with a high rate of successful surgical anesthesia and a low rate of complications and thus may be a safe alternative for both inpatients and outpatients. Severe underlying respiratory disease and coagulopathy should remain a contraindication for this brachial plexus approach. PMID: 19282715 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262228 Sun, 01 Mar 2009 05:00:00 +0100 2262228 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282716&dopt=Abstract Authors: Tsui BC, Ozelsel T PMID: 19282716 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262226 Sun, 01 Mar 2009 05:00:00 +0100 2262226 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282718&dopt=Abstract Authors: Gray AT PMID: 19282718 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262223 Sun, 01 Mar 2009 05:00:00 +0100 2262223 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282719&dopt=Abstract Authors: Buffington CW PMID: 19282719 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262220 Sun, 01 Mar 2009 05:00:00 +0100 2262220 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282720&dopt=Abstract Authors: Fredrickson MJ, Borgeat A, Aguirre J, Boezaart AP PMID: 19282720 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262218 Sun, 01 Mar 2009 05:00:00 +0100 2262218 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282721&dopt=Abstract Authors: Lee FJ, Chien CT, Wu CC, Luk HN PMID: 19282721 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262214 Sun, 01 Mar 2009 05:00:00 +0100 2262214 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282722&dopt=Abstract Authors: Aguirre J, Valentin Neudörfer C, Ekatodramis G, Borgeat A PMID: 19282722 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262211 Sun, 01 Mar 2009 05:00:00 +0100 2262211 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282723&dopt=Abstract Authors: Dolan J, McKinlay S PMID: 19282723 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262208 Sun, 01 Mar 2009 05:00:00 +0100 2262208 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19282724&dopt=Abstract Authors: Cowlishaw P, Belavy D PMID: 19282724 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2262204 Sun, 01 Mar 2009 05:00:00 +0100 2262204 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258977&dopt=Abstract Authors: Neal JM PMID: 19258977 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241618 Thu, 01 Jan 2009 05:00:00 +0100 2241618 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258978&dopt=Abstract Authors: Neal JM PMID: 19258978 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241617 Thu, 01 Jan 2009 05:00:00 +0100 2241617 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258979&dopt=Abstract Authors: Boezaart AP PMID: 19258979 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241616 Thu, 01 Jan 2009 05:00:00 +0100 2241616 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258980&dopt=Abstract Authors: Ivani G, Ferrante FM PMID: 19258980 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241615 Thu, 01 Jan 2009 05:00:00 +0100 2241615 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258981&dopt=Abstract Authors: Hogan QH, Mark L PMID: 19258981 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241614 Thu, 01 Jan 2009 05:00:00 +0100 2241614 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258982&dopt=Abstract CONCLUSIONS:: Radiographically proven subdural injections were used to further define the clinical presentation of subdural analgesia/analgesia and a new diagnostic algorithm is proposed. PMID: 19258982 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241613 Thu, 01 Jan 2009 05:00:00 +0100 2241613 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258983&dopt=Abstract CONCLUSIONS: In our anesthetized ewe model, high dose IV infusion of BUPI induced the most marked changes in RR, PR, QRS, QT, QTc intervals, DeltaSAP, and DeltadP/dt. ROPI altered ECG variables less than BUPI but more than S-BUPI. LIDO was associated with the smallest changes. PMID: 19258983 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241612 Thu, 01 Jan 2009 05:00:00 +0100 2241612 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258984&dopt=Abstract CONCLUSIONS:: Ultrasound guidance using the lesser saphenous vein as a reference point results in a more complete and longer lasting sural nerve block than does a traditional approach using surface landmarks. PMID: 19258984 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241611 Thu, 01 Jan 2009 05:00:00 +0100 2241611 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258985&dopt=Abstract CONCLUSIONS: Our data suggest that the majority of transient paresthesias occur when the spinal needle enters the subarachnoid space and contacts a spinal nerve root. Therefore, when transient paresthesias occur during spinal needle placement it is appropriate to stop and assess for the presence of CSF in the needle hub, rather than withdraw and redirect the spinal needle away from the side of the paresthesia as some authors have suggested. PMID: 19258985 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241610 Thu, 01 Jan 2009 05:00:00 +0100 2241610 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258986&dopt=Abstract CONCLUSIONS: High anatomic variability in the obturator nerve's divisions and subdivisions does exist, and explains the difficulty frequently encountered in the application of regional anesthetic techniques. PMID: 19258986 