Comparison Between Single Dose Paravertebral Block And Thoracic Epidural Block For Breast Surgeries A Prospective Randomized Study

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Comparison Between Single Dose Paravertebral Block and Thoracic Epidural Block for Breast Surgeries: a Prospective Randomized Study

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

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Book Synopsis Comparison Between Single Dose Paravertebral Block and Thoracic Epidural Block for Breast Surgeries: a Prospective Randomized Study by : Vishal Krishna Pai

Download or read book Comparison Between Single Dose Paravertebral Block and Thoracic Epidural Block for Breast Surgeries: a Prospective Randomized Study written by Vishal Krishna Pai and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Goal of Study: Both paravertebral block (PVB) and thoracic epidural block(TEB) are established techniques for postoperativepain relief in thoracic and breast surgeries.Breast surgeries are associated with postoperativepain, nausea and vomiting. With medicaladvances and rise in ambulatory surgeries there is a growing interest towards regional anaesthesiafor breast surgeries. Our study compares two known regional techniques with sedation as the soleanaesthetic plan for benign breast surgeries in terms of intraoperative haemodynamics, postoperativepain, side effects and patient satisfaction.Materials and methods: After ethical committee approval, 80 patients scheduled for unilateralsimple mastectomy were randomized to receive either TEB or PVB. The anaesthetic and analgesicprotocols were similar in both groups. Patients in each group received 15 ml of 0.5% Bupivacaineeither in the thoracic paravertebral region or thoracic epidural region. The primary endpointconsisted to measure the frequency of hypotension episodes defined by a mean arterial pressure(MAP) less than 60 mmHg or a decrease in MAP greater than 20% when compared with thepreoperative value. Secondary endpoints evaluated the amount of intraoperative fluid administration,the use of vasopressor drugs, the analgesic efficacy assessed by the visual analogue scale (VAS),any postoperative events such as PONV, shivering or respiratory complications.Results and discussion: As compared to the PVB group the TEB group showed significantdecrease in both mean blood pressure and heart rate during most of the intraoperative period. Theintraoperative fluid consumption was higher in the TEB group as compared to the PVB group. InGroup TEB 25% (10/40) patients required vasopressors as compared to 10% (4/40) in Group PVB.The total rescue analgesic consumption between the two groups were comparable. PostoperativeVAS between the studied groups was similar. Postoperative events in both the groups werecomparable.Conclusion(s): Single injection PVB and TEB had similar quality of surgical anaesthesia, postoperativepain relief and patient satisfaction however PVB had better hemodynamic stability thanTEB in patients undergoing breast surgeries. Further data and studies will be required to confirm thispreliminary study.

Kaplan's Cardiac Anesthesia - E-Book

Author : Joel A. Kaplan
Publisher : Elsevier Health Sciences
ISBN 13 : 0323829252
Total Pages : 1236 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Kaplan's Cardiac Anesthesia - E-Book by : Joel A. Kaplan

Download or read book Kaplan's Cardiac Anesthesia - E-Book written by Joel A. Kaplan and published by Elsevier Health Sciences. This book was released on 2023-06-09 with total page 1236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Current, comprehensive, and evidence-based, Kaplan's Cardiac Anesthesia: Perioperative and Critical Care Management, 8th Edition, offers practical guidance from today's international leaders in cardiac anesthesiology, helping you to optimize perioperative outcomes, avoid complications, and ensure maximum patient safety. Dr. Joel A. Kaplan, along with an expert team of associate editors, guides you through today's clinical challenges, including expanded coverage of critical care, the newest approaches to perioperative assessment and management, state-of-the art diagnostic techniques, and cardiovascular and coronary physiology. - Covers the full spectrum of contemporary cardiothoracic anesthesia practice, including preoperative assessment, physiology, pharmacology, monitoring, transesophageal echocardiography, coagulation, specific cardiac procedures, extracorporeal circulation, postoperative pain treatment, and management of the complex patient with cardiac disease. - Includes expanded coverage of critical care topics, reflecting the increased perioperative care now provided by anesthesiologists in the ICU. - Contains new chapters on Structural Heart Disease Procedures; Cardiorespiratory Effects of COVID-19; Critical Care Ultrasound; Intensive Unit Management of Patients on Mechanical Circulatory Support; and Postoperative Care of the Heart and Lung Transplant Patient. - Features more than 900 full-color illustrations, decision trees, charts, and graphs (over one-third are new) that aid in visual understanding of complex topics. - Provides access to over 120 videos, including a range of echocardiography clips. - Contains balanced, dependable, and updated content on all aspects of the anesthetic management of cardiac surgical procedures, as well as cardiology procedures performed in catheterization and electrophysiologic laboratories. - Places new emphasis on cardiac devices requiring perioperative care, including cardiac implanted electrical devices and ventricular assist devices.

