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Procedure: Anesthesia
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Principles of the pharmacology of local anesthetics
Schmerz. 2023 Sep 18. doi: 10.1007/s00482-023-00751-4. Online ahead of print.ABSTRACTThe development of local anesthetics revolutionized the performance of painful interventions. Local anesthetics have an effect on voltage-gated sodium channels in nerve fibers and modulate the conduction of impulses. With respect to the chemical structure, local anesthetics can be divided into amide and ester types. The structural differences of local anesthetics have an influence on the duration of action, the degradation pathways and specific side effects. Severe adverse events include cardiotoxicity and neurotoxicity. In addition to bas...
Source: Schmerz - September 18, 2023 Category: Anesthesiology Authors: Rebecca Bockholt Martin Mirus Source Type: research
Clinical Application of Inferior Alveolar Nerve Block Device for Safe and Secure IANB by Any Operator
Pain Res Manag. 2023 Sep 8;2023:1021918. doi: 10.1155/2023/1021918. eCollection 2023.ABSTRACTThe inferior alveolar nerve block (IANB) is an established technique with a success rate of 60-80%; however, large errors have been reported among operators. Some dentists do not prefer to use IANB because of the risk of complications. Nevertheless, it is a useful technique for pain control, and a secure IANB offers significant benefits to operators and patients. This case series study aimed to investigate the efficacy of the "IANB Device," a nerve block guide for IANB, and the adverse events associated with its use in clinical pra...
Source: Pain Research and Management - September 18, 2023 Category: Anesthesiology Authors: Tomoyasu Noguchi Kento Odaka Ken-Ichi Fukuda Source Type: research
2023 American Heart Association Focused Update on the Management of Patients With Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Circulation. 2023 Sep 18. doi: 10.1161/CIR.0000000000001161. Online ahead of print.ABSTRACTIn this focused update, the American Heart Association provides updated guidance for resuscitation of patients with cardiac arrest, respiratory arrest, and refractory shock due to poisoning. Based on structured evidence reviews, guidelines are provided for the treatment of critical poisoning from benzodiazepines, β-adrenergic receptor antagonists (also known as β-blockers), L-type calcium channel antagonists (commonly called calcium channel blockers), cocaine, cyanide, digoxin and related cardiac glycosides, local anesthetics, meth...
Source: Circulation - September 18, 2023 Category: Cardiology Authors: Eric J Lavonas Peter D Akpunonu Ann M Arens Kavita M Babu Dazhe Cao Robert S Hoffman Christopher O Hoyte Maryann E Mazer-Amirshahi Andrew Stolbach Maude St-Onge Trevonne M Thompson George Sam Wang Amber V Hoover Ian R Drennan American Heart Association Source Type: research
How to Create an Exceptional Hand Surgery Patient Experience with WALANT
This article provides practical tips that surgeons can use to improve their patient experience with wide awake local anesthesia no tourniquet hand surgery. The difference between patient satisfaction and patient experience is explained. Delivering a superior patient experience leads to better outcomes for patients, less postoperative complications, and a better quality of life and practice for the surgeon. Practical tips are presented, broken down into the preoperative, operative, and postoperative phases. Surgeons who commit to improving their patient experience will enjoy superior outcomes, patient loyalty, more fulfillm...
Source: Hand Surgery - September 18, 2023 Category: Surgery Authors: Jean Paul Brutus Donald H Lalonde Source Type: research
Clinical Application of Inferior Alveolar Nerve Block Device for Safe and Secure IANB by Any Operator
Pain Res Manag. 2023 Sep 8;2023:1021918. doi: 10.1155/2023/1021918. eCollection 2023.ABSTRACTThe inferior alveolar nerve block (IANB) is an established technique with a success rate of 60-80%; however, large errors have been reported among operators. Some dentists do not prefer to use IANB because of the risk of complications. Nevertheless, it is a useful technique for pain control, and a secure IANB offers significant benefits to operators and patients. This case series study aimed to investigate the efficacy of the "IANB Device," a nerve block guide for IANB, and the adverse events associated with its use in clinical pra...
