Local and Regional Anesthesia最新文献_第9页

Successful Dental Treatments Using Procaine Hydrochloride in a Patient Afraid of Local Anesthesia but Consenting for Allergic Testing with Lidocaine: A Case Report. 普鲁卡因成功治疗害怕局麻但同意利多卡因过敏试验的患者一例。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-08-20 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S268498

Terumi Ayuse, Shinji Kurata, Takao Ayuse

{"title":"Successful Dental Treatments Using Procaine Hydrochloride in a Patient Afraid of Local Anesthesia but Consenting for Allergic Testing with Lidocaine: A Case Report.","authors":"Terumi Ayuse, Shinji Kurata, Takao Ayuse","doi":"10.2147/LRA.S268498","DOIUrl":"https://doi.org/10.2147/LRA.S268498","url":null,"abstract":"Background: We report a case in which effective dental anesthetic management was achieved using procaine hydrochloride for a patient who had an unknown history of allergic reactions to lidocaine.Case presentation: Because the patient refused to undergo screening tests using any of the amide-type local anesthetics because of her extreme fear against local anesthetics that she had been administered previously, procaine hydrochloride, which is an ester-form local anesthetic, was the only agent to be tested on this patient at the department of dermatology. Consequent to a negative allergy test, we performed complete dental treatment using procaine hydrochloride after additional chairside drug challenge tests using minimum test dose under vital sign monitoring.Conclusion: The success of dental treatment using procaine hydrochloride may have relieved the patient's fear of local anesthesia. We discuss an important aspect of treatment planning for patients with a history of complications during local anesthesia.","PeriodicalId":18203,"journal":{"name":"Local and Regional Anesthesia","volume":"13 ","pages":"99-103"},"PeriodicalIF":2.9,"publicationDate":"2020-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/a6/lra-13-99.PMC7445954.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38358487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Postoperative "Rescue" Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases. 腰椎融合术后“抢救”使用竖脊肌平面块2例报告。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-08-13 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S268973

Daniel N Kianpour, Joseph T Gundy, Jacob W Nadler, Danielle M Lindenmuth

{"title":"Postoperative \"Rescue\" Use of Erector Spinae Plane Block After Lumbar Spine Fusion: A Report of 2 Cases.","authors":"Daniel N Kianpour, Joseph T Gundy, Jacob W Nadler, Danielle M Lindenmuth","doi":"10.2147/LRA.S268973","DOIUrl":"https://doi.org/10.2147/LRA.S268973","url":null,"abstract":"Pain after lumbar spine fusion surgery is often difficult to control in the immediate postoperative period. Historically, opioids have been the mainstay of treatment, but are associated with many unwanted side effects as well as increased hospital length of stay. The ultrasound-guided erector spinae plane block (ESP) is a relatively safe and simple regional option for the management of acute postoperative pain after spine surgery without the technical difficulty or complications noted with paravertebral injection (eg, pneumothorax, hematoma). To date, there have been reports of preoperative placement of ESP block prior to spine surgery with some success. We present a report of two cases that highlight the efficacy of the ESP block as an early postoperative \"rescue\" regional anesthetic technique in lumbar spine surgery. These cases demonstrate the potential effectiveness of a \"rescue\" use of the ESP block in patients having uncontrolled or poorly controlled pain in the early postoperative period with no evidence of significant side effects.","PeriodicalId":18203,"journal":{"name":"Local and Regional Anesthesia","volume":"13 ","pages":"95-98"},"PeriodicalIF":2.9,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/LRA.S268973","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38440257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Establishing a Technique for Pectoral II-Block Catheter Insertion with Ultrasound Guidance: A Randomized Controlled Trial. 超声引导下建立胸二段导管置入技术:一项随机对照试验。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-08-11 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S262138

