Bilateral Erector Spinae Plane Blocks As An Alternative To Epidural In A Patient On Clopidogrel

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BILATERAL ERECTOR SPINAE PLANE BLOCKS AS AN ALTERNATIVE TO EPIDURAL IN A PATIENT ON CLOPIDOGREL

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

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Book Synopsis BILATERAL ERECTOR SPINAE PLANE BLOCKS AS AN ALTERNATIVE TO EPIDURAL IN A PATIENT ON CLOPIDOGREL by : Boyne Bellew

Download or read book BILATERAL ERECTOR SPINAE PLANE BLOCKS AS AN ALTERNATIVE TO EPIDURAL IN A PATIENT ON CLOPIDOGREL written by Boyne Bellew and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and aimsA 63 year old, ASA 4, female patient with a 12 cm abdominal aortic aneurysm due to type II and III endoleaks required a laparotomy via rooftop incision. She was bedbound with significant cardiac, respiratory and renal comorbidities and on clopidogrel for a coronary stent. Bilateral erector spinae plane catheters (ESPC) were used for analgesia in place of epidural to avoid the risk of epidural haematoma.MethodsFollowing general anaesthesia, bilateral ESPC were placed with ultrasound guidance. An initial bolus of 20mls 0.25% levobupivacaine was given bilaterally. Post-operatively, an infusion of plain 0.125% levobupivacaine was commenced at 10mls/hour through each catheter. She required multiple blood products including 28 units of packed red cells.ResultsOn day 2 post-operatively she was able to cough comfortably and was successfully extubated. The ESPC were removed on day 4 post surgery. ConclusionsThe addition of epidurals to general anaesthesia can reduce the 30-day mortality following high-risk surgery and provide excellent analgesia. However, these are contra-indicated in patients requiring some antiplatelet therapies. It is recognised that regional nerve blocks may provide a safer alternative. The ESPC has been shown to be efficacious for abdominal surgery. As this is relatively new, the risk of haemorrhagic complications is not described in current guidelines. We suggest that ESPC may provide a safer alternative to epidurals in patients on clopidogrel.

Essentials of Interventional Techniques in Managing Chronic Pain

Author : Laxmaiah Manchikanti
Publisher : Springer
ISBN 13 : 3319603612
Total Pages : 704 pages
Book Rating : 4.3/5 (196 download)

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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.

Case Studies in Pain Management

Author : Alan David Kaye
Publisher : Cambridge University Press
ISBN 13 : 1107682894
Total Pages : 547 pages
Book Rating : 4.1/5 (76 download)

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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.

Applied Anatomy for Anaesthesia and Intensive Care

Author : Andy Georgiou
Publisher : Cambridge University Press
ISBN 13 : 1107401372
Total Pages : 211 pages
Book Rating : 4.1/5 (74 download)

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Book Synopsis Applied Anatomy for Anaesthesia and Intensive Care by : Andy Georgiou

Download or read book Applied Anatomy for Anaesthesia and Intensive Care written by Andy Georgiou and published by Cambridge University Press. This book was released on 2014-10-02 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: Concise anatomical text and descriptions of procedures are supported by high-quality, anatomical illustrations linked to clinical images.

Principles and Practice of Anesthesia for Thoracic Surgery

Author : Peter Slinger, MD, FRCPC
Publisher : Springer Science & Business Media
ISBN 13 : 1441901833
Total Pages : 718 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Principles and Practice of Anesthesia for Thoracic Surgery by : Peter Slinger, MD, FRCPC

Download or read book Principles and Practice of Anesthesia for Thoracic Surgery written by Peter Slinger, MD, FRCPC and published by Springer Science & Business Media. This book was released on 2011-07-12 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles and Practice of Anesthesia for Thoracic Surgery will serve as an updated comprehensive review covering not only the recent advances, but also topics that haven't been covered in previously published texts: extracorporeal ventilatory support, new advances in chest imaging modalities, lung isolation with a difficult airway, pulmonary thrombo-endarterectomy, and chronic post-thoracotomy pain. Additionally, the book features clinical case discussions at the end of each clinical chapter as well as tables comprising detailed anesthetic management.

