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Erector Spinae Plane Block Espb For Awake Breast Surgery In Young Pregnant Patient A Case Report
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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.
Book Synopsis Ultrasound-guided Erector Spinae Plane (US- ESP) Block Associated to Dexmetomidine Cooperative Sedation for Anesthetic Management in Breast Cancer Surgery: a Case Report by : Giordano Carolina
Download or read book Ultrasound-guided Erector Spinae Plane (US- ESP) Block Associated to Dexmetomidine Cooperative Sedation for Anesthetic Management in Breast Cancer Surgery: a Case Report written by Giordano Carolina and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Ultrasound-guided Erector Spinae Plane Block (US-ESPB) is a recently described regional block technique for anesthesia and analgesia of the chest wall. Dexmetomidine (DEX) is an u03b1-2 agonist that can provide cooperative sedation during surgery. We reported a case of US-ESPB associated to intraoperative DEX sedation in a patient undergoing breast cancer surgery.Methods:A 42 years-old patient, ASA 2, was scheduled to undergo quadrantectomy with sentinel lymph node biopsy. Before surgery, we performed a US-ESPB and 20 ml of 0,5% Ropivacaine were injected using a 90 mm needle (Temena u00ae) deep to the erector spinae muscle and superficial to T5 transverse processes. The patient received intravenously DEX in a loading dose of 1 mcg/kg over 15 minutes, followed by an infusion of 0,4 mcg/kg/h and oxygen (4 l/min) was administered by facemask.Results:We obtained adequate surgical anesthesia and a good quality postoperative analgesia. Moreoverer, DEX infusion provided cooperative sedation during surgery (Ramsay 3) without causing respiratory depression of the patient. Only 3 g of acetaminophen were administered postoperatively. No complications were recorded.Conclusions:This case report suggested that US-ESPB associated to intraoperative DEX cooperative sedation could represent a reliable strategy for anesthetic management in breast surgery.
Book Synopsis ERECTOR SPINAE PLANE BLOCK (ESP) FOR POSTOPERATIVE ANALGESIA FOR MASTECTOMY TOTAL RADICAL: CASE REPORT by : Rueda Viviana
Download or read book ERECTOR SPINAE PLANE BLOCK (ESP) FOR POSTOPERATIVE ANALGESIA FOR MASTECTOMY TOTAL RADICAL: CASE REPORT written by Rueda Viviana and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: To describe 50-year-old female patient, , a weight of 62 kg, with an 8-year history of a mass in the right breast which has undergone rapid progressive growth, involving the entire breast, over the past 7 months, diagnosed as a phyllodes tumor. Simple right mastectomy with axillary lymph node dissection and pectoralis major fascia resection were performed under general anesthesia. Ultrasound-guided erector spinae plane block was performed for postoperative analgesia, with excellent response up to 18 hours following the procedure.The patient was placed on left lateral decubitus and, following asepsia and anti-sepsis, T6 to T7 and right paravertebral ultrasound was performed using a highfrequency linear probe, to identify the anatomy (Figure 2) Bupivacaine with 0.25% epinephrine and 0.5% lidocaine was administered (total volume 20mL), achieving satisfactory erector spinae hydrodissection. Assessment 4hours later found an area of anesthesia comprised by the right anterior hemithorax and axillary region and anesthesia from T4 to T12 in the posterior region (Figure 3) Pain assessment was performed over a 30-hour period using the analog visual scale. Based on our findings, ESP block may be recommendedas an option or adjunct for pain management.
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.