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241609 Thu, 01 Jan 2009 05:00:00 +0100 2241609 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258987&dopt=Abstract Authors: Sites BD, Chan VW, Neal JM, Weller R, Grau T, Koscielniak-Nielsen ZJ, Ivani G, , Ultrasound-guided regional anesthesia (UGRA) is a growing area of both clinical and research interest. The following document contains the work produced by a joint committee from ASRA and the European Society of Regional Anesthesia and Pain Therapy. This joint committee was established to recommend to members and institutions the scope of practice, the teaching curriculum, and the options for implementing the medical practice of UGRA.This document specifically defines the following:In both the residency and postgraduate pathways, training, competency, and proficiency requirements include both didactic and experiential components. The Joint Committee recommends that the decision to grant UGRA priv... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241608 Thu, 01 Jan 2009 05:00:00 +0100 2241608 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258988&dopt=Abstract Authors: Liu SS, Ngeow JE, Yadeau JT Ultrasound guidance has become popular for performance of regional anesthesia and analgesia. This systematic review summarizes existing evidence for superior risk to benefit profiles for ultrasound versus other techniques. Medline was systematically searched for randomized controlled trials (RCTs) comparing ultrasound to another technique, and for large (n > 100) prospective case series describing experience with ultrasound-guided blocks. Fourteen RCTs and 2 case series were identified for peripheral nerve blocks. No RCTs or case series were identified for perineural catheters. Six RCTs and 1 case series were identified for epidural anesthesia. Overall, the RCTs and case series reported that use of ultrasound significantly reduced time or number ... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241607 Thu, 01 Jan 2009 05:00:00 +0100 2241607 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258989&dopt=Abstract CONCLUSIONS: Continuous interscalene block using an ultrasound-guided posterior approach is an alternative technique that retains the benefits of posterior catheter insertion, but potentially reduces the risk of complications that may result from blind needle insertion. PMID: 19258989 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241606 Thu, 01 Jan 2009 05:00:00 +0100 2241606 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258990&dopt=Abstract CONCLUSIONS: Results suggest the use of ultrasound for placing a continuous interscalene nerve catheter via the posterior approach is a viable technique that offers an alternative to the more conventional non-image-guided superficial landmark techniques. PMID: 19258990 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241605 Thu, 01 Jan 2009 05:00:00 +0100 2241605 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258991&dopt=Abstract CONCLUSION: Combined spinal-epidural anesthesia was successfully used in a patient with COPD and OSA undergoing sigmoid resection. Perioperative administration of BiPAP, excellent pain control by continuous epidural infusion of local anesthetic, and the avoidance of endotracheal intubation may have contributed to this patient's uncomplicated postoperative course. PMID: 19258991 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241604 Thu, 01 Jan 2009 05:00:00 +0100 2241604 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258992&dopt=Abstract Authors: Wildsmith JA, Selander DE PMID: 19258992 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241603 Thu, 01 Jan 2009 05:00:00 +0100 2241603 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258993&dopt=Abstract Authors: Punj J, Joshi A, Darlong V, Pandey R PMID: 19258993 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241602 Thu, 01 Jan 2009 05:00:00 +0100 2241602 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258996&dopt=Abstract Authors: O'Donnell BD, Mannion S PMID: 19258996 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241601 Thu, 01 Jan 2009 05:00:00 +0100 2241601 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258997&dopt=Abstract Authors: De A PMID: 19258997 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241600 Thu, 01 Jan 2009 05:00:00 +0100 2241600 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258999&dopt=Abstract Authors: Moore DC PMID: 19258999 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241599 Thu, 01 Jan 2009 05:00:00 +0100 2241599 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19259002&dopt=Abstract Authors: Filip P PMID: 19259002 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241598 Thu, 01 Jan 2009 05:00:00 +0100 2241598 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19259004&dopt=Abstract Authors: Heavner JE, Bosscher H PMID: 19259004 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241597 Thu, 01 Jan 2009 05:00:00 +0100 2241597 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19259005&dopt=Abstract Authors: Mc Auliffe N, Harmon D PMID: 19259005 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241596 Thu, 01 Jan 2009 05:00:00 +0100 2241596 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19259006&dopt=Abstract Authors: Manchikanti L, Singh V PMID: 19259006 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241595 Thu, 01 Jan 2009 05:00:00 +0100 2241595 