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Analgesic effects and distribution of cutaneous sensory blockade of quadratus lumborum block type 2 and posterior transversus abdominis plane block: an observational comparative study

Aoyama Y, Sakura S, Abe S, Wada M, Saito Y

Background: The posterior transversus abdominis plane block (TAPB) and quadratus lumborum block (QLB) were developed for postoperative pain control after lower abdominal surgery. However, there is little data regarding their...
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Ultrasound-guided percutaneous intercostal cryoanalgesia for multiple weeks of analgesia following mastectomy: a case series

Gabriel RA, Finneran J, Swisher MW, Said ET, Sztain JF, Khatibi B, Wallace AM, Hosseini A, Trescot AM, Ilfeld BM

Background: Acute post-mastectomy pain is frequently challenging to adequately treat with local anesthetic-based regional anesthesia techniques due to its relatively long duration measured in multiple weeks. Case: We report...
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The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery

Doo AR, Kang S, Kim YS, Lee TW, Lee JR, Kim DC

Background: Although the quality of postoperative recovery may be affected by factors, there are few investigations whether the type of anesthesia also affects it. In this single-blinded, prospective, observational study,...
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Effect of anesthetic method on incidence of delirium after total hip replacement arthroplasty in South Korea: a population-based study using National Health Insurance claims data

Choi EJ, Choi YJ, Lee SW, Choi YM, Ri HS, Park JY, Park SJ, Son JM, Lee YS

Background: There are various reports on the effects of the anesthetic method on neurologic complications. A population-based study was conducted to estimate the effect of anesthetic method on the incidence...
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Computed tomography-guided 3D printed patient-specific regional anesthesia

Jundt JS, Chow CC, Couey M

Classic anesthetic techniques for the inferior alveolar nerve, lingual nerve, and long buccal nerve blockade are achieved by estimating the intended location for anesthetic deposition based on palpation, inspection, and...
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Managing rebound pain after regional anesthesia

Muñoz-Leyva F, Cubillos J, Chin KJ

Rebound pain after regional anesthesia can be defined as transient acute postoperative pain that ensues following resolution of sensory blockade, and is clinically significant, either with regard to the intensity...
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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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Randomized, controlled trial comparing respiratory and analgesic effects of interscalene, anterior suprascapular, and posterior suprascapular nerve blocks for arthroscopic shoulder surgery

Lim YC, Koo ZK, Ho VW, Chang SS, Manohara S, Tong QJ

Background Interscalene brachial plexus block (ISB) provides excellent analgesia for arthroscopic shoulder surgeries but is associated with adverse effects including hemidiaphragmatic paresis. We aimed to compare the respiratory effects, forced vital...
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Paravertebral block: anatomy and relevant safety issues

Ardon AE, Lee J, Franco CD, Riutort KT, Greengrass RA

Paravertebral block, especially thoracic paravertebral block, is an effective regional anesthetic technique that can provide significant analgesia for numerous surgical procedures, including breast surgery, pulmonary surgery, and herniorrhaphy. The technique,...
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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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Erector spinae plane block combined with a novel technique for selective brachial plexus block in breast cancer surgery: a case report

De Cassai , Bonvicini , Ruol M, Correale C, Furnari M

BACKGROUND: The breast is innervated by the intercostal nerves and the brachial plexus. We propose a technique to perform breast surgery without general anesthesia using the erector spinae plane (ESP)...
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The erector spinae plane block: a narrative review

Kot P, Rodriguez , Granell M, Cano B, Rovira L, Morales J, Broseta A, Andrés JD

Regional anesthesia and pain management have experienced advances in recent years, especially with the advent of fascial plane blocks. The erector spinae plane block is one of the newest techniques...
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Simulation-based ultrasound-guided regional anesthesia curriculum for anesthesiology residents

Kim TE, Tsui BC

Proficiency in ultrasound-guided regional anesthesia (UGRA) requires the practitioner to acquire cognitive and technical skills. For anesthesiology residents, an assortment of challenges has been identified in learning UGRA skills. Currently,...
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A working paradigm for managing mandibular fractures under regional anesthesia

Chellappa , Meshram V, Kende P, Landge J, Aggarwal N, Tiwari M

OBJECTIVES: Isolated mandibular fractures contribute to approximately 45% of maxillofacial traumas. Improper management of mandibular fractures can cause myriad potential complications and can lead to serious functional and aesthetic sequelae....
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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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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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Anesthetic management during cesarean delivery in a pregnant woman with ruptured cerebral arteriovenous malformation: A case report

Sim JH, Lee JH, Lee CH, Ryu SA, Choi SS

Although intracranial hemorrhage from arteriovenous malformation (AVM) during pregnancy is rare, it can have fatal consequences. Anesthetic techniques for these patients should ensure precise hemodynamic control, and the goals of...
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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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Thoracic interfascial nerve block for breast surgery in a pregnant woman: a case report

Hong B, Yoon SH, Youn AM, Kim BJ, Song S, Yoon Y

Regional anesthesia for non-obstetric surgery in parturients is a method to decrease patient and fetal risk during general anesthesia. Thoracic interfascial nerve block can be used as an analgesic technique...
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Surgical excision of the breast giant fibroadenoma under regional anesthesia by Pecs II and internal intercostal plane block: a case report and brief technical description: a case report

Kim H, Shim J, Kim I

A 22-years-old female patient at 171 cm and 67 kg visited the Department of Breast Surgery of the hospital with a mass accompanied with pain on the left side breast...
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