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.

A Randomized Prospective Trial Comparing Paravertebral Block and General Anesthesia for Operative Treatment of Breast Cancer

Author :
Publisher :
ISBN 13 :
Total Pages : 28 pages
Book Rating : 4.:/5 (742 download)

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Book Synopsis A Randomized Prospective Trial Comparing Paravertebral Block and General Anesthesia for Operative Treatment of Breast Cancer by :

Download or read book A Randomized Prospective Trial Comparing Paravertebral Block and General Anesthesia for Operative Treatment of Breast Cancer written by and published by . This book was released on 2003 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: The goals of the study are to evaluate the role of paravertebral blocks regional anesthesia in patients undergoing operative treatment of breast cancer. Experience to date has shown that this anesthetic modality is safe and effective, and associated with excellent post operative pain control and minimization of nausea and vomiting associated with general anesthesia. Using a prospective randomized trial carried out at two institutions, we propose to measure quality of life variables including pain, postoperative nausea an vomiting, mood, and functional status in patients undergoing breast surgery with the traditional techniques of general anesthesia versus the region technique of paravertebral block. The preliminary phase of this trial, which establishes the safety and efficacy of performing the block technique, is complete. We are currently in the study portion of the trial and have consented and randomized a total of 35 patients at one institution thus far. Outcomes and study instruments are detailed in the report. Our collaborating institution, the Mayo Clinic Jacksonville, is awaiting final institutional approval in order to begin recruiting patients.

Ultrasound-Guided Regional Anesthesia in Children

Author : Stephen Mannion
Publisher : Cambridge University Press
ISBN 13 : 1107098777
Total Pages : 171 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Ultrasound-Guided Regional Anesthesia in Children by : Stephen Mannion

Download or read book Ultrasound-Guided Regional Anesthesia in Children written by Stephen Mannion and published by Cambridge University Press. This book was released on 2015-08-20 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most comprehensive resource available on pediatric ultrasound-guided regional anesthesia, covering core principles and practical guidance for all major blocks.

Perioperative Pain Management

Author : Felicia Cox
Publisher : John Wiley & Sons
ISBN 13 : 1444309595
Total Pages : 336 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Perioperative Pain Management by : Felicia Cox

Download or read book Perioperative Pain Management written by Felicia Cox and published by John Wiley & Sons. This book was released on 2009-03-17 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Perioperative Pain Management is an up-to-date evidence-based guide to the effective management of perioperative pain even in the most challenging situations. It provides readers with an understanding of the physiology, pharmacology and psychology of acute pain together with guidelines for best practice. Examples of assessment documentation and guidelines for specific patient sub-groups are reproduced throughout the text.

Cohen's Comprehensive Thoracic Anesthesia, E-Book

Author : Edmond Cohen
Publisher : Elsevier Health Sciences
ISBN 13 : 0323720919
Total Pages : 851 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Cohen's Comprehensive Thoracic Anesthesia, E-Book by : Edmond Cohen