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258965&dopt=Abstract CONCLUSIONS: Patients undergoing THA or TKA using a comprehensive, pre-emptive, multimodal analgesic regimen emphasizing peripheral nerve block may have significantly improved perioperative outcomes, and fewer adverse events, when compared with patients receiving traditional intravenous opioids during the initial postoperative period. Improved perioperative outcomes include a shortened hospital length of stay, and a significant reduction in postoperative urinary retention and ileus formation. PMID: 19258965 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241629 Sat, 01 Nov 2008 04:00:00 +0100 2241629 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258966&dopt=Abstract CONCLUSIONS: For continuous interscalene nerve blocks, given the statistically inconclusive primary endpoint results and design limitations of the current study, further research on this topic is warranted. In contrast, providing a lower concentration of local anesthetic at a higher basal rate provided superior analgesia. PMID: 19258966 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241628 Sat, 01 Nov 2008 04:00:00 +0100 2241628 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258967&dopt=Abstract CONCLUSIONS: Ultrasound-guided fascia iliaca block increased the frequency of sensory loss in the medial aspect of the thigh. Ultrasound guidance also increased the frequency of femoral and obturator motor block. PMID: 19258967 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241627 Sat, 01 Nov 2008 04:00:00 +0100 2241627 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258968&dopt=Abstract Authors: Chin KJ, Perlas A, Chan VW, Brull R Needle visualization is important for safe and successful ultrasound-guided peripheral nerve block. However, accurate and consistent visualization of the needle tip can be difficult to achieve. This review article describes many of the challenges affecting needle visualization, summarizes the relevant literature on ultrasound imaging of needles, and offers practical strategies for improving needle tip visibility. Finally, future directions for research and development are suggested. PMID: 19258968 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241626 Sat, 01 Nov 2008 04:00:00 +0100 2241626 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258969&dopt=Abstract CONCLUSIONS: This descriptive study found that the phrenic nerve and brachial plexus are within 2 mm of each other at the cricoid cartilage level, with additional 3 mm separation for every cm more caudal in the neck. Clinical trials with imaging guidance are needed to establish whether brachial plexus selective blocks can be consistently achieved above the clavicle. PMID: 19258969 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241625 Sat, 01 Nov 2008 04:00:00 +0100 2241625 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258970&dopt=Abstract CONCLUSIONS: Ultrasound imaging to facilitate peripheral nerve electrode placement is feasible. This new minimally invasive approach to lead placement requires further study to determine trial implantation criteria, optimal locations, anchoring techniques, and best clinical practice. PMID: 19258970 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241624 Sat, 01 Nov 2008 04:00:00 +0100 2241624 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258971&dopt=Abstract CONCLUSIONS: This new minimally invasive approach to lead placement requires further study to determine implantation criteria, optimal locations, anchoring techniques, and electrode design to define best clinical practice. PMID: 19258971 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241623 Sat, 01 Nov 2008 04:00:00 +0100 2241623 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258972&dopt=Abstract CONCLUSIONS: We believe that a systematic sonographic survey prior to regional anesthesia can be a valuable bedside screening tool to assess the suitability and challenges involved in performing US-guided peripheral nerve block. PMID: 19258972 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241622 Sat, 01 Nov 2008 04:00:00 +0100 2241622 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258974&dopt=Abstract Authors: Price DJ PMID: 19258974 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241621 Sat, 01 Nov 2008 04:00:00 +0100 2241621 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258975&dopt=Abstract Authors: Soliveres J, Balaguer J, Solaz C, Estruch M, Sanchez J, Abreu T PMID: 19258975 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241620 Sat, 01 Nov 2008 04:00:00 +0100 2241620 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=19258976&dopt=Abstract Authors: Dawson JS PMID: 19258976 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=2241619 Sat, 01 Nov 2008 04:00:00 +0100 2241619 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774093&dopt=Abstract Authors: PMID: 18774093 [PubMed - indexed for MEDLINE] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1833542 Mon, 01 Sep 2008 04:00:00 +0100 1833542 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774093&dopt=Abstract Authors: PMID: 18774093 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1794829 Mon, 01 Sep 2008 04:00:00 +0100 1794829 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774507&dopt=Abstract CONCLUSIONS: Pregabalin has significant effects on the pain associated with DPN as well as secondary