Mohamed A Mansour, Ahmed Z Fouad, Sarah M Amin, Nasser M Dobal

{"title":"Establishing a Technique for Pectoral II-Block Catheter Insertion with Ultrasound Guidance: A Randomized Controlled Trial.","authors":"Mohamed A Mansour, Ahmed Z Fouad, Sarah M Amin, Nasser M Dobal","doi":"10.2147/LRA.S262138","DOIUrl":"https://doi.org/10.2147/LRA.S262138","url":null,"abstract":"Purpose: To assess the efficacy and safety of a modified technique for ultrasound-guided pectoral II block for postoperative pain control after mastectomy.Methods: In this randomized controlled trial, patients were randomly allocated into two groups (40 patients each). Group I patients were subjected to ultrasound-guided pectoral II block with injection of 10 mL lidocaine 1% as a dissecting solution before attempting catheter insertion, while group II patients underwent the standard procedure without a dissecting solution. Measured outcomes included catheter visibility, pain, patient satisfaction, performance time, and complications.Results: Compared with group II, group I had significantly lower median catheter-visibility scores, shorter block performance time, and fewer insertion attempts. Group I had a nonsignificantly higher rate of complications than group II.Conclusion: The modified technique facilitated the procedure, shortened the catheter-insertion time, and showed higher patient satisfaction. However, it was associated with lower catheter visibility on ultrasonography. Further studies are required to confirm the present findings and assess the safety of the modified technique.","PeriodicalId":18203,"journal":{"name":"Local and Regional Anesthesia","volume":"13 ","pages":"85-93"},"PeriodicalIF":2.9,"publicationDate":"2020-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/LRA.S262138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38311656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Emergence Agitation and Delirium: Considerations for Epidemiology and Routine Monitoring in Pediatric Patients. 出现躁动和谵妄:对儿科患者流行病学和常规监测的考虑。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-07-27 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S181459

Carrie Menser, Heidi Smith

{"title":"Emergence Agitation and Delirium: Considerations for Epidemiology and Routine Monitoring in Pediatric Patients.","authors":"Carrie Menser, Heidi Smith","doi":"10.2147/LRA.S181459","DOIUrl":"https://doi.org/10.2147/LRA.S181459","url":null,"abstract":"Emergence from anesthesia can be associated with a wide spectrum of cognitive and behavioral dysregulation in children, including delirium or acute brain dysfunction. This period of neurobehavioral recovery can be further confounded by pain, anxiety, and fear. The implementation of monitoring for level of consciousness, pain, and delirium using valid pediatric tools is necessary to avoid misdiagnosis due to overlapping symptomatology and support appropriate management. Understanding the epidemiology of delirium in the postoperative setting will require consistent use of accurate terminology in the medical literature. The current interchangeable use of the terms \"emergence agitation\" and \"emergence delirium\" needs to be highlighted and awareness of differences in patient conditions and assessment tools is essential. We discuss epidemiology of emergence agitation and delirium in the pediatric population, and the challenges for future delineation of monitoring and management. Furthermore, we describe the possible impact of long-term consequences of emergence delirium among infants and children, and the necessary areas of future research.","PeriodicalId":18203,"journal":{"name":"Local and Regional Anesthesia","volume":"13 ","pages":"73-83"},"PeriodicalIF":2.9,"publicationDate":"2020-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/LRA.S181459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38269013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 24

Anesthesia Options and the Recurrence of Cancer: What We Know so Far? 麻醉选择和癌症复发:我们目前知道什么?

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-07-07 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S240567

Juan P Cata, Carlos Guerra, German Soto, Maria F Ramirez

引用次数: 11

Relief of Secondary Headaches with High Thoracic Erector Spinae Plane Block. 高胸直肌脊柱平面阻滞治疗继发性头痛。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-06-22 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S249250

Nadia Hernandez, Grace Guvernator, George Ansoanuur, Michelle Ge, Precious Tabansi, Thanh-Thuy Le, Salameh S Obeidat, Johanna de Haan

{"title":"Relief of Secondary Headaches with High Thoracic Erector Spinae Plane Block.","authors":"Nadia Hernandez, Grace Guvernator, George Ansoanuur, Michelle Ge, Precious Tabansi, Thanh-Thuy Le, Salameh S Obeidat, Johanna de Haan","doi":"10.2147/LRA.S249250","DOIUrl":"https://doi.org/10.2147/LRA.S249250","url":null,"abstract":"Intractable headaches can be debilitating, often leading to significant distress, prolonged medical treatment, and unanticipated hospital admissions. There have been significant advances in the treatment of primary intractable headaches such as migraines, tension headaches, and cluster headaches beyond medical management. Treatments may now include interventional strategies such as trigger-point injections, peripheral nerve stimulators, or peripheral nerve and ganglion blocks. There are few studies, however, describing the use of interventional techniques for the management of intractable secondary headaches, including those attributed to injury or infection. A new regional anesthetic technique, the erector spinae plane (ESP) block, was initially used for neuropathic thoracic pain. ESP block has since been reported to provide acute and chronic pain relief of the shoulder, spine, abdomen, pelvis, thorax, and lower extremity. Additionally, there has been one case report to describe the use of the ESP block in the treatment of refractory tension headache. We report four cases of effective analgesia for intractable secondary headache resistant to medical management with high thoracic ESP blocks. In each case, the ESP block provided instant pain relief. We suggest that the findings of this case series indicate that the ESP block may be a useful intervention in patients with severe secondary headache or posterior cervical pain where conventional therapies have limited success, though more studies are necessary.","PeriodicalId":18203,"journal":{"name":"Local and Regional Anesthesia","volume":"13 ","pages":"49-55"},"PeriodicalIF":2.9,"publicationDate":"2020-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/LRA.S249250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38103365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report [Response to Letter]. 超声引导下臂丛神经阻滞后延迟神经恢复1例报告[回复来信]。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-06-15 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S266326

