Read Books Online and Download eBooks, EPub, PDF, Mobi, Kindle, Text Full Free.
Bilateral Erector Spinae Plane Block For Surgery On The Posterior Aspect Of The Neck A Case Report
Download Bilateral Erector Spinae Plane Block For Surgery On The Posterior Aspect Of The Neck A Case Report full books in PDF, epub, and Kindle. Read online Bilateral Erector Spinae Plane Block For Surgery On The Posterior Aspect Of The Neck A Case Report ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!
Book Synopsis BILATERAL ERECTOR SPINAE PLANE BLOCK FOR SURGERY ON THE POSTERIOR ASPECT OF THE NECK: A CASE REPORT by : Gavin Leslie
Download or read book BILATERAL ERECTOR SPINAE PLANE BLOCK FOR SURGERY ON THE POSTERIOR ASPECT OF THE NECK: A CASE REPORT written by Gavin Leslie and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUNDThe erector spinae plane (ESP) block is an interfascial plane block. Local anaesthetic is injected within the plane deep to the erector spinae muscle and superficial to the transverse process. It spreads craniocaudally leading to a multi-dermatomal sensory block. Its mechanism of action is still debated despite extensive cadaveric and radiological examination1, 2. To date, the ESP block has been used to provide analgesia in thoracic, abdominal and lumbar regions. It has even been used to provide complete surgical anaesthesia for mastectomy and axillary dissection3. We present the first case of the ESP block being used to provide complete surgical anaesthesia in the cervical region.HISTORY OF CASE REPORTA 50-year-old male with a large infected sebaceous cyst overlying the C2-4 spinous processes was admitted under the general surgeons. His numeric rating scale pain score was 7 at rest and 10 on movement despite paracetamol and oral morphine. Antibiotics yielded no improvement. The surgeon abandoned incision and drainage under local anaesthetic tissue infiltration because the patient could not tolerate it. He had multiple risk factors for a general anaesthetic including obstructive sleep apnoea, a BMI of 50 and a predicted difficult airway.CLINICAL PROCEDUREBilateral ultrasound-guided ESP blocks were performed at the level of the second thoracic vertebra with a curvilinear probe. 20mL of ropivacaine 0.375%, lignocaine 1% and adrenaline 1:400,000 was injected on each side.Testing after 15 minutes revealed loss of cold sensation over the C4 to T4 dermatomes. Midazolam 0.5mg and 20-30mg boluses of ketamine (totalling 120mg) given pre-emptively provided mild sedation. The patient remained in verbal communication and fully cooperative throughout. He tolerated the procedure well and he remained comfortable without further opiates until discharge.SUMMARYThe ESP block is an increasingly popular regional anaesthetic technique. It is easy, safe and quick to perform. This case contributes to the ever-expanding applications of this novel technique.
Book Synopsis 5 - BILATERAL ERECTOR SPINAE PLANE BLOCK IN A WOMAN AFFECTED BY CHRONIC DORSAL PAIN: A CASE REPORT. by :
Download or read book 5 - BILATERAL ERECTOR SPINAE PLANE BLOCK IN A WOMAN AFFECTED BY CHRONIC DORSAL PAIN: A CASE REPORT. written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Paravertebral block (PVB) is currently the gold standard for management of chronic thoracic pain. The Erector Spinae Plane Block (ESPB) could provide an adequate coverage of the chest wall as well as an effective analgesia in thoracic neuropathic pain.Methods:A 55 year-old woman with severe chronic dorsal pain for 2 years with referred NRS score 6 at rest and 9 for incident pain. She reported bilateral dorsal pain in from D3 to D7 level between the apex of left and right scapula. She was on treatment with transdermal fentanyl 50 mcg/h, oral morphine 8 drops as needed, paracetamol 1000 mg each 8 hours. Radiological examinations excluded spinal pathologies.ResultsFor the first 15 days, the patient reported a complete benefit with NRS score 1. Subsequently the pain recurred, but with much lower intensity. Three months after the procedure, NRS score was 4-5, and the patient was on treatment with transdermal fentanyl 25 mcg/h and paracetamol.Conclusions:ESPB could provide a long-lasting analgesia in chronic dorsal pain, allowing to reach many levels of dermatomes. The interruption of the painful stimulus probably provided a remodulation of pain, wich recurred with a lower intensity.Keywords:chronic painneuropatich painfascial block.