endpoints that affect patients' quality of life. PMID: 18774507 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775811 Mon, 01 Sep 2008 04:00:00 +0100 1775811 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774508&dopt=Abstract CONCLUSIONS: Based on a 22% response rate, our survey suggests that the risks of RA most commonly disclosed to patients by ASRA members are benign while severe complications of RA are far less commonly disclosed. There is little agreement among ASRA members regarding their perceived incidence of complications following RA. PMID: 18774508 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775810 Mon, 01 Sep 2008 04:00:00 +0100 1775810 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774509&dopt=Abstract Authors: Neal JM, Bernards CM, Hadzic A, Hebl JR, Hogan QH, Horlocker TT, Lee LA, Rathmell JP, Sorenson EJ, Suresh S, Wedel DJ Neurologic complications associated with regional anesthesia and pain medicine practice are extremely rare. The ASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine addresses the etiology, differential diagnosis, prevention, and treatment of these complications. This Advisory does not focus on hemorrhagic and infectious complications, because they have been addressed by other recent ASRA Practice Advisories. The current Practice Advisory offers recommendations to aid in the understanding and potential limitation of neurologic complications that may arise during the practice of regional anesthesia and pain medicine. PMI... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775809 Mon, 01 Sep 2008 04:00:00 +0100 1775809 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774510&dopt=Abstract CONCLUSIONS: Performance of eye blocks by anesthesiologists significantly alters their liability profile, primarily related to permanent eye damage from block needle trauma. Though most peripheral nerve block claims are associated with temporary injuries, local anesthetic toxicity is a major cause of death or brain damage in these claims. PMID: 18774510 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775808 Mon, 01 Sep 2008 04:00:00 +0100 1775808 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774511&dopt=Abstract Authors: Neal JM PMID: 18774511 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775807 Mon, 01 Sep 2008 04:00:00 +0100 1775807 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774512&dopt=Abstract CONCLUSIONS: The relative importance of these pathogenic factors in cases of nerve injury after regional anesthesia is not resolved. PMID: 18774512 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775806 Mon, 01 Sep 2008 04:00:00 +0100 1775806 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774513&dopt=Abstract Authors: Sorenson EJ A peripheral nerve or spinal cord injury is a rare but significant complication of regional anesthesia. Evaluation of acute nerve injury includes a focused history and examination to localize the lesion. Confirmatory testing should include electromyography and appropriate imaging. In most cases magnetic resonance imaging (MRI) is preferred to computed tomography (CT) or ultrasound given the better resolution of the nerves and soft tissue. Most cases of peripheral nerve injury will improve and resolve without deficit. In mild cases reassurance and observation is all that is necessary. In more severe cases, if the deficit is progressive or complete, surgical exploration should be considered. If there is no recovery by 2 to 5 months then referral to a peripheral nerve... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775805 Mon, 01 Sep 2008 04:00:00 +0100 1775805 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774514&dopt=Abstract Authors: Bernards CM, Hadzic A, Suresh S, Neal JM The American Society of Regional Anesthesia and Pain Medicine (ASRA) Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine includes an evidence- and expert opinion-based section on performing procedures on anesthetized or heavily sedated patients. This practice advisory is based on existing scientific literature, pathophysiological principles, and expert opinion. The advisory panel examined the ability of anesthetized or heavily sedated patients to recognize and report intravascular injection of local anesthetic or impending neurologic injury. The advisory panel also considered whether or not the ability to recognize and report symptoms could actually affect the occurrence of nerve injury or local anesth... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775804 Mon, 01 Sep 2008 04:00:00 +0100 1775804 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774515&dopt=Abstract Authors: Neal JM PMID: 18774515 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775803 Mon, 01 Sep 2008 04:00:00 +0100 1775803 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774516&dopt=Abstract Authors: Eisenach JC PMID: 18774516 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775802 Mon, 01 Sep 2008 04:00:00 +0100 1775802 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774517&dopt=Abstract Authors: van Zundert A PMID: 18774517 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775801 Mon, 01 Sep 2008 04:00:00 +0100 1775801 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774518&dopt=Abstract Authors: Reynolds F PMID: 18774518 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775800 Mon, 01 Sep 2008 04:00:00 +0100 1775800 