Book Synopsis ESP BLOCK FOR ONCOLOGIC BREAST SURGERY: CAN IT BE USED AS A REGIONAL ANESTHESIA TECHNIQUE? by : Eduardo Allu00f3
Download or read book ESP BLOCK FOR ONCOLOGIC BREAST SURGERY: CAN IT BE USED AS A REGIONAL ANESTHESIA TECHNIQUE? written by Eduardo Allu00f3 and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ESP BLOCK FOR ONCOLOGIC BREAST SURGERY: CAN IT BE USED AS A REGIONAL ANESTHESIA TECHNIQUE?Juan Carlos Sosa Nicora, Adriana Inu00e9s Acosta, Eduardo Allu00f3Background and Aims:The Erector Spinae Plane (ESP) is a promising block whose mechanisms are not yet fully understood. 1 Since the ESP was first described by Mauricio Forero in 20162, many case reports have been published. Most of them have proven to be useful as part of mutimodal approach in analgesia. 3,4 Only a couple of case reports are available that describe the use of ESP without general anesthesia.5,6 In this case series we present the ESP technique with a continous catheter (E-Cathu00ae - Pajunk, 2018)7 as a standalone option in oncologic breast surgery.Methods:Patient Selection:Thirteen consecutive patients that were suspected or diagnosed with breast cancer determined by clinical features, physical examination, image studies and/or fine needle aspiration studies and were scheduled to undergo surgical intervention during april 2018 and april 2019 were candidates for this study according to the inclusion and exclusion criteria shown in Table 1. Thirteen patients recieved the ESP block along with complementary endovenous sedation in five different hospitals. Same surgical team undertook all of these surgeries. The technique was explained to the patient by the anesthesiologist before the intervention and Informed Consent was signed by both. Primary outcome was set as the need to convert to general anesthesia. The ESP was performed according to Forerou00b4s2 description; localization of T5 transverse process, with the patient in the sitting position under ultrasound guidance by single shot injection of 20 ccu00b4s of 2% lidocaine followed by continous plexus catheter placement. An aditional bolus of 10 cc was administered during surgery if procedure aproximated 60 minutes of duration.Time latency of between 10 and 30 minutes after full dose administration was allowed before skin incision. During this time patient was kept awake and monitored for systemic toxicity of local anesthesic. After latency period, surgery was initiated with an intermitent tegumentary testing incision with the patient sedated. If surgeon needed to administer additional local anesthesic at any point during skin incision, this was noted. Deep plane anesthesia was also noted.After surgery concluded, patient was awakened and asked to move the ipsilateral arm to rule out motor blockade. For post operative analgesia, either a bolus of 10 ccu00b4s of levobupivacaine 0,25% or ropivacaine 0,2% with 0,1 mgr/cc of dexamethasone was administered.Final duration of surgical intervention was noted and patient was taken to the PACU for 20 minutes and later to the ward. Patient recieved ketorolac 30 mgr IV or methamizole 2 Gr. IV TID and tramadol PRN. Hospital discharge was planed 24 hs after the procedure and number of administered rescue doses were noted.Funding of this study was provided by the surgical team if not covered by the patientu00b4s private health insurance company.Results:Twelve women and one man wtih a mean age of 64 (36-87) underwent surgical interventions of the breast and axilar region (Table 2). Latency time averaged 23 minutes (15-30). Lower latency times were related with use of local anesthesic by the surgeon (4 cases in superficial skin plane). Average intervention time was 70 minutes (45-120) and additional bolus of intraoperative lidocaine was administered in 7 patients.No patient required conversion to general anesthesia nor rescue analgesia in the post operative period. The last patient in the series was a high risk patient (severe valvulopathy, high ELVDP and CKD ) so she recieved analgesia through an elastomeric pump and NSAIDs were spared. All patients were discharged after 24 hours without complications.Conclusions:ESP block can be used as local anesthesia for oncologic breast surgery using a continuos catheter . This technique can provide good post operative analgesia and can be used as the sole strategy for post operative analgesia . Further studies are needed to evaluate overall safety for this procedure since high doses of Local Anesthesics are required.References:1.- Erector spinae plane block: an innovation or a delusion?Korean J Anesthesiol. 2019;72(1):1-3. Published online January 31, 2019DOI: https://doi.org/10.4097/kja.d.18.00359 2.- Forero M, Adhikary SD, Lopez H, Tsul C, Chin KJ. The erector spinae plane block: A novel analgesic technique in thoracic neuropathic pain. Reg Anaesth Pain Med. 2016;41:621u201373.- Kwon WJ, Bang SU, Sun WY. Erector spinae plane block for effective analgesia after total mastectomy with sentinel or axillary lymph node dissection: a report of three cases. J Korean Med Sci 2018; 33: e291.u20284.- Altu0131parmak B, et al. Ultrasound guided erector spinae plane block for postoperative analgesia after augmentation mammoplasty: case series. Rev Bras Anestesiol. 2019. https://doi.org/10.1016/j.bjane.2018.12.008 5.-Kimachi PP, Martins EG, Peng P, Forero M. The erector spinae plane block provides complete surgical anesthesia in breast surgery: a case report. A A Pract. 2018;11:186u20138. u20286.- De Cassai A, Marchet A, Ori C. The combination of erector spinae plane block and pectoralis blocks could avoid general anesthesia for radical mastectomy in high risk patients. Minerva Anestesiol. 2018; 84:1420-14217.- Ip V. H. Y. et al. The catheter-over-needle assembly offers greater stability and less leakage compared to the traditional counterpart in continuous interscalene nerve blocks: a randomized, patient-blinded study, Can. J. Anesth. 2013; 60: 1272u20131273Table 1a. Inclusion CriteriaMinimum age, 18 yearsSuspected or Diagnosed Breast Nodule, Tumor or Lymph Nodes Scheduled for Non-Reconstructive Oncologic Breast Surgery Table 1b. Exclusion CriteriaAbnormal Coagulation TestsKnown or suspected history of allergic reactions to Local Anesthesics Patient Refusal.