Robotic Cardiac Surgery

Author : Changqing Gao
Publisher : Springer Science & Business Media
ISBN 13 : 9400776608
Total Pages : 165 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis Robotic Cardiac Surgery by : Changqing Gao

Download or read book Robotic Cardiac Surgery written by Changqing Gao and published by Springer Science & Business Media. This book was released on 2013-11-23 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: Robotic Cardiac Surgery is a comprehensive guide to robotic/totally endoscopic cardiac surgery. The book is intended to provide in-depth information regarding the history of robotic surgical systems, their components and principles. It emphasizes patient selection, perioperative management, anesthesia considerations and management, operative techniques and management, postoperative care and results. Extensive, detailed photographs and illustrations of different kinds of robotic surgery are also included. It provides cardiac surgeons, cardiac anesthesiologists, and perfusionists with a comprehensive review of current robotic cardiac surgeries and related knowledge. Changqing Gao, MD, is a professor at the Department of Cardiovascular Surgery, PLA General Hospital, Beijing, China.

Postgraduate Orthopaedics

Author : Paul A. Banaszkiewicz
Publisher : Cambridge University Press
ISBN 13 : 1107627362
Total Pages : 301 pages
Book Rating : 4.1/5 (76 download)

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Book Synopsis Postgraduate Orthopaedics by : Paul A. Banaszkiewicz

Download or read book Postgraduate Orthopaedics written by Paul A. Banaszkiewicz and published by Cambridge University Press. This book was released on 2012-08-16 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth).

Challenging Cases and Complication Management in Pain Medicine

Author : Magdalena Anitescu
Publisher : Springer
ISBN 13 : 3319600729
Total Pages : 329 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Challenging Cases and Complication Management in Pain Medicine by : Magdalena Anitescu

Download or read book Challenging Cases and Complication Management in Pain Medicine written by Magdalena Anitescu and published by Springer. This book was released on 2017-11-17 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive book provides reviews of pain management complications that arise in clinical practice. Organized into sections focused on types of pain therapy and procedures, each chapter is based on actual complications; starting with a case description that delineates the context with a short past medical and surgical history, pain management technique and outcome it is followed by a comprehensive review of the topic described in the first section. Authors emphasize the elements of differential diagnosis that pointed towards establishing of the complication and describe the best way to treat the identified complication. Physicians treating pain patients will be presented the necessary tools in identifying and treating unanticipated complications following pain interventions, thus providing safer care for their patients.

Essentials of Regional Anesthesia

Author : Alan D. Kaye
Publisher : Springer Science & Business Media
ISBN 13 : 1461410134
Total Pages : 818 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Essentials of Regional Anesthesia by : Alan D. Kaye

Download or read book Essentials of Regional Anesthesia written by Alan D. Kaye and published by Springer Science & Business Media. This book was released on 2011-12-21 with total page 818 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a compact, single-source guide to regional anesthesia. Chapters are authored by regional anesthesia fellowship directors and fellows to insure maximum practicality and up-to-date coverage. Essentials of Regional Anesthesia covers all anatomical regions as well as the unique considerations in patients with chronic pain, obstetric patients, pediatric patients, and patients treated in the outpatient setting. A common chapter format makes it easy to find information quickly, and extensive illustrations enhance the text. Stay current with Essentials of Regional Anesthesia, and stay ahead with these helpful features: • Ultrasound incorporated into each block • Extremely practical focus • More than 400 Q & As to test knowledge • Authored by regional anesthesia fellowship directors and fellows • Clinical pearls and guidance on complications • Concise, clinically oriented review of relevant basic science • Common chapter format for ease of use • Well illustrated with 350 figures, nearly 200 in color

Joint Arthroplasty

Author : Shinichi Imura
Publisher : Springer Science & Business Media
ISBN 13 : 4431685294
Total Pages : 428 pages
Book Rating : 4.4/5 (316 download)

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Book Synopsis Joint Arthroplasty by : Shinichi Imura

Download or read book Joint Arthroplasty written by Shinichi Imura and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .