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774519&dopt=Abstract CONCLUSIONS: This short case series suggests that long axis imaging of the nerve, the needle, and the catheter allows visualization of a catheter's advancement. Using to-and-fro movements, and slight rotation the needle's bevel, the catheter may be maneuvered under the ultrasound beam, which facilitates correct positioning. PMID: 18774519 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775799 Mon, 01 Sep 2008 04:00:00 +0100 1775799 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774520&dopt=Abstract Authors: van Zundert A, Helmstädter A, Goerig M, Mortier E The surgeon August Gustav Bier significantly influenced surgery, general medicine, and especially anesthesia. He was the father of spinal anesthesia (1898) and intravenous regional anesthesia (1908). Both anesthetic techniques are still valuable and widely applied in everyday anesthesia practices throughout the world, with a high degree of safety, efficacy, efficiency, and satisfaction. On the occasion of the centennial anniversary of the first use of intravenous regional anesthesia it is appropriate to recall Bier's contribution to the repertoire of anesthesiologists. The evolutionary history of both the injected drugs and the refinements of the technique are elaborated upon. PMID: 18774520 [PubMed - in process] (Sour... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775798 Mon, 01 Sep 2008 04:00:00 +0100 1775798 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774521&dopt=Abstract Authors: Macfarlane AJ, Perlas A, Chan V, Brull R PMID: 18774521 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775797 Mon, 01 Sep 2008 04:00:00 +0100 1775797 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774522&dopt=Abstract Authors: Tran de QH, Munoz L, Russo G, Finlayson RJ PMID: 18774522 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775796 Mon, 01 Sep 2008 04:00:00 +0100 1775796 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774523&dopt=Abstract Authors: Nelson T PMID: 18774523 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775795 Mon, 01 Sep 2008 04:00:00 +0100 1775795 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774524&dopt=Abstract Authors: Samet RE, Villamater E PMID: 18774524 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775794 Mon, 01 Sep 2008 04:00:00 +0100 1775794 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774525&dopt=Abstract Authors: McCutchen TM PMID: 18774525 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775793 Mon, 01 Sep 2008 04:00:00 +0100 1775793 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774526&dopt=Abstract Authors: Baumgarten RK PMID: 18774526 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775792 Mon, 01 Sep 2008 04:00:00 +0100 1775792 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18774527&dopt=Abstract Authors: Stanton M, Liguori GA, Edmonds CR PMID: 18774527 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1775791 Mon, 01 Sep 2008 04:00:00 +0100 1775791 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675737&dopt=Abstract CONCLUSIONS: Intraneural catheterization of the sciatic nerve may be a frequent finding and was not followed by nerve injury under the conditions of our small pilot study. PMID: 18675737 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683586 Tue, 01 Jul 2008 04:00:00 +0100 1683586 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675738&dopt=Abstract CONCLUSIONS: This study suggests that the false negative motor response rate for longitudinal ISC needle placement is higher than the false negative response rate associated with tangential needle approach interscalene block. An ultrasound guided ISC needle endpoint is a feasible alternative to a neurostimulation endpoint. PMID: 18675738 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683585 Tue, 01 Jul 2008 04:00:00 +0100 1683585 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675739&dopt=Abstract CONCLUSIONS: Our results indicate that in a whole blood model, time-dependent effects of local anesthetics affect key neutrophil functions necessary for bacterial elimination. However, these effects only occur at concentrations that are unlikely to be routinely attained in the clinical setting, and concern about interfering with the host defense is likely unwarranted. PMID: 18675739 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683584 Tue, 01 Jul 2008 04:00:00 +0100 1683584 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675740&dopt=Abstract CONCLUSIONS: Bupivacaine stereostructure-specifically interacts with membranes containing cholesterol, which is consistent with the clinical features of S(-)-bupivacaine. Membrane cholesterol appears to increase the chirality of lipid bilayers and enable them to interact with S(-)-, racemic and R(+)-bupivacaine differently. PMID: 18675740 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683583 Tue, 01 Jul 2008 04:00:00 +0100 1683583 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675741&dopt=Abstract CONCLUSIONS: Considering these and previous results, pulmonary function tests such as PEF should be considered for more routine use as functional surrogates of movement-evoked pain in analgesic trials of thoracic and abdominal surgery. Mechanisms of immediate postoperative movement-evoked pain may differ from those in effect at later time points after which tissue inflammation and spinal sensitization develop. Because