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An ultrasound-guided fascia iliaca catheter technique does not impair ambulatory ability within a clinical pathway for total hip arthroplasty

Mudumbai SC, Kim TE, Howard SK, Giori NJ, Woolson S, Ganaway T, Kou A, King R, Mariano ER

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Teaching an old pain medicine society new tweets: integrating social media into continuing medical education

Jaremko KM, Schwenk ES, Pearson AC, Hagedorn J, Udani AD, Schwartz G, Elkassabany NM, Snively A, Mariano ER

No abstract available.
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The role of regional analgesia in personalized postoperative pain management

Chitnis SS, Tang R, Mariano ER

Pain management plays a fundamental role in enhanced recovery after surgery pathways. The concept of multimodal analgesia in providing a balanced and effective approach to perioperative pain management is widely...
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A comparison of strength for two continuous peripheral nerve block catheter dressings

Borg L, Howard SK, Kim TE, Steffel L, Shum C, Mariano ER

BACKGROUND: Despite the benefits of continuous peripheral nerve blocks, catheter dislodgment remains a major problem, especially in the ambulatory setting. However, catheter dressing techniques to prevent such dislodgment have not...
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Designing the ideal perioperative pain management plan starts with multimodal analgesia

Schwenk ES, Mariano ER

Multimodal analgesia is defined as the use of more than one pharmacological class of analgesic medication targeting different receptors along the pain pathway with the goal of improving analgesia while...
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Implementation of clinical practice changes by experienced anesthesiologists after simulation-based ultrasound-guided regional anesthesia training

Kim TE, Ganaway T, Harrison T, Howard SK, Shum C, Kuo A, Mariano ER

BACKGROUND: Anesthesiologists who have finished formal training and want to learn ultrasound-guided regional anesthesia (UGRA) commonly attend 1 day workshops. However, it is unclear whether participation actually changes clinical practice....
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Randomized comparison of popliteal-sciatic perineural catheter tip migration and dislocation in a cadaver model using two catheter designs

Steffel L, Howard SK, Borg L, Mariano ER, Leng JC, Kim TE

BACKGROUND: New catheter-over-needle (CON) technology for continuous peripheral nerve blockade has emerged, but its effect on the risk of perineural catheter tip dislocation is unknown. Less flexible catheters may be...
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Using eye tracking technology to compare the effectiveness of malignant hyperthermia cognitive aid design

King R, Hanhan J, Harrison T, Kou A, Howard SK, Borg LK, Shum C, Udani AD, Mariano ER, The ADAPT (Anesthesiology-Directed Advanced Procedural Training) Research Group

BACKGROUND: Malignant hyperthermia is a rare but potentially fatal complication of anesthesia, and several different cognitive aids designed to facilitate a timely and accurate response to this crisis currently exist....
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Moving anesthesiology educational resources to the point of care: experience with a pediatric anesthesia mobile app

Monroe KS, Evans MA, Mukkamala , Williamson JL, Jabaley CS, Mariano ER, O'Reilly-Shah VN

BACKGROUND: Educators in all disciplines recognize the need to update tools for the modern learner. Mobile applications (apps) may be useful, but real-time data is needed to demonstrate the patterns...
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Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study

Pandya PG, Kim TE, Howard SK, Stary E, Leng JC, Hunter OO, Mariano ER

BACKGROUND: Virtual reality (VR) distraction is a nonpharmacological method to prevent acute pain that has not yet been thoroughly explored for anesthesiology. We present our experience using VR distraction to...
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Erector spinae plane versus fascia iliaca block after total hip arthroplasty: a randomized clinical trial comparing analgesic effectiveness and motor block

Flaviano E, Bettinelli S, Assandri M, Muhammad H, Benigni A, Cappelleri G, Mariano ER, Lorini LF, Bugada D

Background: Ultrasound-guided supra-inguinal fascia iliaca block (FIB) provides effective analgesia after total hip arthroplasty (THA) but is complicated by high rates of motor block. The erector spinae plane block (ESPB)...
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Can bedside patient-reported numbness predict postoperative ambulation ability for total knee arthroplasty patients with nerve block catheters?

Mudumbai S, Ganaway T, Kim TE, Howard SK, Giori NJ, Shum C, Mariano ER

BACKGROUND: Adductor canal catheters offer advantages over femoral nerve catheters for knee replacement patients because they produce less quadriceps muscle weakness; however, applying adductor canal catheters in bedside clinical practice...
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Implementation of the IPACK (Infiltration between the Popliteal Artery and Capsule of the Knee) block into a multimodal analgesic pathway for total knee replacement

Kandarian , Indelli PF, Sinha S, Hunter OO, Wang RR, Kim TE, Kou A, Mariano ER

BACKGROUND: The Infiltration between the Popliteal Artery and Capsule of the Knee (IPACK) block is a new anesthesiologist- administered analgesic technique for controlling posterior knee pain that has not yet...
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An ultrasound-guided fascia iliaca catheter technique does not impair ambulatory ability within a clinical pathway for total hip arthroplasty

Mudumbai S, Kim TE, Howard SK, Giori NJ, Woolson S, Ganaway T, Kou A, King R, Mariano ER

BACKGROUND: Both neuraxial and peripheral regional analgesic techniques offer postoperative analgesia for total hip arthroplasty (THA) patients. While no single technique is preferred, quadriceps muscle weakness from peripheral nerve blocks...
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Five-year follow-up to assess long-term sustainability of changing clinical practice regarding anesthesia and regional analgesia for lower extremity arthroplasty

Tamboli M, Leng JC, Hunter OO, Kou A, Mudumbai SC, Memtsoudis SG, Walters TL, Lochbaum GM, Mariano ER

Background Long-term and sustainable clinical practice changes in anesthesia procedures have not previously been reported. Therefore, we performed a 5-year audit following implementation of a clinical pathway change favoring spinal anesthesia...
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