Download or read book Cohen's Comprehensive Thoracic Anesthesia, E-Book written by Edmond Cohen and published by Elsevier Health Sciences. This book was released on 2021-09-03 with total page 851 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ideal for clinicians at all levels of experience—from the resident to the subspecialist—Cohen's Comprehensive Thoracic Anesthesia compiles the many recent advances in thoracic anesthesiology into one convenient, easy-to-use reference. Concise, clinically focused chapters written by international authorities in the field cover all facets of anesthesia practice for thoracic procedures, logically organized by preoperative, intraoperative, and postoperative considerations. - Discusses new devices for lung isolation, new lung protection protocols, new information on post-operative complications, and new drugs for modulating pulmonary circulation. - Covers 20 key procedures including tracheal resection, esophagectomy, mediastinoscopy, mediastinal mass, SVC syndrome, and more. - Describes complex surgeries related to the lungs, pleura, diaphragm, and esophagus. - Provides case studies and clinical vignettes to illustrate and support case management decisions. - Offers highly practical guidance for quick reference from editor Dr. Edmond Cohen and a team of expert contributing authors from around the world. - Features extensive illustrations throughout, including clinical photos and drawings, radiographic images, device images, charts, and graphs.

Essential Clinical Anesthesia

Author : Charles Vacanti
Publisher : Cambridge University Press
ISBN 13 : 1139498401
Total Pages : 1191 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Essential Clinical Anesthesia by : Charles Vacanti

Download or read book Essential Clinical Anesthesia written by Charles Vacanti and published by Cambridge University Press. This book was released on 2011-07-11 with total page 1191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

Ultrasound Guided Regional Anesthesia and Pain Medicine

Author : Paul E. Bigeleisen
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451148046
Total Pages : 318 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Ultrasound Guided Regional Anesthesia and Pain Medicine by : Paul E. Bigeleisen

Download or read book Ultrasound Guided Regional Anesthesia and Pain Medicine written by Paul E. Bigeleisen and published by Lippincott Williams & Wilkins. This book was released on 2012-02-03 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: This full-color text/atlas describes all of the nerve blocks for which ultrasound guidance has proved efficacious, including upper and lower limb blocks. The chapter organization is similar to Chelly's Peripheral Nerve Blocks book: each block is described by concise text covering the indications for use, necessary equipment, anatomic landmarks, approach, and technique. The blocks are richly illustrated by ultrasound stills and relevant anatomy. A companion Website will have video modules on 1. principles of sonography, including how to turn on the machine, set up the transducers, move the transducers, change the contrast, depth, frequency and dynamic range compression settings, how to use color Doppler flow imaging and align the needle with the beam and 2. ultrasound-guided blocks of the interscalene, supraclavicular, infraclavicular, axillary, femoral, subgluteal, popliteal, and caudal regions.

Anesthesia for Spine Surgery

Author : Ehab Farag
Publisher : Cambridge University Press
ISBN 13 : 1107005310
Total Pages : 477 pages
Book Rating : 4.1/5 (7 download)

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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.

Clinical Calculations - E-Book

Author : Joyce LeFever Kee
Publisher : Elsevier Health Sciences
ISBN 13 : 0323674224
Total Pages : 4094 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Clinical Calculations - E-Book by : Joyce LeFever Kee

Download or read book Clinical Calculations - E-Book written by Joyce LeFever Kee and published by Elsevier Health Sciences. This book was released on 2020-06-12 with total page 4094 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW! Updated information on Antidiabetic Agents (orals and injectables) has been added throughout the text where appropriate. NEW! Updated content on Anticoagulant Agents is housed in an all-new chapter. NEW! Colorized abbreviations for the four methods of calculation (BF, RP, FE, and DA) appear in the Example Problems sections. NEW! Updated content and patient safety guidelines throughout the text reflects the latest practices and procedures. NEW! Updated practice problems across the text incorporate the latest drugs and dosages.

Bonica's Management of Pain

Author : Scott M. Fishman
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451161409
Total Pages : 1698 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Bonica's Management of Pain by : Scott M. Fishman

Download or read book Bonica's Management of Pain written by Scott M. Fishman and published by Lippincott Williams & Wilkins. This book was released on 2012-03-29 with total page 1698 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its Fourth Edition, with a brand-new editorial team, Bonica's Management of Pain will be the leading textbook and clinical reference in the field of pain medicine. An international group of the foremost experts provides comprehensive, current, clinically oriented coverage of the entire field. The contributors describe contemporary clinical practice and summarize the evidence that guides clinical practice. Major sections cover basic considerations; economic, political, legal, and ethical considerations; evaluation of the patient with pain; specific painful conditions; methods for symptomatic control; and provision of pain treatment in a variety of clinical settings.

