Regional Anesthesia and Pain MedicineThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Redistribution of Tissue Blood Flow After Stellate Ganglion Block in the RabbitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Less Urinary Tract Infection by Earlier Removal of Bladder Catheter in Surgical Patients Receiving Thoracic Epidural AnalgesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Preliminary Results of the Australasian Regional Anaesthesia Collaboration: A Prospective Audit of More Than 7000 Peripheral Nerve and Plexus Blocks for Neurologic and Other ComplicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Ultrasound in Regional Anesthesia: Where Should the "Focus" Be Set?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Editorial Source Type: journals

Parietal Analgesia Decreases Postoperative Diaphragm Dysfunction Induced by Abdominal Surgery: A Physiologic StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - August 31, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Diabetes Mellitus, Independent of Body Mass Index, Is Associated With a "Higher Success" Rate for Supraclavicular Brachial Plexus BlocksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - August 31, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Ultrasound in Pain Medicine: Advanced Weaponry or Just a Fad?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - August 31, 2009 Category: Anesthesiology Tags: Editorials Source Type: journals

Electrical Stimulation Versus Ultrasound Guidance for Popliteal-Sciatic Perineural Catheter Insertion: A Randomized Controlled TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - August 31, 2009 Category: Anesthesiology Tags: Ultrasound Articles Source Type: journals

Survey of the Utilization of Regional and General Anesthesia in a Tertiary Teaching HospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - May 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Ultrasound-Guided Obturator Nerve Block: An Interfascial Injection Approach Without Nerve StimulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - May 1, 2009 Category: Anesthesiology Tags: Ultrasound Articles Source Type: journals

Outcome Predictors for Sacroiliac Joint (Lateral Branch) Radiofrequency DenervationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - May 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Minimal Local Anesthetic Volume for Peripheral Nerve Block: A New Ultrasound-Guided, Nerve Dimension-Based MethodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - May 1, 2009 Category: Anesthesiology Tags: Ultrasound Articles Source Type: journals

The effect of cyclooxygenase-2 inhibition on acute and chronic donor-site pain after spinal-fusion surgery: erratum retraction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19288610 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Tags: Reg Anesth Pain Med Source Type: journals

The end of postoperative pain--a fast-approaching possibility? And, if so, will we be ready?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282704 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Ilfeld BM, Yaksh TL Tags: Reg Anesth Pain Med Source Type: journals

Designing and implementing a comprehensive learner-centered regional anesthesia curriculum.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282705 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Smith HM, Kopp SL, Jacob AK, Torsher LC, Hebl JR Tags: Reg Anesth Pain Med Source Type: journals

Continuous femoral nerve block provides superior analgesia compared with continuous intra-articular and wound infusion after anterior cruciate ligament reconstruction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Dauri M, Fabbi E, Mariani P, Faria S, Carpenedo R, Sidiropoulou T, Coniglione F, Silvi MB, Sabato AF Tags: Reg Anesth Pain Med Source Type: journals

A prospective, observational study of the relationship between body mass index and depth of the epidural space during lumbar transforaminal epidural steroid injection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Brummett CM, Williams BS, Hurley RW, Erdek MA Tags: Reg Anesth Pain Med Source Type: journals

A comparison between EMLA cream application versus lidocaine infiltration for postoperative analgesia after inguinal herniotomy in children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Usmani H, Pal Singh S, Quadir A, Chana RS Tags: Reg Anesth Pain Med Source Type: journals

A web-based cross-sectional epidemiological survey of complex regional pain syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Sharma A, Agarwal S, Broatch J, Raja SN Tags: Reg Anesth Pain Med Source Type: journals

Hydrodynamics of the spinal epidural space in pigs: effects of death and exsanguinations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Blix EU, Buffington CW Tags: Reg Anesth Pain Med Source Type: journals

Efficacy of bicarbonate in decreasing pain on intradermal injection of local anesthetics: a meta-analysis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Hanna MN, Elhassan A, Veloso PM, Lesley M, Lissauer J, Richman JM, Wu CL Tags: Reg Anesth Pain Med Source Type: journals

Excretion of ropivacaine in breast milk during patient-controlled epidural analgesia after cesarean delivery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Matsota PK, Markantonis SL, Fousteri MZ, Pandazi AK, Manikis DE, Christodoulopoulou TC, Loizou MM, Kostopanagiotou GG Tags: Reg Anesth Pain Med Source Type: journals

Ketamine as an adjuvant in lidocaine intravenous regional anesthesia: a randomized, double-blind, systemic control trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Viscomi CM, Friend A, Parker C, Murphy T, Yarnell M Tags: Reg Anesth Pain Med Source Type: journals

Upper extremity regional anesthesia: essentials of our current understanding, 2008.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Neal JM, Gerancher JC, Hebl JR, Ilfeld BM, McCartney CJ, Franco CD, Hogan QH Tags: Reg Anesth Pain Med Source Type: journals

Ultrasound-guided supraclavicular block: outcome of 510 consecutive cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Perlas A, Lobo G, Lo N, Brull R, Chan VW, Karkhanis R Tags: Reg Anesth Pain Med Source Type: journals

Ultrasound-guided transsartorial perifemoral artery approach for saphenous nerve block.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282716 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Tsui BC, Ozelsel T Tags: Reg Anesth Pain Med Source Type: journals

