1 Ultrasound Guided Erector Spinae Plane Block Reduces Postoperative Opioid Consumption Following Breast Surgery A Randomized Controlled Study

Download 1 Ultrasound Guided Erector Spinae Plane Block Reduces Postoperative Opioid Consumption Following Breast Surgery A Randomized Controlled Study full books in PDF, epub, and Kindle. Read online 1 Ultrasound Guided Erector Spinae Plane Block Reduces Postoperative Opioid Consumption Following Breast Surgery A Randomized Controlled Study ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!

1 - ULTRASOUND GUIDED ERECTOR SPINAE PLANE BLOCK REDUCES POSTOPERATIVE OPIOID CONSUMPTION FOLLOWING BREAST SURGERY: A RANDOMIZED CONTROLLED STUDY.

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis 1 - ULTRASOUND GUIDED ERECTOR SPINAE PLANE BLOCK REDUCES POSTOPERATIVE OPIOID CONSUMPTION FOLLOWING BREAST SURGERY: A RANDOMIZED CONTROLLED STUDY. by :

Download or read book 1 - ULTRASOUND GUIDED ERECTOR SPINAE PLANE BLOCK REDUCES POSTOPERATIVE OPIOID CONSUMPTION FOLLOWING BREAST SURGERY: A RANDOMIZED CONTROLLED STUDY. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: PurposePostoperative analgesia in breast surgery is a difficult and overworked issue due to extensive surgery and complex innervation of the breast. Erector spinae plane block (ESB) is a new defined regional anesthesia technique for thoracic analgesia. Although there are some case reports about ESB in breast surgeries, there is no published randomized controlled study in the literature about ESB use for this purpose. Main purpose of this study was to evaluate the analgesic effect of ultrasound guided ESB in breast surgery.MethodsFifty ASA I-II female patients, aged 25-65, who were scheduled to go under elective breast surgery were included to the study. Patients were randomized into two group as ESB and Control group. Single shot ultrasound (US) guided ESB with 20ml 0.25 % bupivacaine was done preoperatively to all patients in ESB group. Patients in both groups were provided with iv patient controlled analgesia device containing morphine for the postoperative analgesia. Morphine consumptions and visual analogue scale (VAS) scores for pain were recorded at 1st,6th, 12th and 24th hours postoperatively. ResultsThere were no significant differences between ESB and control groups for VAS scores at 1st, 6th, 12th and 24th hour (Median VAS values were 2, 2, 0, 0, and 2, 2, 1, 1 respectively). Postoperative morphine consumptions were significantly lower in ESB group compared to control group at postoperative 1st, 6th, 12th, 24th hour (Median doses of morphine consumptions were 1, 2, 3, 5 and 1, 5, 10, 16 mg respectively) (p

Blockmate

Author : Arunangshu Chakraborty
Publisher : Springer Nature
ISBN 13 : 9811592020
Total Pages : 199 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis Blockmate by : Arunangshu Chakraborty

Download or read book Blockmate written by Arunangshu Chakraborty and published by Springer Nature. This book was released on 2020-12-07 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a highly informative and carefully presented book for trainees and postgraduate students of anaesthesiology as well as practicing clinicians. This book aims to help them in selecting and implementing the most suitable regional block in each clinical scenario and successfully use the techniques of ultrasound-guided regional anaesthesia (USRA) in their practice. This book covers basics of ultrasound imaging, anatomical aspects and techniques of all nerve blocks that are commonly used in clinical practice in a lucid and illustrated presentation. Regional anaesthesia can be a safe alternative to general anaesthesia. When combined with general anaesthesia, it can provide excellent postoperative analgesia too. With the advent of ultrasound, the scope, safety and reliability of regional anaesthesia have expanded manifold. However, there is a lack of formal clinical training in regional anaesthesia in most of the anaesthesia postgraduate curricula and this book intends to bridge this gap. The book serves as a useful resource to the anaesthetist; trainee or practitioner who wants to master the nerve blocks.