Book Synopsis 5 - BILATERAL THORACIC CONTINOUS ERECTOR SPINAE BLOCK FOR PAIN RELIEF IN MULTIPLE BILATERAL RIB FRACTURES WITH FLAIL SEGMENT-A CASE REPORT by : Isaac Babu
Download or read book 5 - BILATERAL THORACIC CONTINOUS ERECTOR SPINAE BLOCK FOR PAIN RELIEF IN MULTIPLE BILATERAL RIB FRACTURES WITH FLAIL SEGMENT-A CASE REPORT written by Isaac Babu and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Rib fractures: relationship with pneumonia and mortality. Crit Care Med 2006; 34: 16422.Blanco R.The u2018pecsblocku2019: anovel techniquefor providing analgesia after breastsurgery.Anaesthesia2011;66:847u201383.Blanco R, Parras T, McDonnell JG, Prats-Galino A. Serratus plane block: a novel ultrasound-guided thoracic wall nerve block.Anaesthesia2013;68:1107u2013134.Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The erector spinae plane block. A novel analgesic technique in thoracic neuropathicpain.RegAnesthPainMed2016;41:621u201375. Ho AM, Karmakar MK, Critchley LA. Acute pain management of patients with multiple fractured ribs: a focus on regional techniques.CurrOpinCritCare2011;17:323u201376. Hamilton DL, Manickam B. Erector spinae plane block for pain relief in rib fractures. Br J Anaesth 2017;118:474-5. 7. Steinthorsdottir KJ, Wildgaard L, Hansen HJ, Petersen RH, Wildgaard K. Regional analgesia for video-assisted thoracic surgery: A systematic review. Eur J Cardiothorac Surg 2014;45:959-66.8. Chin KJ, Adhikary S, Sarwani N, Forero M. The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair. Anaesthesia 2017;72:452-60. AuthorsJesto Kurian , Isaac BabuAddress for correspondenceDr Jesto KurianConsultant AnaesthesiologistDepartment of anesthesiology,Rajagiri Hospital,Aluva ,KochiEmail: [email protected].
Book Synopsis Erector Spinae Plane Block: a New Regional Analgesic Option for Thoracoscopy by : Lorena Gomez Diago
Download or read book Erector Spinae Plane Block: a New Regional Analgesic Option for Thoracoscopy written by Lorena Gomez Diago and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND:A novel interfascial block has been applied by Forero et al.'s in patients with severe thoracic neuropathic pain and acute postoperative pain after thoracoscopy (1). We read with interest the description of the erector spine plane (ESP) block and the anatomy revision made in this article.Therefore, we would like to describe a case were this new regional technique has been applied for a thoracoscopic procedure.This surgery requires general anaesthesia and one- lung ventilation. Analgesia involves fentanyl during surgery and non-steroidal anti-inflammatory drugs postoperatively. Regional analgesia techniques, as epidural or paravertebral blocks, are usually not performed and are not justified in this type of procedures. Although other regional blocks of the chest wall such as pectoral block and serratus block have recently been proposed, evidence indicates that they may not cover the surgical area.The ESP block seems to affect both dorsal and ventral rami of the thoracic spinal nerves and good quality of analgesia may be achieved with less potential complications. Cadaver investigations performed by these authors showed penetration of injectate anteriorly through the costotransverse foramen and into the vicinity of the origin of the dorsal and ventral rami when dye was injected into the interfascial plane posterior to the erector spinae muscle. This spread was not observed with injection superficial to erector spinae muscle.CASE REPORT:We performed this new regional technique in a patient who underwent thoracoscopic surgery for superior left lobe lung resection.Before the induction of anaesthesia the patient was positioned in right lateral decubitus with the upper limb along the body. We believe that this block can be easily performed in this position and more comfortabily for the patient.The ultrasound screen was positioned in front of the operator who stayed behind the patient for a better control of the probe. As for the paravertebral block, anatomic landmarks (shoulder blade and spinal levels) were marked to determine the level at which the ESP block should be performed. The linear ultrasound probe was positioned on the left side with longitudinal orientation 3cm lateral to the T5 spinous process. First, an horizontal scan of the area was performed and three muscles, superficial to the transverse process, were identified by this order: trapezius, rhomboid major and erector spinae. Second, a 100 mm block needle was inserted in plane with a caudal orientation until the posterior interfascial space of the erector spinae muscle. A total of 20 ml of levobupivacaine 0,25% was injected in this area with a single injection. After reading the Forero u0301s cadaveric study we choose to inject the local anesthetic in the deep interfascial space over the superficial. Afterwards the patient was submitted to a general anaesthesia which went uneventfully.In the postoperative care pain assessment the patient showed an EVA 0 in movement as resting, also maintaining thermoanalgesic sensibility. It was completely symmetric with contralateral side. Controls were made at 12, 24 and 48h. EVA 0 did not change in any control, being the coadyuvant analgesia minimally needed. Due to this optimus analgesic control the patient was able to breath deeply and make a very efficient breathing physiotherapy.The patient was discharged at 72h without reporting any complication neither needing rescue analgesia. He also had an adequate FRC.DISCUSSION:We think that this new regional block can be a paramount tool to control acute postsurgical pain after minimal invasive thoracic surgery. However, due to the lack of evidence of the ESP block in the acute pain setting, further studies should be performed to evaluate this technique.