The conjoint tendon of the latissimus dorsi and teres major: an important landmark for ultrasound-guided axillary block.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282718 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Gray AT Tags: Reg Anesth Pain Med Source Type: journals

Use a rifle, not a shotgun.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282719 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Buffington CW Tags: Reg Anesth Pain Med Source Type: journals

Ultrasound-guided interscalene block should be compared with the accepted standard for the neurostimulation technique.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282720 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Fredrickson MJ, Borgeat A, Aguirre J, Boezaart AP Tags: Reg Anesth Pain Med Source Type: journals

The beneficial role of patient-controlled epidural analgesia in a patient with fournier gangrene.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282721 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Lee FJ, Chien CT, Wu CC, Luk HN Tags: Reg Anesth Pain Med Source Type: journals

Ultrasound guidance for sciatic nerve block at the popliteal fossa should be compared with the best motor response and the lowest current clinically used in neurostimulation technique.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282722 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Aguirre J, Valentin Neudörfer C, Ekatodramis G, Borgeat A Tags: Reg Anesth Pain Med Source Type: journals

Early detection of intravascular injection during ultrasound-guided axillary brachial plexus block.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282723 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Dolan J, McKinlay S Tags: Reg Anesth Pain Med Source Type: journals

Transversus abdominis plane block for neuropathic pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19282724 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - March 1, 2009 Category: Anesthesiology Authors: Cowlishaw P, Belavy D Tags: Reg Anesth Pain Med Source Type: journals

Change-with our welcome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19258977 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Neal JM Tags: Reg Anesth Pain Med Source Type: journals

The dilemma of dual publication.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19258978 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Neal JM Tags: Reg Anesth Pain Med Source Type: journals

That which we call a rose by any other name would smell as sweet-and its thorns would hurt as much.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19258979 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Boezaart AP Tags: Reg Anesth Pain Med Source Type: journals

The American Society Of Regional Anesthesia and Pain Medicine and the European Society Of Regional Anaesthesia and Pain Therapy Joint Committee recommendations for education and training in ultrasound guided regional anesthesia: why do we need these guidelines?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19258980 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Ivani G, Ferrante FM Tags: Reg Anesth Pain Med Source Type: journals

Subdural injection: what's the gold standard?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19258981 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Hogan QH, Mark L Tags: Reg Anesth Pain Med Source Type: journals

Diagnosis of unintentional subdural anesthesia/analgesia: analyzing radiographically proven cases to define the clinical entity and to develop a diagnostic algorithm.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Hoftman NN, Ferrante FM Tags: Reg Anesth Pain Med Source Type: journals

Electrocardiographic and hemodynamic effects of intravenous infusion of bupivacaine, ropivacaine, levobupivacaine, and lidocaine in anesthetized ewes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Guinet P, Estebe JP, Ratajczak-Enselme M, Bansard JY, Chevanne F, Bec D, Lecorre P, Wodey E, Ecoffey C Tags: Reg Anesth Pain Med Source Type: journals

Ultrasound improves the success rate of a sural nerve block at the ankle.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Redborg KE, Sites BD, Chinn CD, Gallagher JD, Ball PA, Antonakakis JG, Beach ML Tags: Reg Anesth Pain Med Source Type: journals

Does a paresthesia during spinal needle insertion indicate intrathecal needle placement?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Pong RP, Gmelch BS, Bernards CM Tags: Reg Anesth Pain Med Source Type: journals

Anatomic variations of the obturator nerve in the inguinal region: implications in conventional and ultrasound regional anesthesia techniques.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Anagnostopoulou S, Kostopanagiotou G, Paraskeuopoulos T, Chantzi C, Lolis E, Saranteas T Tags: Reg Anesth Pain Med Source Type: journals

The American Society of Regional Anesthesia and Pain Medicine and the European Society Of Regional Anaesthesia and Pain Therapy Joint Committee recommendations for education and training in ultrasound-guided regional anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Sites BD, Chan VW, Neal JM, Weller R, Grau T, Koscielniak-Nielsen ZJ, Ivani G, , Tags: Reg Anesth Pain Med Source Type: journals

Ultrasound-guided regional anesthesia and analgesia: a qualitative systematic review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 identi...
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Liu SS, Ngeow JE, Yadeau JT Tags: Reg Anesth Pain Med Source Type: journals

Interscalene perineural catheter placement using an ultrasound-guided posterior approach.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Mariano ER, Loland VJ, Ilfeld BM Tags: Reg Anesth Pain Med Source Type: journals

Ultrasound-guided posterior approach for the placement of a continuous interscalene catheter.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Antonakakis JG, Sites BD, Shiffrin J Tags: Reg Anesth Pain Med Source Type: journals

Neuraxial anesthesia and intraoperative bilevel positive airway pressure in a patient with severe chronic obstructive pulmonary disease and obstructive sleep apnea undergoing elective sigmoid resection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Kapala M, Meterissian S, Schricker T Tags: Reg Anesth Pain Med Source Type: journals

Measuring the relative potencies of bupivacaine and ropivacaine in spinal anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19258992 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Wildsmith JA, Selander DE Tags: Reg Anesth Pain Med Source Type: journals

Ultrasound characteristics of spread during infraclavicular plexus block.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19258993 [PubMed - in process] (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - January 1, 2009 Category: Anesthesiology Authors: Punj J, Joshi A, Darlong V, Pandey R Tags: Reg Anesth Pain Med Source Type: journals