EFFICACY OF ERECTOR SPINAE PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN BREAST CANCER SURGERY: A RANDOMIZED CONTROLLED TRIAL

Author : Gurpreet Singh
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis EFFICACY OF ERECTOR SPINAE PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN BREAST CANCER SURGERY: A RANDOMIZED CONTROLLED TRIAL by : Gurpreet Singh

Download or read book EFFICACY OF ERECTOR SPINAE PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN BREAST CANCER SURGERY: A RANDOMIZED CONTROLLED TRIAL written by Gurpreet Singh and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims: Women undergoing breast cancer surgery often experience severe post-operative pain and may develop chronic postoperative pain. This study was conducted to evaluate the analgesic efficacy of erector spine plane (ESP) block for postoperative analgesia in breast cancer surgery. The primary outcome of this study was 24 hour morphine consumption and secondary outcomes were pain scores and adverse effects.Methods: After institutional ethics committee approval (reference no. NK/3870/MD/339 dated September 21, 2016)(CTRI/2018/03/012307), 60 ASA I or II patients aged 18-60 years, scheduled for elective breast cancer surgery were randomly allocated in to either ESP group or control group. Ultrasound (US)-guided ESP block with 0.4ml/kg of 0.5% ropivacaine at the T5 vertebral level was performed preoperatively in ESP group. Patient-controlled morphine analgesia was used for postoperative pain relief in both the groups. Postoperatively patients were assessed for pain using NRS score at fixed time intervals for 24 hours, time for first rescue analgesia and total analgesic consumption in first 24 hrs were noted. Results: 24 hour morphine consumption in the ESP group decreased by 42% compared to the control group (2.9u00b1 2.5 mg vs 5.0 u00b1 2.1 mg) (P- 0.01). The NRS score was significantly lower in ESP group at all intervals up to 6 hours of surgery (p

Ultrasound for Interventional Pain Management

Author : Philip Peng
Publisher : Springer Nature
ISBN 13 : 3030183718
Total Pages : 360 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Ultrasound for Interventional Pain Management by : Philip Peng

Download or read book Ultrasound for Interventional Pain Management written by Philip Peng and published by Springer Nature. This book was released on 2019-09-05 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Due to a wide-spread developing interest in ultrasound-guided pain intervention by clinicians, the demand for a practical reference material on this topic has grown simultaneously. This book thoroughly satisfies the need for such a reference, as it contains text written by experts in the field and a multitude of unique, educational illustrations. Spinal pain, the musculoskeletal system, and peripheral structures function as the fundamental items of discussion across three divided sections. In order to augment the reader’s learning experience, the high-quality images found within each chapter provide step-by-step guidance on the various ultrasound scanning procedural processes. Additionally, tips and pearls for scan and injection supplement each chapter conclusion. Ultrasound for Interventional Pain Management: An Illustrated Procedural Guide is a pragmatic, indispensable resource that helps interested clinical practitioners enhance their visual memory and overall understanding of this method.

Pain Control in Ambulatory Surgery Centers

Author : Kanishka Rajput
Publisher : Springer Nature
ISBN 13 : 3030552624
Total Pages : 429 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Pain Control in Ambulatory Surgery Centers by : Kanishka Rajput

Download or read book Pain Control in Ambulatory Surgery Centers written by Kanishka Rajput and published by Springer Nature. This book was released on 2021-03-08 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services. An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact.

Perioperative Pain Management

Author : Richard D. Urman
Publisher : Oxford University Press
ISBN 13 : 0199937214
Total Pages : 141 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Perioperative Pain Management by : Richard D. Urman

Download or read book Perioperative Pain Management written by Richard D. Urman and published by Oxford University Press. This book was released on 2013-05-23 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perioperative Pain Management is an up-to-date, evidence-based guide for clinicians who diagnose and treat post-surgical patients.

New Trends in Regional Analgesia and Anesthesia

Author : Shun Ming Chan
Publisher : Frontiers Media SA
ISBN 13 : 2832532497
Total Pages : 138 pages
Book Rating : 4.8/5 (325 download)

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Book Synopsis New Trends in Regional Analgesia and Anesthesia by : Shun Ming Chan

Download or read book New Trends in Regional Analgesia and Anesthesia written by Shun Ming Chan and published by Frontiers Media SA. This book was released on 2023-08-28 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Regional anesthesia and acute pain medicine can add significant non-monetary value to a surgical practice and healthcare system in terms of pain relief, reduced incidence of anesthetic- and opioid-related side effects, and faster recovery. Advances in ultrasonic-guided regional anesthesia and analgesia have given clinicians the opportunity to apply new approaches to easily block peripheral nerves. As a result, improvements in outcomes such as analgesia quality, early rehabilitation and patient satisfaction were noted. The use of ultrasound results in faster sensory blocking, shorter performance time, fewer vascular punctures and needle passages. The practice of regional anesthesia has rapidly progressed in recent years with the application of ultrasound which has resulted in a significant improvement in nervous block quality and patient satisfaction. Regional anesthesia has always had a role to play in minimizing peri-operative opioid requirements, but it should no longer be seen as merely an alternative to general anesthesia, rather a complement to an overall multimodal anesthetic strategy.