Book Synopsis ERECTOR SPINAE PLANE BLOCK AS PART OF AN OPIOID-SPARING ANAESTHETIC STRATEGY FOR BREAST QUADRANTECTOMY AND SENTINEL LYMPH-NODE EXCISION: A CASE-REPORT by : Lopes Luis
Download or read book ERECTOR SPINAE PLANE BLOCK AS PART OF AN OPIOID-SPARING ANAESTHETIC STRATEGY FOR BREAST QUADRANTECTOMY AND SENTINEL LYMPH-NODE EXCISION: A CASE-REPORT written by Lopes Luis and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Breast surgery often requires post-operative opioid analgesia, which has been associated with treatment-resistant chronic pain syndromes, and been suggested as having cancer-spreading potential. Erector spinae plane (ESP) block is a novel approach to thoracic and abdominal pain management which has previously been described as successfully implemented perioperatively in various breast interventions. We hereby present our experience in the management of a quadrantectomy patient.Methods:An otherwise healthy 66-year old woman presented for right-lower quadrantectomy of the right breast with sentinel lymph node excision. An anaesthetic management plan consisting of combined general anaesthesia with right-sided ESP block was devised. Ultrasonography-guided injection of 20cc of 0,75% ropivacaine along the erector spinae fascial plane at the T5 spinal level was performed preoperatively. General anaesthesia was induced with fentanyl (100mcg) and propofol (120mg). After supraglottic device placement, maintenance was ensured with sevoflurane. Additional intravenous analgesia was provided with paracetamol(1g) and ketorolac(30mg). ResultsHaemodynamic stability was noted throughout surgery, with no response to skin incision or tissue dissection. The patient reported no significant pain upon waking or discharge, 24h later. No rescue analgesia was needed during that period and skin numbness representing no significant discomfort subsided over the next day.Conclusions:Our report of a successful implementation of nearly opioid-free anaesthesia in a quadrantectomy patient, by using the novel potential of the ESP-block, suggests that this might be an invaluably safe and effective strategy, not only for pain control, but also as an opioid and anaesthetic-sparing approach, plausibly increasingly useful in debilitated and physiologically fragile patients.
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
Book Synopsis 6 - COMPARISON OF ERECTOR SPINAE PLANE BLOCK AND PARAVERTEBRAL BLOCK FOR BREAST SURGERY: A RETROSPECTIVE ANALYSIS by : Aumjit Wittayapairoj
Download or read book 6 - COMPARISON OF ERECTOR SPINAE PLANE BLOCK AND PARAVERTEBRAL BLOCK FOR BREAST SURGERY: A RETROSPECTIVE ANALYSIS written by Aumjit Wittayapairoj and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Thoracic paravertebral block (PVB) is an established technique for perioperative pain management for breast surgery. However, since this block is technically challenging, it has not been widely used. Recently introduced erector spinae plane block (ESPB) requires less technical expertise and may be an alternative to PVB. However, the two blocks have not been fully compared. The present study retrospectively analyzed data saved in our registry to compare the two blocks in patients undergoing breast surgery. Methods: After IRB approval, we extracted data for breast surgery patients receiving either PVB or ESPB under ultrasound guidance from June 2018 to March 2019. We compared intra and postoperative data. The primary outcome was visual analogue pain scores (VAS) at rest at 12 h after block. The secondary outcome included scanning and performing time for block, dermatomal sensory blockade, and postoperative fentanyl consumption for 24 h. Results: Twenty-six PVB and 25 ESPB patients were evaluated. Patient demographics were comparable. VAS at rest at 12 h was similar [PVB 13 (0-30) vs ESPB 25 (12-40), P=0.069] [median (IQR)]. However, VAS at rest at 6 h was lower after PVB [10 (0-24)] than after ESPB [25 (18-40)] (P
Book Synopsis Erector Spinae Plane Block For Mastectomy And Reconstructive Surgery by :
Download or read book Erector Spinae Plane Block For Mastectomy And Reconstructive Surgery written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Avoiding severe pain after mastectomy and reconstructive surgeries may prevent the development of chronic pain syndromes(1). Multimodal analgesic techniques including plane blocks like pectoral nerve (PEC), serratus or abdominal blocks are well described. Local anaesthetics (LA) placed in these planes may contaminate surgical sites. We describe a less invasive and simpler regional anaesthetic technique which provides extensive and prolonged analgesia with catheter placed in the erector spinae plane (ESP) at the relevent transverse processes(TP) (2) in three cases of mastectomy and reconstruction. This technique provided effective analgesia at both operative sites.Case Report:The first case involved a lady scheduled for left mastectomy with lateral