Enhanced Recovery After Surgery

Author : Olle Ljungqvist
Publisher : Springer Nature
ISBN 13 : 3030334430
Total Pages : 654 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Enhanced Recovery After Surgery by : Olle Ljungqvist

Download or read book Enhanced Recovery After Surgery written by Olle Ljungqvist and published by Springer Nature. This book was released on 2020-03-30 with total page 654 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

Essential Neurosurgery

Author : Andrew H. Kaye
Publisher : John Wiley & Sons
ISBN 13 : 1405148179
Total Pages : 312 pages
Book Rating : 4.4/5 (51 download)

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Book Synopsis Essential Neurosurgery by : Andrew H. Kaye

Download or read book Essential Neurosurgery written by Andrew H. Kaye and published by John Wiley & Sons. This book was released on 2009-02-12 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Neurosurgery provides a comprehensive introductionto neurosurgery for junior surgical trainees and medical students.The book concentrates on the principles of neurosurgical diagnosisand management of the more common central nervous system problems,including an understanding of neurology and the pathological basisof neurological disease. There is also coverage of neurosurgicaltechniques and postoperative patient management. This new edition brings the text fully up to date and includesmany of the biological and technological advances made in the fieldof neurosurgery that have improved surgical possibilities andpatient outcomes. Review quotations from the previous edition ‘flowing and well highlighted text keeps the readerinterested in the subject’ British Journal of Neurosurgery ‘an excellent text…well organised and clearly setout’ Journal of Neurology, Neurosurgery and Psychiatry

Applied Basic Science for Basic Surgical Training E-Book

Author : Andrew T Raftery
Publisher : Elsevier Health Sciences
ISBN 13 : 070205058X
Total Pages : 660 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Applied Basic Science for Basic Surgical Training E-Book by : Andrew T Raftery

Download or read book Applied Basic Science for Basic Surgical Training E-Book written by Andrew T Raftery and published by Elsevier Health Sciences. This book was released on 2011-12-22 with total page 660 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title is directed primarily towards health care professionals outside of the United States. It has been written to encompass the basic anatomy, physiology and pathology required by the syllabus of the UK Royal Colleges and the Intercollegiate Surgical Curriculum Project. For this Second Edition many of the chapters have been updated, especially the chapters on immunology, basic microbiology, the endocrine and locomotor systems and the breast. An attempt has been made throughout to indicate the clinical relevance of the facts and the reason for learning them. There are several new contributors to the author team, all of whom are experts in their field and many of them are, or have been, experienced examiners at the various UK Royal Colleges. Brings together three basic sciences in one book and presents them in an integrated format. Presents the sciences at the right level for surgical trainees. Written in a straightforward and readable style. Thoroughly revised to take account of latest changes in basic surgical training, especially the chapters on immunology, basic microbiology, the endocrine and locomotor systems and the breast

Cervical Spine

Author : Pier Paolo Maria Menchetti
Publisher : Springer
ISBN 13 : 3319216082
Total Pages : 259 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Cervical Spine by : Pier Paolo Maria Menchetti

Download or read book Cervical Spine written by Pier Paolo Maria Menchetti and published by Springer. This book was released on 2015-11-02 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book details the current status of cervical MISS for expert surgeons, young surgeons or clinicians, and residents and fellows with little or no experience on this field of surgery. Because of the involvement of different and highly trained specialists from all over the world, the aim of this book is to satisfy the requirements for knowing the most advanced surgical techniques and their application. Also included are the indications and surgical techniques involving an open standard approach, giving a most exhaustive knowledge of the cervical spine surgery. Due to the difficulty of finding books with both minimal invasive cervical spine surgery and more conventional standard “open” surgery, the benefit of this book is to permit the surgeons and residents and medical doctors, to have a more complete and immediate knowledge of the topics. Due to the scientific multidisciplinary nature of the MISS, several professionals such as orthopedic surgeons, neurosurgeons, radiologists, anesthesiologists and pain management specialists, have been involved in order to create a book in which all the aspects of MISS have been treated.

Physical Medicine and Rehabilitation Board Review, Fourth Edition

Author : Sara J Cuccurullo, MD
Publisher : Springer Publishing Company
ISBN 13 : 0826134572
Total Pages : 1040 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Physical Medicine and Rehabilitation Board Review, Fourth Edition by : Sara J Cuccurullo, MD