Topics in Regional Anesthesia

Author : Víctor M. Whizar-Lugo
Publisher : BoD – Books on Demand
ISBN 13 : 1839695692
Total Pages : 250 pages
Book Rating : 4.8/5 (396 download)

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Book Synopsis Topics in Regional Anesthesia by : Víctor M. Whizar-Lugo

Download or read book Topics in Regional Anesthesia written by Víctor M. Whizar-Lugo and published by BoD – Books on Demand. This book was released on 2022-06-08 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Regional anesthesia has progressively evolved and currently occupies a predominant place in our daily practice. The development of skills for the safe practice of regional anesthesia requires in-depth knowledge of anatomy, physiology, pharmacology, and the pathology of each patient candidate to receive some type of regional block, as well as special and prolonged training beyond residence, particularly in this era of the COVID-19 pandemic, during which the training of thousands of anesthesiology residents has been impaired. Undoubtedly, the benefits of regional anesthesia techniques are enormous, as are their complications. Countless guidelines for regional anesthesia have been described based on the classic anatomical recommendations, the search for paresthesias, neurostimulation, and medical images. The introduction of ultrasound guidance and the rational use of local anesthetics and their adjuvants have favorably revolutionized regional anesthesia, making it safer and more effective. This book addresses several contemporary topics in regional anesthesia in a variety of interesting clinical settings with practical importance.

The Ultrasound-guided Erector Spinae Plane Block Allows Opioid Free Anesthesia in the Modified Radical Mastectomy with Axillary Dissection: a Pilot Study about 14 Cases

Download The Ultrasound-guided Erector Spinae Plane Block Allows Opioid Free Anesthesia in the Modified Radical Mastectomy with Axillary Dissection: a Pilot Study about 14 Cases PDF Online Free

Author : El Ahmadi Brahim
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis The Ultrasound-guided Erector Spinae Plane Block Allows Opioid Free Anesthesia in the Modified Radical Mastectomy with Axillary Dissection: a Pilot Study about 14 Cases by : El Ahmadi Brahim

Download or read book The Ultrasound-guided Erector Spinae Plane Block Allows Opioid Free Anesthesia in the Modified Radical Mastectomy with Axillary Dissection: a Pilot Study about 14 Cases written by El Ahmadi Brahim and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:the modified radical mastectomy with axillary dissection is usually carried out under balanced general anesthesia using opiates, it is a source of moderate to severe postoperative acute pain. Opioid-free anesthesia (OFA) aims to reduce the undesirable effects of opioids while ensuring optimal anesthesia and analgesia perioperatively. we report 14 cases of ultrasound-guided Erector Spinae Plane Block (ESPB) to perform surgery using OFA.Methods:We recruited patients presenting no contraindications to the anesthetic technique. The OFA protocol included a general anesthesia with no opioids and an ultrasound-guided erector spinae plane block with bupivacaine at T4 level. Prior to incision, patients received a bolus of Ketamine, Ketoprofen, dexamethasone IV . Maintenance of anesthesia was performed by sevoflurane at 1 MAC. In case of haemodynamic repercussions related to nociception, a bolus of fentanyl at 1 u03bcg / kg was administered.ResultsAfter the approvel of the ethic comitee we included 14 consenting patients. Hemodynamic variations were all less than 20% of baseline. No patient had any intraoperative opiate injection. Upon waking, patients had a median visual analogical scale (VAS) less than 3. During the first 24 hours, the VAS was less than 3. Only one patient received a bolus of 3 mg morphine IV as part of the catch-up postoperative analgesia. After 24 h, all patients had no resting pain.Conclusions:OFA, is used to avoid short-term and long-term adverse effects of opioids, such as: nausea, postoperative hyperalgesia, chronic pain and tumor recurrence. The ESPB allows to practice anesthesia and analgesia in a safe way.