Essentials of Anesthesia for Infants and Neonates

Author : Mary Ellen McCann
Publisher : Cambridge University Press
ISBN 13 : 1107069777
Total Pages : 465 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Essentials of Anesthesia for Infants and Neonates by : Mary Ellen McCann

Download or read book Essentials of Anesthesia for Infants and Neonates written by Mary Ellen McCann and published by Cambridge University Press. This book was released on 2018-02-22 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.

Complications of Regional Anesthesia

Author : Brendan T. Finucane
Publisher : Springer
ISBN 13 : 3319493868
Total Pages : 494 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Complications of Regional Anesthesia by : Brendan T. Finucane

Download or read book Complications of Regional Anesthesia written by Brendan T. Finucane and published by Springer. This book was released on 2017-05-03 with total page 494 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reflecting the rapid growth of pain medicine and of ultrasound as a tool, this Third Edition is more comprehensive and inclusive than previous editions and features additional pages, tables, diagrams, and color illustrations. In addition to the discipline of Anesthesiology, other specialists, who use local and regional anesthesia techniques, (surgeons, ophthalmologists, emergency medicine physicians and dentists), have also contributed to this edition of the book. Complications of Regional Anesthesia, with its newly added subtitle, Principles of Safe Practice in Local and Regional Anesthesia, stresses the relatively new emphasis and importance on safety and prevention and broadens the discussion to include the practice and administration of not just regional but also local anesthesia. Each chapter has been thoroughly revised, brought up-to-date, and features full color images. Individual chapters cover complications associated with specific nerve blocks; IV and catheter methods; obstetric regional anesthesia; pediatric regional anesthesia; ophthalmic regional anesthesia; and treatment of acute and chronic pain.

Decision-Making in Orthopedic and Regional Anesthesiology

Author : Michael R. Anderson
Publisher : Cambridge University Press
ISBN 13 : 1107093546
Total Pages : 209 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Decision-Making in Orthopedic and Regional Anesthesiology by : Michael R. Anderson

Download or read book Decision-Making in Orthopedic and Regional Anesthesiology written by Michael R. Anderson and published by Cambridge University Press. This book was released on 2015-09-17 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: In light of evolving techniques and strategies for increasingly complex orthopedic procedures, this accessible guide to patient management outlines the considerations involved in selecting the most suitable anesthetic for both common and complex clinical scenarios. Chapters cover a multitude of clinical presentations and procedures, ranging from orthopedic trauma to total joint replacement, outpatient hand procedures and regional anesthetic placement in patients with pre-existing conditions. Each chapter discusses and evaluates multiple approaches, accompanied by a review of the current literature. Abundant case scenarios of patients undergoing orthopedic surgical or regional anesthesia provide a handy framework for specialists and consultants, as well as an invaluable guide for trainees in anesthesia, regional anesthesia and emergency medicine.

Treatment of Chronic Pain by Interventional Approaches

Author : Timothy R. Deer
Publisher : Springer
ISBN 13 : 1493918249
Total Pages : 554 pages
Book Rating : 4.4/5 (939 download)

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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

A Practical Approach to Regional Anesthesia

Author : Christopher M. Bernards
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781768542
Total Pages : 372 pages
Book Rating : 4.7/5 (685 download)

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Book Synopsis A Practical Approach to Regional Anesthesia by : Christopher M. Bernards

Download or read book A Practical Approach to Regional Anesthesia written by Christopher M. Bernards and published by Lippincott Williams & Wilkins. This book was released on 2009 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely updated and now in full color throughout with many new illustrations, the Fourth Edition of this practical manual is a step-by-step guide to performing regional anesthesia procedures. This edition's improved and expanded program of illustrations includes detailed full-color anatomical drawings and clinical photographs correlated to drawings of needle placements. The state-of-the-art coverage includes the latest advances in ultrasound-guided procedures and continuous catheterization. A consistent outline format throughout this edition makes the text accessible and easy to use. Chapters cover all areas of regional anesthesia, including peripheral, central, obstetric, pediatric, ophthalmic, head and face, ambulatory anesthesia, and postoperative pain management.