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
Book Synopsis Regional Anesthesia and Analgesia by : David Lee Brown
Download or read book Regional Anesthesia and Analgesia written by David Lee Brown and published by Saunders. This book was released on 1996 with total page 788 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, clinically oriented text can serve as either a stand-alone reference or as a companion to the ATLAS. Sections cover the development of regional anesthesia; basic science; induction of regional anesthesia; side effects, complications, and concurrent medical problems; and clinical applications. Each chapter features excellent illustrations and "clinical pearls."
Book Synopsis Anesthesia for Spine Surgery by : Ehab Farag
Download or read book Anesthesia for Spine Surgery written by Ehab Farag and published by Cambridge University Press. This book was released on 2012-05-17 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
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.
Book Synopsis Case Studies in Pain Management by : Alan David Kaye
Download or read book Case Studies in Pain Management written by Alan David Kaye and published by Cambridge University Press. This book was released on 2014-10-16 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.
Book Synopsis Treatment of Chronic Pain by Interventional Approaches by : Timothy R. Deer
Download or read book Treatment of Chronic Pain by Interventional Approaches written by Timothy R. Deer and published by Springer. This book was released on 2014-12-08 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt: From reviews of Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: "Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches is a major textbook... [I]t should be a part of all departmental libraries and in the reference collection of pain fellows and pain practitioners. In fact, this text could be to pain as Miller is to general anesthesia." Journal of Neurosurgical Anesthesiology Edited by master clinician-experts appointed by the American Academy of Pain Medicine, this is a soft cover version of the Interventional sections of the acclaimed Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches. It is intended as a primary reference for busy clinicians who seek up-to-date and authoritative information about interventional approaches to treating chronic pain. State-of-the-art coverage of full range of techniques: neural blockades, neurolysis blocks, and neurostimulation Review of clinically relevant anatomy and physiology "Key Points" preview contents of each chapter
Book Synopsis Spinal Control: The Rehabilitation of Back Pain by : Paul W. Hodges
Download or read book Spinal Control: The Rehabilitation of Back Pain written by Paul W. Hodges and published by Elsevier Health Sciences. This book was released on 2013-08-19 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the first time, international scientific and clinical leaders have collaborated to present this exclusive book which integrates state-of-the art engineering concepts of spine control into clinically relevant approaches for the rehabilitation of low back pain. Spinal Control identifies the scope of the problem around motor control of the spine and pelvis while defining key terminology and methods as well as placing experimental findings into context. Spinal Control also includes contributions that put forward different sides of critical arguments (e.g. whether or not to focus on training the deep muscles of the trunk) and then bring these arguments together to help both scientists and clinicians better understand the convergences and divergences within this field. On the one hand, this book seeks to resolve many of the issues that are debated in existing literature, while on the other, its contributing opinion leaders present current best practice on how to study the questions facing the field of spine control, and then go on to outline the key directions for future research. Spinal Control – the only expert resource which provides a trusted, consensus approach to low back pain rehabilitation for both clinicians and scientists alike! - Covers the most important issues in spine control research - Illustrates the clinical relevance of research and how this is or can be applied in clinical practice - Edited and written by world leading experts, contributing first class content on different aspects of spine control - Chapters that bring together the expertise of these world leaders on topics such as neuromotor mechanisms of spine control, proprioception, subgrouping in back pain and modelling spine stability - An extensive and illustrated clinical consensus chapter that brings together the philosophies of clinical opinion leaders for the first time
Book Synopsis Textbook of Plastic and Reconstructive Surgery by : Deepak K. Kalaskar