Hadzic's Peripheral Nerve Blocks and Anatomy for Ultrasound-Guided Regional Anesthesia, 3rd edition

Author : Admir Hadzic
Publisher : McGraw Hill Professional
ISBN 13 : 0071838945
Total Pages : 704 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis Hadzic's Peripheral Nerve Blocks and Anatomy for Ultrasound-Guided Regional Anesthesia, 3rd edition by : Admir Hadzic

Download or read book Hadzic's Peripheral Nerve Blocks and Anatomy for Ultrasound-Guided Regional Anesthesia, 3rd edition written by Admir Hadzic and published by McGraw Hill Professional. This book was released on 2021-03-13 with total page 704 pages. Available in PDF, EPUB and Kindle. Book excerpt: The complete, authoritative, and practical guide to ultrasound-guided nerve blocks – updated to reflect the most current NYSORA initiatives INCLUDES THREE ATLASES Hadzic’s is the most comprehensive color guide to the procedures and equipment used in ultrasound guided nerve blocking. Color drawings and photographs are bolstered by concise, step-by-step instruction from the world-renowned St. Luke’s Hospital in New York. The Third Edition has been updated to include more international contributors, and better align the book’s content with the New York School of Regional Anesthesia’s (NYSORA) standards of practice. Featuring sections that progress from the foundations of regional anesthesia to the clinical applications of nerve blocks, Hadzic’s includes tips and insider perspective from the leadership of NYSORA and its academic affiliates. The book also includes three separate atlases, including a new atlas of musculoskeletal ultrasound, as well as surface anatomy, and ultrasound-guided anatomy. A real-world emphasis on clinical utility serves as the underpinning of chapter content and drives the book’s in-depth explanations of techniques and procedures Outstanding organization begins with the foundations of peripheral nerve blocks (e.g., regional anesthesia, equipment, and monitoring and documentation) and then reviews clinical applications for both traditional procedures and ultrasound-guided procedures Three atlases: musculoskeletal ultrasound, surface anatomy, ultrasound-guided anatomy

Textbook of Neuroanesthesia and Neurocritical Care

Author : Hemanshu Prabhakar
Publisher : Springer
ISBN 13 : 9811333874
Total Pages : 515 pages
Book Rating : 4.8/5 (113 download)

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Book Synopsis Textbook of Neuroanesthesia and Neurocritical Care by : Hemanshu Prabhakar

Download or read book Textbook of Neuroanesthesia and Neurocritical Care written by Hemanshu Prabhakar and published by Springer. This book was released on 2019-04-15 with total page 515 pages. Available in PDF, EPUB and Kindle. Book excerpt: This two-volume book offers a comprehensive guide to anesthetic management and critical care management in neurosurgical and neurological patients. This first volume focuses on neuroanesthesia. The book begins with basic information on neuroanesthesia, extensively discussing the anatomy of the brain and spine, physiology and relevant pharmacology. Special considerations for pregnant, pediatric and geriatric patients are covered in separate chapters. Each neurosurgical condition is discussed in a standard format relevant for neurosurgical patients, and each chapter, prepared by experts in the field, includes ample illustrations and flowcharts. Information is also provided on the latest evidence-based approaches, robotic surgery and gene therapy. The book offers a valuable resource for all residents, fellows and trainees in the fields of neuroanesthesia and anesthesia; it will also benefit practitioners and consultants.

Regional Nerve Blocks in Anesthesia and Pain Therapy

Author : Danilo Jankovic
Publisher : Springer Nature
ISBN 13 : 3030887278
Total Pages : 1032 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Regional Nerve Blocks in Anesthesia and Pain Therapy by : Danilo Jankovic

Download or read book Regional Nerve Blocks in Anesthesia and Pain Therapy written by Danilo Jankovic and published by Springer Nature. This book was released on 2022-05-31 with total page 1032 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive atlas, which includes a wealth of illustrations and anatomic pictures created by the editors, covers a broad range of both regional anesthesia and pain intervention techniques, including neuromodulation. The book is unique in that it covers ultrasound and fluoroscopic-guided techniques, as well as traditional landmark-guided techniques. The authors and editors are internationally renowned experts, and share extensive theoretic and practical insights into regional anesthesia, pain therapy and anatomic sciences for everyday practice. The book addresses the application of ultrasound and fluoroscopic guidance for pain interventions and provides detailed coverage of ultrasound-guided and landmark-guided regional anesthesia. The book represents a detailed guide to the application of regional anesthesia and pain medicine; furthermore, examples of medico-legal documentation are also included in this edition. The 5th edition of Regional Nerve Blocks in Anesthesia and Pain Medicine is practically oriented and provides essential guidelines for the clinical application of regional anesthesia. It is intended for anesthesiologists and all professionals engaged in the field of pain therapy such as pain specialists, surgeons, orthopedists, neurosurgeons, neurologists, general practitioners, and nurse anesthetists.