pain adversely impacts upon postoperative rehabilitation, these results further imply that aggressive treatment of movement-evoked pain could improve the outcome of postoperative rehabilitation measures if both are implemented very early after surgery. PMID: 18675741 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683582 Tue, 01 Jul 2008 04:00:00 +0100 1683582 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675742&dopt=Abstract CONCLUSIONS: This study demonstrates that lidocaine patch 5%, applied twice a day, could serve as a well tolerated and effective modality to relieve moderate to severe pain associated with acute herpes zoster presumably through its pharmacological action and physical barrier effect on sensitized skin. PMID: 18675742 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683581 Tue, 01 Jul 2008 04:00:00 +0100 1683581 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675743&dopt=Abstract CONCLUSIONS: The results of this pilot study demonstrated that after uneventful epidural injection in otherwise healthy patients, there were no new pathologic findings on MRI scans. Further MRI studies in large populations and in different clinical situations should be performed to confirm these preliminary findings. PMID: 18675743 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683580 Tue, 01 Jul 2008 04:00:00 +0100 1683580 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675744&dopt=Abstract CONCLUSIONS: Ondansetron given intravenously attenuates the fall of systolic and mean blood pressure, but does not have an influence on diastolic blood pressure or heart rate. PMID: 18675744 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683579 Tue, 01 Jul 2008 04:00:00 +0100 1683579 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675745&dopt=Abstract CONCLUSIONS: This pilot study suggests that combined regional/general anesthesia provides greater hemodynamic stability and patient comfort compared with regional anesthesia during carotid endarterectomy. Further studies are warranted before conclusions can be drawn as to the efficacy and safety of the technique. PMID: 18675745 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683578 Tue, 01 Jul 2008 04:00:00 +0100 1683578 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675746&dopt=Abstract CONCLUSIONS: This investigation demonstrates that a computerized injection pump can be used to identify the epidural space and can serve as a base for further comparative research to determine whether this technology can increase the success rate of EA or lower the incidence of side effects. PMID: 18675746 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683577 Tue, 01 Jul 2008 04:00:00 +0100 1683577 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675747&dopt=Abstract CONCLUSIONS: Ultrasound technique limitations do exist. We present 2 conditions, edema and subcutaneous air, which contributed to ultrasound failure to provide a clear image of the targeted nerves. PMID: 18675747 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683576 Tue, 01 Jul 2008 04:00:00 +0100 1683576 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675748&dopt=Abstract CONCLUSIONS: This case illustrates the ability of US to identify anatomic variations and their relevance to the performance of regional anesthetic techniques. PMID: 18675748 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683575 Tue, 01 Jul 2008 04:00:00 +0100 1683575 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675749&dopt=Abstract CONCLUSIONS: This report presents an inexpensive, variable complexity model for learning ultrasound-guided needle-to-target localization. PMID: 18675749 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683574 Tue, 01 Jul 2008 04:00:00 +0100 1683574 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675750&dopt=Abstract CONCLUSIONS: This randomized prospective study demonstrates that ultrasound-guided wrist nerve blocks are as efficient as those performed with nerve stimulation. PMID: 18675750 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683573 Tue, 01 Jul 2008 04:00:00 +0100 1683573 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675751&dopt=Abstract CONCLUSIONS: Ultrasonic identification of the sciatic nerve at the midthigh level can be achieved; however, in this study, 37.5% of patients required nerve stimulation to confirm its sonographic appearance. Target nerve localization and the subsequent performance of the sciatic nerve block may be enhanced by recognition of surrounding muscular and fascial structures which were also identified using ultrasound. PMID: 18675751 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683572 Tue, 01 Jul 2008 04:00:00 +0100 1683572 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675752&dopt=Abstract CONCLUSIONS: This case report draws attention to this very serious complication of cervical TFESI. It is essential to confirm final needle position using both anteroposterior and lateral fluoroscopy before any injection through the needle. PMID: 18675752 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683571 Tue, 01 Jul 2008 04:00:00 +0100 1683571 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675753&dopt=Abstract Authors: Eker HE, Cok OY, Kocum A, Acil M, Turkoz A PMID: 18675753 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683570 Tue, 01 Jul 2008 04:00:00 +0100 1683570 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675754&dopt=Abstract