Ninadini Shrestha, Bipin Karki, Megha Koirala, Santosh Acharya, Pramesh Sunder Shrestha, Subhash Prasad Acharya

引用次数: 0

Control of Spinal Anesthesia-Induced Hypotension in Adults. 成人脊髓麻醉所致低血压的控制。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-06-03 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S240753

Fabrice Ferré, Charlotte Martin, Laetitia Bosch, Matt Kurrek, Olivier Lairez, Vincent Minville

{"title":"Control of Spinal Anesthesia-Induced Hypotension in Adults.","authors":"Fabrice Ferré, Charlotte Martin, Laetitia Bosch, Matt Kurrek, Olivier Lairez, Vincent Minville","doi":"10.2147/LRA.S240753","DOIUrl":"https://doi.org/10.2147/LRA.S240753","url":null,"abstract":"Spinal anesthesia-induced hypotension (SAIH) occurs frequently, particularly in the elderly and in patients undergoing caesarean section. SAIH is caused by arterial and venous vasodilatation resulting from the sympathetic block along with a paradoxical activation of cardioinhibitory receptors. Bradycardia after spinal anesthesia (SA) must always be treated as a warning sign of an important hemodynamic compromise. Fluid preloading (before initiation of the SA) with colloids such as hydroxyethyl starch (HES) effectively reduces the incidence and severity of arterial hypotension, whereas crystalloid preloading is not indicated. Co-loading with crystalloid or colloid is as equally effective to HES preloading, provided that the speed of administration is adequate (ie, bolus over 5 to 10 minutes). Ephedrine has traditionally been considered the vasoconstrictor of choice, especially for use during SAIH associated with bradycardia. Phenylephrine, a α1 adrenergic receptor agonist, is increasingly used to treat SAIH and its prophylactic administration (ie, immediately after intrathecal injection of local anesthetics) has been shown to decrease the incidence of arterial hypotension. The role of norepinephrine as a possible alternative to phenylephrine seems promising. Other drugs, such as serotonin receptor antagonists (ondansetron), have been shown to limit the blood pressure drop after SA by inhibiting the Bezold-Jarisch reflex (BJR), but further studies are needed before their widespread use can be recommended.","PeriodicalId":18203,"journal":{"name":"Local and Regional Anesthesia","volume":"13 ","pages":"39-46"},"PeriodicalIF":2.9,"publicationDate":"2020-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/LRA.S240753","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38083618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 34

Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report [Letter]. 超声引导下臂丛神经阻滞后延迟神经恢复1例报告。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-06-02 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S260021

Chanchal Mangla, Joel Yarmush

引用次数: 0

Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report. Ultrasound-Guided臂丛神经阻滞后延迟神经恢复1例报告。

IF 2.9

Local and Regional Anesthesia Pub Date : 2020-04-23 eCollection Date: 2020-01-01 DOI: 10.2147/LRA.S250989

Ninadini Shrestha, Bipin Karki, Megha Koirala, Santosh Acharya, Pramesh Sunder Shrestha, Subhash Prasad Acharya

{"title":"Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report.","authors":"Ninadini Shrestha, Bipin Karki, Megha Koirala, Santosh Acharya, Pramesh Sunder Shrestha, Subhash Prasad Acharya","doi":"10.2147/LRA.S250989","DOIUrl":"https://doi.org/10.2147/LRA.S250989","url":null,"abstract":"Introduction: Brachial plexus blocks are frequently practiced and safe mode of anaesthsia. Although minor complications may occur, major complications are a rarity. However, we report a rare case of prolonged supraclavicular brachial plexus block which required almost 4 months to recover without a perceivable cause.Case presentation: A 22-year-old gentleman posted for open reduction and internal fixation of both forearm bones was administered an ultrasound-guided supraclavicular brachial plexus block. The intra-operative period was uneventful. However, the block persisted for a very prolonged period of time. All perceivable causes were ruled out. A total of 19 weeks was required for the entire block to regress with no residual neurological deficits thereafter.Conclusion: Although peripheral neuropathies are known complications of peripheral nerve blocks, such a prolonged brachial plexus block is a rare event. The only plausible cause for the patient's condition could have been the prolonged drug effect; however, it has been rarely documented.","PeriodicalId":18203,"journal":{"name":"Local and Regional Anesthesia","volume":"13 ","pages":"33-35"},"PeriodicalIF":2.9,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/LRA.S250989","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37952320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2