Download or read book Textbook of Plastic and Reconstructive Surgery written by Deepak K. Kalaskar and published by UCL Press. This book was released on 2016-08-02 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by experts from London’s renowned Royal Free Hospital, Textbook of Plastic and Reconstructive Surgery offers a comprehensive overview of the vast topic of reconstructive plastic surgery and its various subspecialties for introductory plastic surgery and surgical science courses. The book comprises five sections covering the fundamental principles of plastic surgery, cancer, burns and trauma, paediatric plastic surgery and aesthetic surgery, and covers the breadth of knowledge that students need to further their career in this exciting field. Additional coverage of areas in which reconstructive surgery techniques are called upon includes abdominal wall reconstruction, ear reconstruction and genital reconstruction. A chapter on aesthetic surgery includes facial aesthetic surgery and blepharoplasty, aesthetic breast surgery, body contouring and the evolution of hair transplantation.The broad scope of this volume and attention to often neglected specialisms such as military plastic surgery make this a unique contribution to the field. Heavily illustrated throughout, Textbook of Plastic and Reconstructive Surgery is essential reading for anyone interested in furthering their knowledge of this exciting field. This book was produced as part of JISC's Institution as e-Textbook Publisher project. Find out more at https://www.jisc.ac.uk/rd/projects/institution-as-e-textbook-publisher
Book Synopsis The Anaesthesia Science Viva Book by : Simon Bricker
Download or read book The Anaesthesia Science Viva Book written by Simon Bricker and published by Cambridge University Press. This book was released on 2005 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to this part of the FRCA exam.
Book Synopsis Essentials of Interventional Techniques in Managing Chronic Pain by : Laxmaiah Manchikanti
Download or read book Essentials of Interventional Techniques in Managing Chronic Pain written by Laxmaiah Manchikanti and published by Springer. This book was released on 2018-01-04 with total page 704 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive review covers the full and latest array of interventional techniques for managing chronic pain. Chapters are grouped by specific treatment modalities that include spinal interventional techniques, nonspinal and peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections, and implantables. Practical step-by-step and evidence-based guidance is given to each approach in order to improve the clinician's understanding. Innovative and timely, Essentials of Interventional Techniques in Managing Chronic Pain is a critical resource for anesthesiologists, neurologists, and rehabilitation and pain physicians.
Book Synopsis Low Back Disorders by : Stuart McGill
Download or read book Low Back Disorders written by Stuart McGill and published by Human Kinetics. This book was released on 2007 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of 'Low Back Disorders' provides research information on low back problems and shows readers how to interpret the data for clinical applications.
Book Synopsis Pediatric Regional Anesthesia by : BernardJ. Dalens
Download or read book Pediatric Regional Anesthesia written by BernardJ. Dalens and published by Routledge. This book was released on 2019-08-15 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a precise description of safe and reliable procedures for regional anesthesia in children. It covers the advantages and disadvantages, specific features related to the pediatric range of ages, and the practical importance of the described procedures. Written in two main parts, emphasis is placed on scientific basis and technical approach. It includes both anatomical and psychological aspects of pain, as well as detailed viewpoints of parents, children, surgeons, and anesthetists. This book is a must for all anesthesiologists and will be particularly useful to students of medicine and anesthesiology and nurses working with intensive care units.
Book Synopsis Regional Anesthesia in Trauma by : Jeff Gadsden
Download or read book Regional Anesthesia in Trauma written by Jeff Gadsden and published by Cambridge University Press. This book was released on 2012-11-12 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of pain from acute injuries is a priority in trauma care. Regional analgesic techniques are very effective at treating acute pain and are gaining in popularity as recognition of their beneficial effects on morbidity increases. Regional Anesthesia in Trauma employs multiple narrative problem-solving case scenarios that explore the use of regional anesthesia in: • Blunt chest trauma, amputations, upper and lower extremity fractures and spinal injury • Burn injury • Patients with pre-existing nerve injury and other co-morbidities • Patients at risk for compartment syndrome • Pregnant, obese, elderly and pediatric patients • Local anesthetic systemic toxicity With a focus on ultrasound-guided techniques, the reader is guided through the technical aspects of performing regional anesthesia as well as the medical and surgical considerations that influence the choice of analgesic therapy. Regional Anesthesia in Trauma is invaluable for practitioners and trainees in anesthesiology, emergency medicine and trauma surgery.