Download or read book Physical Medicine and Rehabilitation Board Review, Fourth Edition written by Sara J Cuccurullo, MD and published by Springer Publishing Company. This book was released on 2019-10-28 with total page 1040 pages. Available in PDF, EPUB and Kindle. Book excerpt: Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. Praise for the Third Edition: “The author has done it again, producing an excellent, concise resource that provides clinicians with an optimal solution for studying for the written board examination." © Doody’s Review Service, 2015, Alan Anschel, MD (Shirley Ryan AbilityLab) This fourth edition of the incomparable review bible for the Physical Medicine and Rehabilitation Board Examination has been thoroughly updated to reflect current practice and the core knowledge tested on the exam. Recognized for its organization, consistency, and clarity through editions, the book distills the essentials and provides focused reviews of all major PM&R topics including stroke, traumatic brain injury, musculoskeletal medicine, spinal cord injuries, pain management, and more. Every chapter in the fourth edition has been rigorously evaluated and refreshed to ensure that the information is accurate and up to date. Sections on cancer treatment and rehabilitation, rheumatologic disease, and ultrasound have been significantly upgraded to incorporate new board requirements and changes in criteria for diagnosis and management. Written in outline format for easy access to information, Physical Medicine and Rehabilitation Board Review, Fourth Edition is modeled on the content blueprint for the Self-Assessment Examination for Residents (SAE-R) used by residents nationwide. Board pearls are indicated with an open-book icon to highlight key concepts and flag important clinical and board-eligible aspects of each topic. The topics are divided into major subspecialty areas written by author teams with clinical expertise in the subject and reviewed by senior specialists in each area. More than 500 signature illustrations—now with color added—clarify and reinforce concepts. In addition to its proven value as the primary resource for Board preparation and MOC, the book is also a trusted clinical reference for day-to-day practice needs. New to the Fourth Edition: Thoroughly reviewed, revised, and updated to reflect current practice and core knowledge tested on Boards Significant upgrades to ultrasound content Expanded sections on cancer treatments and rehabilitation along with rheumatologic guidelines and treatments, including new criteria for diagnosis Addition of color to highlight artwork and content areas Key Features: Board "Pearls" are highlighted with an open-book icon to flag key concepts and stress high-yield aspects of each topic Covers all topics on the content outlipne for the Self-Assessment Examination for Residents (SAE-R) used by residents nationwide Authored by physicians with special interest and expertise in their respective areas and reviewed by senior specialists in those areas Organizes information in outline format and by topic for easy reference Includes over 500 detailed illustrations to clarify concepts Provides updated epidemiologic and statistical data throughout

Clinical Surgery Pearls

Author : R Dayananda Babu
Publisher : JP Medical Ltd
ISBN 13 : 9350903962
Total Pages : 650 pages
Book Rating : 4.3/5 (59 download)

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Book Synopsis Clinical Surgery Pearls by : R Dayananda Babu

Download or read book Clinical Surgery Pearls written by R Dayananda Babu and published by JP Medical Ltd. This book was released on 2013-04-30 with total page 650 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Clinical Surgery Pearls is a question and answer book for postgraduate and undergraduate students. Each chapter focuses on a typical case, beginning with an overview, followed by a checklist for history and physical examination, and diagnostic points for that case. A number of questions with answers reviewing the anatomy, physiology, investigation, differential diagnosis and updated staging and evidence-based management for that case, are then presented. The book is highlighted by numerous flow charts, tables, photographs and illustrations. A separate chapter provides definitions for various clinical terminologies. Key points New edition, question and answer book for students Presents 50 clinical cases with questions and answers Easy to read, understandable format Includes numerous flow charts, tables, photographs and illustrations Separate chapter dedicated to definitions of clinical terminologies Previous edition published in 2010

Spine Pain Care

Author : Jianren Mao
Publisher : Springer
ISBN 13 : 9783030274467
Total Pages : 0 pages
Book Rating : 4.2/5 (744 download)

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Book Synopsis Spine Pain Care by : Jianren Mao

Download or read book Spine Pain Care written by Jianren Mao and published by Springer. This book was released on 2019-11-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This multi-faceted book provides readers with comprehensive guidance to spine pain care. Unique in structure, the contents integrate various specialties involved in spine pain care, thereby bringing in new prospective and expanding readership. This six part reference begins with a review on the epidemiology and economic impacts that present clinical and financial challenges for spine pain care. Part two then brings the reader into a review of the anatomy, pathophysiology, and etiology of spine pain. Subsequent parts then dive into clinical evaluation tactics, unique disease conditions and treatment options. Finally, the book closes with two chapters discussing the challenges of spine pain medicine and the potential future directions of the field. Written by experts in their respective fields, Spine Pain Care - A Comprehensive Clinical Guide is a first-of-its-kind, barrier breaking work designed for all professionals involved in spine pain care, including physicians and nurses, as well as medical students, residents and fellows as a supplementary educational material.