ERECTOR SPINAE PLANE BLOCK (ESPb) FOR AWAKE BREAST SURGERY IN YOUNG PREGNANT PATIENT. A CASE REPORT

Author : Luca Aiello
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis ERECTOR SPINAE PLANE BLOCK (ESPb) FOR AWAKE BREAST SURGERY IN YOUNG PREGNANT PATIENT. A CASE REPORT by : Luca Aiello

Download or read book ERECTOR SPINAE PLANE BLOCK (ESPb) FOR AWAKE BREAST SURGERY IN YOUNG PREGNANT PATIENT. A CASE REPORT written by Luca Aiello and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and aims:ESPb was described in thoracic neuropathic pain(1).It is not clear data over its analgesic range.ESPb prevents visceral and somatic pain including breast surgery(2).Here,we present a successful ESPb in awake anaesthesia for radical mastectomy.Methods:a 31year old pregnant patient was scheduled for nipple-areola complex sparing total mastectomy with axillary clearance of lymph nodes and expander positioning.Cardiotocographic control was carried out before and after surgery.ESPb was performed in sitting position at T4 transverse process level using 10-MHz linear ultrasound probe.Ropivacaine 0.5%,20ml was used.After confirming that successful blockade from T2-T8 was achieved in 30 min, propofol (target effect site concentration;1 u03bcg/ml) was infused to achieve a Ramsay sedation score of 4.No opioids were needed throughout surgery that lasted about 180 minutes.Results:her vital signs were stable during surgery.The patient experienced very good analgesia and described NRS pain score 0-2 up to 18 hours after ESPb.After 18hours and only once in the next 12 hours,the patient requested u201con demandu201d pain medication (Paracetamol 1 gr).The patient experienced no nausea or vomiting, and she was easily mobilized.Conclusions:ESPb is a simple and safe block,avoid opioid use.Our experience demonstrates that ESPb with sedation is a suitable option for awake radical mastectomy and reduce risk of PONV.REFERENCES:1)M. Forero,S.D. Adhikary,H. Lopez.C. Tsui,K. J. Chin.The Erector Spinae Plane Block A Novel Analgesic Technique in Thoracic Neuropathic Pain.Regional Anesthesia and Pain Medicine,2016:41;5,1-72)Ohgoshi Y,Ikeda T,Kurahashi K.Continuous erector spinae plane block provides effective perioperative analgesia for breast reconstruction using tissue expanders:a report of two cases. JClinAnesth.2018;44:1u20132.

Chronic Postsurgical Pain

Author : Gérard Mick
Publisher : Springer Science & Business Media
ISBN 13 : 3319043226
Total Pages : 175 pages
Book Rating : 4.3/5 (19 download)

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Book Synopsis Chronic Postsurgical Pain by : Gérard Mick

Download or read book Chronic Postsurgical Pain written by Gérard Mick and published by Springer Science & Business Media. This book was released on 2014-02-20 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.

ERECTOR SPINAE PLANE BLOCK FOR BREAST CANCER SURGERY. A CASE SERIES.

Author : Mu00f3nica Pu00e9rez Poquet
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis ERECTOR SPINAE PLANE BLOCK FOR BREAST CANCER SURGERY. A CASE SERIES. by : Mu00f3nica Pu00e9rez Poquet

Download or read book ERECTOR SPINAE PLANE BLOCK FOR BREAST CANCER SURGERY. A CASE SERIES. written by Mu00f3nica Pu00e9rez Poquet and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Postoperative pain for breast cancer surgery (BCS) can be managed with regional anaesthesia. Erector spinae plane (ESP) block has been recently described for thoracic surgery. The aim of this study is to evaluate postoperative pain in BCS after performing ESP block. We also recorded opioid consumption, incidence of postoperative nausea and vomiting (PONV) and length of stay (LOS).Methods:We retrospectively analysed patients who underwent BCS with general anaesthesia and ESP block for postoperative pain management between October 2017 and April 2018. US-guided ESP block by a single puncture at T5 level with minimal sedation was performed. We administered levobupivacaine 0.3% (30mL) as local anaesthetic. Afterwards, the patient received a total intravenous anaesthesia. Moreover, all patients received intraoperatively dexketoprophen and paracetamol and antiemetic prophylaxis.ResultsWe recorded data from 16 women: 3 patients underwent mastectomy and 13 tumorectomy plus sentinel lymph node biopsy. Median VAS scores were 1.56 (0-5) at PACU, 0.25 (0-2) after PACU and 0.27 (0-3) 24h after surgery. Five patients needed minor opioids at PACU. None of them needed major opioids. One patient had PONV. Median LOS was 1.25 days.Conclusions:Postoperative VAS scores in patient who underwent ESP block were low. In our experience, ESP block provides good postoperative analgesia in BCS. Patients rarely needed opioids, had low incidence of PONV and short LOS.