Authors: Bloc S, Ecoffey C, Dhonneur G PMID: 18675754 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683569 Tue, 01 Jul 2008 04:00:00 +0100 1683569 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675755&dopt=Abstract "Oblique" needle-probe alignment to facilitate ultrasound-guided femoral catheter placement. Reg Anesth Pain Med. 2008 Jul-Aug;33(4):383-4 Authors: Fredrickson M PMID: 18675755 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683568 Tue, 01 Jul 2008 04:00:00 +0100 1683568 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675756&dopt=Abstract Authors: Cornish P PMID: 18675756 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683567 Tue, 01 Jul 2008 04:00:00 +0100 1683567 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675757&dopt=Abstract Authors: Franco CD PMID: 18675757 [PubMed - as supplied by publisher] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683566 Tue, 01 Jul 2008 04:00:00 +0100 1683566 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18675758&dopt=Abstract The "flank bulge" sign of a successful transversus abdominis plane block. Reg Anesth Pain Med. 2008 Jul-Aug;33(4):387 Authors: Grady MV, Cummings KC PMID: 18675758 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1683565 Tue, 01 Jul 2008 04:00:00 +0100 1683565 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433668&dopt=Abstract Authors: Salinas FV, Neal JM PMID: 18433668 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399492 Fri, 25 Apr 2008 21:03:48 +0100 1399492 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433669&dopt=Abstract CONCLUSIONS: The results of this study bolster preclinical and experimental pain models demonstrating enhanced pain perception in subjects receiving opioid therapy. This simple clinical model may provide a useful tool in examining opioid-induced hyperalgesia. PMID: 18433669 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399491 Fri, 25 Apr 2008 21:03:46 +0100 1399491 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433670&dopt=Abstract CONCLUSIONS: Specific response to nerve stimulation with currents <0.2 mA occurred only when the needle tip was positioned intraneurally. However, motor response could be absent with intraneural needle placement at a current intensity of up to 1.7 mA. PMID: 18433670 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399490 Fri, 25 Apr 2008 21:03:43 +0100 1399490 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433671&dopt=Abstract CONCLUSIONS: After L5 and L6 spinal nerve ligation, rats developed mechanical and cold allodynia in the contralateral paw, suggesting extraterritorial development of neuropathic signs. This finding has implications for future study design and therapeutic approaches. PMID: 18433671 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399489 Fri, 25 Apr 2008 21:03:41 +0100 1399489 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433672&dopt=Abstract CONCLUSIONS: Epidural infusion of ropivacaine 0.2% initiated immediately after spinal anesthesia prolonged the regression of motor block but not the regression of sensory block when compared with saline infusion. PMID: 18433672 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399488 Fri, 25 Apr 2008 21:03:38 +0100 1399488 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433673&dopt=Abstract CONCLUSIONS: Presence of CSF flow during needle placement does not influence the success rate and duration of pain relief following PRGR. PMID: 18433673 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399487 Fri, 25 Apr 2008 21:03:36 +0100 1399487 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433674&dopt=Abstract Authors: Rowlingson J PMID: 18433674 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399486 Fri, 25 Apr 2008 21:03:34 +0100 1399486 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433675&dopt=Abstract Authors: Carr DB PMID: 18433675 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399485 Fri, 25 Apr 2008 21:03:31 +0100 1399485 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433676&dopt=Abstract Authors: Crowley LJ, Buggy DJ Shivering, which usually occurs as a thermoregulatory response to cold, may also occur following general or neuraxial anesthesia. Some of the causative factors of this type of shivering may be common to both, but some are particular to neuraxial anesthesia. Although shivering may have beneficial thermoregulatory effects, it places the body under increased physiological stress. In a broad sample of 21 studies, the median incidence of shivering related to neuraxial anesthesia in the control groups was 55%. Both pharmacological and nonpharmacological mechanisms have been found to be effective in reducing this shivering. This review aims to elucidate the mechanisms of the shivering that occurs during neuraxial anesthesia, and to examine strategies for preventi... Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399484 Fri, 25 Apr 2008 21:03:28 +0100 1399484 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=18433677&dopt=Abstract CONCLUSIONS: The use of ultrasound to guide needle placement and monitor the spread of local anesthetic improves the success rate of interscalene brachial plexus block. PMID: 18433677 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine) Regional Anesthesia and Pain Medicine journals http://www.medworm.com/rss/comments.php?id=1399483 Fri, 25 Apr 2008 21:03:25 +0100 1399483