Source: Pain Research and Management - September 18, 2023 Category: Anesthesiology Authors: Tomoyasu Noguchi Kento Odaka Ken-Ichi Fukuda Source Type: research
Perioperative Analgesia in Spine Surgery: A Review of Current Data Supporting Future Direction
Orthop Clin North Am. 2023 Oct;54(4):495-506. doi: 10.1016/j.ocl.2023.05.007. Epub 2023 Jul 4.ABSTRACTThis Clinical Research discusses the diverse nature of spine surgery procedures and the use of multimodal analgesia within enhanced recovery after surgery (ERAS) protocols to improve patient outcomes. Spine surgeries range from minor decompressions to extensive tumor resections, performed by neurosurgeons or orthopedic spine surgeons on adults and children. To manage perioperative pain effectively, various methods have been employed, including multimodal analgesia within ERAS protocols. Incorporating ERAS protocols into sp...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: William Michael Bullock Amanda H Kumar Erin Manning Jerry Jones Source Type: research
Wide-Awake Local Anesthetic No Tourniquet Surgery of the Foot and Ankle
Orthop Clin North Am. 2023 Oct;54(4):471-483. doi: 10.1016/j.ocl.2023.05.003. Epub 2023 Jun 26.ABSTRACTWide awake local anesthetic no tourniquet (WALANT) surgery of the foot and ankle has the potential to offer safe and effective surgeon-based anesthesia for a significant number of surgeries about the foot and ankle. This has been documented with significant and growing body of literature. WALANT could offer significant advantages with respect to patient experience, per case cost of procedures as well as for improving access for patients to operative resources in a setting of scarcity or restricted access.PMID:37718086 | D...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: D Joshua Mayich Source Type: research
Perioperative Pain Management for Distal Radius Fractures
Orthop Clin North Am. 2023 Oct;54(4):463-470. doi: 10.1016/j.ocl.2023.05.006. Epub 2023 Jun 26.ABSTRACTDistal radius fractures have a high incidence among both young and elderly patients, and in many instances require operative intervention. When operative intervention is employed, adequate pain management is essential to decrease postoperative complications, such as chronic pain and disability, while minimizing the risk of prolonged opioid use and dependence. Strategies to optimize pain management include regional anesthesia, preoperative dosing of medication, multimodal regimens, long-acting selective opioids at the time...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Nolan Farrell Paul T Greenfield Paul T Rutkowski William Jacob Weller Source Type: research
Perioperative Analgesia in Spine Surgery: A Review of Current Data Supporting Future Direction
Orthop Clin North Am. 2023 Oct;54(4):495-506. doi: 10.1016/j.ocl.2023.05.007. Epub 2023 Jul 4.ABSTRACTThis Clinical Research discusses the diverse nature of spine surgery procedures and the use of multimodal analgesia within enhanced recovery after surgery (ERAS) protocols to improve patient outcomes. Spine surgeries range from minor decompressions to extensive tumor resections, performed by neurosurgeons or orthopedic spine surgeons on adults and children. To manage perioperative pain effectively, various methods have been employed, including multimodal analgesia within ERAS protocols. Incorporating ERAS protocols into sp...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: William Michael Bullock Amanda H Kumar Erin Manning Jerry Jones Source Type: research
Wide-Awake Local Anesthetic No Tourniquet Surgery of the Foot and Ankle
Orthop Clin North Am. 2023 Oct;54(4):471-483. doi: 10.1016/j.ocl.2023.05.003. Epub 2023 Jun 26.ABSTRACTWide awake local anesthetic no tourniquet (WALANT) surgery of the foot and ankle has the potential to offer safe and effective surgeon-based anesthesia for a significant number of surgeries about the foot and ankle. This has been documented with significant and growing body of literature. WALANT could offer significant advantages with respect to patient experience, per case cost of procedures as well as for improving access for patients to operative resources in a setting of scarcity or restricted access.PMID:37718086 | D...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: D Joshua Mayich Source Type: research
Perioperative Pain Management for Distal Radius Fractures
Orthop Clin North Am. 2023 Oct;54(4):463-470. doi: 10.1016/j.ocl.2023.05.006. Epub 2023 Jun 26.ABSTRACTDistal radius fractures have a high incidence among both young and elderly patients, and in many instances require operative intervention. When operative intervention is employed, adequate pain management is essential to decrease postoperative complications, such as chronic pain and disability, while minimizing the risk of prolonged opioid use and dependence. Strategies to optimize pain management include regional anesthesia, preoperative dosing of medication, multimodal regimens, long-acting selective opioids at the time...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Nolan Farrell Paul T Greenfield Paul T Rutkowski William Jacob Weller Source Type: research
Perioperative Analgesia in Spine Surgery: A Review of Current Data Supporting Future Direction
Orthop Clin North Am. 2023 Oct;54(4):495-506. doi: 10.1016/j.ocl.2023.05.007. Epub 2023 Jul 4.ABSTRACTThis Clinical Research discusses the diverse nature of spine surgery procedures and the use of multimodal analgesia within enhanced recovery after surgery (ERAS) protocols to improve patient outcomes. Spine surgeries range from minor decompressions to extensive tumor resections, performed by neurosurgeons or orthopedic spine surgeons on adults and children. To manage perioperative pain effectively, various methods have been employed, including multimodal analgesia within ERAS protocols. Incorporating ERAS protocols into sp...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: William Michael Bullock Amanda H Kumar Erin Manning Jerry Jones Source Type: research
Wide-Awake Local Anesthetic No Tourniquet Surgery of the Foot and Ankle
Orthop Clin North Am. 2023 Oct;54(4):471-483. doi: 10.1016/j.ocl.2023.05.003. Epub 2023 Jun 26.ABSTRACTWide awake local anesthetic no tourniquet (WALANT) surgery of the foot and ankle has the potential to offer safe and effective surgeon-based anesthesia for a significant number of surgeries about the foot and ankle. This has been documented with significant and growing body of literature. WALANT could offer significant advantages with respect to patient experience, per case cost of procedures as well as for improving access for patients to operative resources in a setting of scarcity or restricted access.PMID:37718086 | D...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: D Joshua Mayich Source Type: research
Perioperative Pain Management for Distal Radius Fractures
Orthop Clin North Am. 2023 Oct;54(4):463-470. doi: 10.1016/j.ocl.2023.05.006. Epub 2023 Jun 26.ABSTRACTDistal radius fractures have a high incidence among both young and elderly patients, and in many instances require operative intervention. When operative intervention is employed, adequate pain management is essential to decrease postoperative complications, such as chronic pain and disability, while minimizing the risk of prolonged opioid use and dependence. Strategies to optimize pain management include regional anesthesia, preoperative dosing of medication, multimodal regimens, long-acting selective opioids at the time...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: Nolan Farrell Paul T Greenfield Paul T Rutkowski William Jacob Weller Source Type: research