THE ERECTOR SPINAE PLANE BLOCK AS AN ANALGESIC REGIONAL TECHNIQUE IN ACUTE POST-SURGICAL PAIN CONTROL IN LUMBAR SURGERY. PRELIMINARY FINDINGS OF A RANDOMIZED TRIAL

Download THE ERECTOR SPINAE PLANE BLOCK AS AN ANALGESIC REGIONAL TECHNIQUE IN ACUTE POST-SURGICAL PAIN CONTROL IN LUMBAR SURGERY. PRELIMINARY FINDINGS OF A RANDOMIZED TRIAL PDF Online Free

Author : MARTINA VENTIMIGLIA
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis THE ERECTOR SPINAE PLANE BLOCK AS AN ANALGESIC REGIONAL TECHNIQUE IN ACUTE POST-SURGICAL PAIN CONTROL IN LUMBAR SURGERY. PRELIMINARY FINDINGS OF A RANDOMIZED TRIAL by : MARTINA VENTIMIGLIA

Download or read book THE ERECTOR SPINAE PLANE BLOCK AS AN ANALGESIC REGIONAL TECHNIQUE IN ACUTE POST-SURGICAL PAIN CONTROL IN LUMBAR SURGERY. PRELIMINARY FINDINGS OF A RANDOMIZED TRIAL written by MARTINA VENTIMIGLIA and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND AND AIM: Inadequate pain control affects morbidity and hospitalization length. Post-operative pain is commonly managed with opioids with important side effect. Recent data has shown that the novel erector spinae plane (ESP) block, can be employed as a safe regional analgesic technique for acute post-surgical and chronic neuropathic pain.The aim of the present study was to investigate the capacity of ESP block to provide successful post-operative pain management undergoing spinal surgery. METHODS: 29 patients undergoing open lumbar decompression surgery were randomized in two groups. ESP group (n=12) received ESP block with 0,5% levobubivacaina 20 ml, the control group (n=17) no intervention was performed and postoperative analgesia was achieved with IV morphine plus ketorolac. The primary outcome was represented by postoperative numerical rate scale (NRS) score at various time periods during the first 24 hours following surgery. The secondary outcomes included opioid consumption, rescue analgesia and opioid related side effects. The study protocol was approved by the local review board. RESULTS: Compared with control group, the NRS score of ESP block patients did not show any statistically significant differences in the measured time periods. Twenty-four-hour opioid consumption in group control was significantly higher compared to group ESP (30u00b12.6 mg and 10u00b12.08 mg, p

Ambulatory Anesthesia, An Issue of Anesthesiology Clinics

Author : Michael T. Walsh
Publisher : Elsevier Health Sciences
ISBN 13 : 0323682693
Total Pages : pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Ambulatory Anesthesia, An Issue of Anesthesiology Clinics by : Michael T. Walsh

Download or read book Ambulatory Anesthesia, An Issue of Anesthesiology Clinics written by Michael T. Walsh and published by Elsevier Health Sciences. This book was released on 2019-05-08 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Anesthesiology Clinics, edited by Dr. Michael T. Walsh in collaboration with Consulting Editor Lee Fleisher, is focused on Ambulatory Anesthesia. Topics in this issue include: Preoperative evaluation for ambulatory anesthesia; Obesity and obstructive sleep apnea in the ambulatory patient; Pediatric ambulatory anesthesia challenges; Safety in dental anesthesia for office-based practitioners; Office-based anesthesia; Regional anesthesia for the ambulatory anesthesiologist; Anesthesia for same-day total joint; Enhanced recovery in outpatient surgery; Outcomes in ambulatory anesthesia: Measuring what matters; ASC Medical director issues; NORA: Anesthesia in the GI suite; MACRA/MIPS/APM, etc: Payment issues in ambulatory anesthesia; Emergency response in the ASC; and Quality Improvement in ambulatory anesthesia.