intercostal perforator artery flap. She had ESP block performed at the T5 transverse process (TP5) as a rescue analgesia method four hours after standard PEC (1 and 2) and Serratus Anterior plane block and general anaesthesia. Her pain score decreased from 7/10 with coughing to 0/10 immediately after the rescue block. The second case had an ESP catheter sited at the level of TP3 to avoid contamination of the latissimus dorsi muscle flap with LA after induction. The patient reported a decrease of pain score from 6/10 to 0/10 immediately after a 10 ml 0.5% bolus of Ropivacaine the next day.The third case had bilateral ESP cathethers sited after induction for the right mastectomy, removal of pectoral muscle and implant and free flap from the contralateral thigh. The catheters were sited at the level of TP4 for the mastectomy and at TP9 for the donor site. The catheters were removed on post op day 3.Discussion: ESP catheter placement is a safe and simpler block that offers prolonged analgesia without hemodynamic compromise as compared to established epidural or paravertebral blocks. ESP cover extensive area with a single catheter sited between 2 distant sites. It is a useful addition to opioid sparing and multimodal analgesia method.
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.
Book Synopsis Sex and Gender Differences in Pharmacology by : Vera Regitz-Zagrosek
Download or read book Sex and Gender Differences in Pharmacology written by Vera Regitz-Zagrosek and published by Springer Science & Business Media. This book was released on 2012-10-02 with total page 599 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the very first book to deal with sex and gender differences in drug therapy - an increasingly recognized medical need. It starts with an overview on S/G in clinical syndromes and a documentation of the medical and socioeconomic damage caused by gender specific adverse drug effects. Part I covers S/G differences in pharmacokinetics. Researchers will be satisfied by the detailed discussion of the mechanisms of S/G differences in drug effects that represents cutting edge science and includes interaction of drugs with sex hormones, genomic and epigenetic mechanisms. It also covers S/G in drug development, in animal models and clinical development and S/G in drug prescriptions. Part II targets S/G differences in drug effects in cardiovascular, pulmonary, CNS, neuromuscular, neuropsychiatric and metabolic diseases, in cancer, inflammation, and rheumatic diseases, in bacterial and retroviral infections, thrombosis, embolism. New drugs will be discussed.
Book Synopsis Local Anesthetics by : Benjamin G. Covino
Download or read book Local Anesthetics written by Benjamin G. Covino and published by . This book was released on 1976 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Major Ambulatory Surgery by : James E. Davis
Download or read book Major Ambulatory Surgery written by James E. Davis and published by . This book was released on 1986 with total page 538 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Low Flow Anaesthesia written by Jan Baum and published by Butterworth-Heinemann. This book was released on 2001 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Low flow anaesthesia is a technique of anaesthetic management which uses reduced fresh gas flow administered and controlled via a rebreathing system. The first edition of Low Flow Anaesthesia set out to reassure and educate anaesthetists in the theory and practicalities of low flow, minimal flow and closed system anaesthesia.
Book Synopsis Neural Blockade in Clinical Anesthesia and Management of Pain by : Michael J. Cousins
Download or read book Neural Blockade in Clinical Anesthesia and Management of Pain written by Michael J. Cousins and published by Lippincott Williams & Wilkins. This book was released on 1988 with total page 1220 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Putting Evidence Into Practice by : Linda H. Eaton
Download or read book Putting Evidence Into Practice written by Linda H. Eaton and published by . This book was released on 2011 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Supplement to "Putting Evidence into Practice: Improving Oncology Patient Outcomes" (Eaton and Tipton, 2009).
Book Synopsis Trends in Clinical Deep Brain Stimulation by : Marcus L. F. Janssen
Download or read book Trends in Clinical Deep Brain Stimulation written by Marcus L. F. Janssen and published by MDPI. This book was released on 2021-03-17 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers the current trends in clinical deep brain stimulation (DBS) research. This collection of papers from experts in the field provides state of the art knowledge and future perspectives in clinical DBS research. A range of topics involved in DBS is presented, ranging from high resolution imaging, electrophysiology and personalized medicine, in a broad range of brain disorders.
