Yan H Lai, Malikah Latmore, Sarah S Joo, Janet Hong
{"title":"Regional anesthesia for the geriatric patient: a narrative review and update on hip fracture repair.","authors":"Yan H Lai, Malikah Latmore, Sarah S Joo, Janet Hong","doi":"10.1097/AIA.0000000000000422","DOIUrl":"10.1097/AIA.0000000000000422","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":" ","pages":"79-85"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89719980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical education in regional anesthesia: current status and future directions","authors":"Christopher O. Fadumiye, Jinlei Li","doi":"10.1097/AIA.0000000000000425","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000425","url":null,"abstract":"Regional anesthesia use has expanded into nearly every surgical specialty and most anesthesia clinical practices, with demonstrated bene fi ts in better acute pain control, fewer perioperative complications, improved recovery outcomes, less resource utilization, 1","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"26 12","pages":"86 - 93"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regional anesthesia and POCUS in the intensive care unit","authors":"Marissa M Weber, David Rubin, Jaime L. Baratta","doi":"10.1097/AIA.0000000000000419","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000419","url":null,"abstract":"The management of pain in the critical care setting can be challenging and complex due to patient comorbidities and the reduced capacity of critically ill patients to communicate their pain severity. A majority of patients in the intensive care unit (ICU) report moderate to severe pain, inadequate pain control, and negative memories of their ICU stay secondary to pain. 1 – 3 However, untreated pain can not only be a very stressful and unpleasant experience for the patient, but it may also result in deleterious physiological effects, increased morbidity and mortality, and increased hospital costs. Regional anesthesia (RA) and multimodal analgesia are key components for successful pain management in the ICU, as opioids may worsen the cardiac and pulmonary status of the already critically ill patient. In addition, point-of-care ultrasound (POCUS) is a valuable and inexpensive diagnostic tool that can be used at the bedside or during critical situations in the ICU to quickly diagnose and treat acute changes in a patient ’ s status. The utility of ultrasound and RA has grown and continues to grow exponentially over the last decade.","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"87 4","pages":"35 - 42"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regional anesthesia in cardiac surgery and electrophysiology procedures","authors":"Aaron Ocker, Haitem Muafa, Jaime L. Baratta","doi":"10.1097/AIA.0000000000000423","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000423","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"13 1","pages":"21 - 27"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138589945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rutuja Sikachi, Lori-Ann Oliver, Jodi-Ann Oliver, Poonam Pai B.H.
{"title":"Perioperative pain management for spine surgeries","authors":"Rutuja Sikachi, Lori-Ann Oliver, Jodi-Ann Oliver, Poonam Pai B.H.","doi":"10.1097/AIA.0000000000000427","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000427","url":null,"abstract":"Elective spine surgeries are performed when conservative measures fail to adequately address back pain due to osteoarthritis or congenital deformities affecting quality of life adversely. With a growing aging population, the volume of thoracolumbar spine surgeries, such as anterior fusions, are expected to increase from 46,903 to 55,528, and posterior fusion surgeries are expected to increase from 248,416 to 297,994 from 2020 to 2040, indicating an eminent substantial burden on the health care systems. 1 Unfortunately, up to 57% of patients undergoing elective major spine surgeries experience poor pain control after surgery. 2 Perioperative pain management can be challenging not just due to the nature of the surgery but also due to some unique features in patients presenting for these surgeries, like preexisting chronic pain, adolescence, or advanced age. Poorly controlled pain is associated with increased opioid consumption, delayed rehabilitation, increased hospital length of stay (LOS), and increased rates of complications. 3 Inadequate analgesia is also associated with the development of chronic pain and a signi fi cant systemic in fl ammatory response, leading to a reduction in overall quality of life. 4 The fi eld of spine surgery has made enormous strides over the past 100 years, which has led to improved surgical outcomes and reduced patient morbidity. With safer and more ef fi cient techniques, some spinal surgeries are now possible as ambulatory procedures. 5 This has led to growing interest in the role of regional anesthesia as an alternative as well as a supplement to traditional general anesthesia (GA) for spine surgeries. In","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"83 22","pages":"28 - 34"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Bapodra, Kimberly Moy, Daniel Nekola, Gary S. Schwartz
{"title":"Neuraxial analgesia, nerve blocks, and special considerations for the parturient","authors":"A. Bapodra, Kimberly Moy, Daniel Nekola, Gary S. Schwartz","doi":"10.1097/AIA.0000000000000428","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000428","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"23 20","pages":"62 - 68"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138589511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Enrico M. Scarpelli, Chang H. Park, Christina L. Jeng
{"title":"Regional anesthesia and anticoagulation: a narrative review of current considerations","authors":"Enrico M. Scarpelli, Chang H. Park, Christina L. Jeng","doi":"10.1097/AIA.0000000000000420","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000420","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"46 11","pages":"1 - 9"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maxim Pochebyt, Steven M. Herron, Stephanie J. Pan, Mark Burbridge, A. Bombardieri
{"title":"Regional anesthesia for head and neck neurosurgical procedures: a narrative review in adult and pediatric patients","authors":"Maxim Pochebyt, Steven M. Herron, Stephanie J. Pan, Mark Burbridge, A. Bombardieri","doi":"10.1097/AIA.0000000000000424","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000424","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"46 44","pages":"10 - 20"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138588458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth A. Scholzen, John B. Silva, Kristopher M. Schroeder
{"title":"Unique considerations in regional anesthesia for emergency department and non-or procedures","authors":"Elizabeth A. Scholzen, John B. Silva, Kristopher M. Schroeder","doi":"10.1097/AIA.0000000000000426","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000426","url":null,"abstract":"The only interface that many patients have with medical systems often occurs in the emergency department (ED) setting. It is in these front-line arenas that patients present with uncontrolled pain from a variety of sources, including trauma or pre-existing medical conditions. Intervening on behalf of patients in this setting has the potential to decrease hospital admissions, decrease the overall opioid load in the community, and unburden over-whelmed ED systems. There are a variety of conditions for which the application of regional anesthesia in this environment may be bene fi cial. Further, patients in the ED setting may bene fi t from the creation of collaborative analgesic efforts with anesthesiologist colleagues to ensure that regional anesthesia is consistently performed in a safe and ef fi cacious manner that is consistent with contemporary ASA and ASRA Pain Medicine guidelines. 1,2 In addition, emergency medicine residency training has grown to include regional ultrasound training. Ultrasound-guided regional anesthesia is now viewed as a valuable skill among emergency medicine residency programs, but few have established formal credentialling pathways. 3 There are a variety of potential concerns associated with regional anesthesia in the ED that may be related to either training, patient follow-up, or complication management. However, these likely represent obstacles that can be thoughtfully overcome in most settings to not preclude regional anesthesia offerings to patients in need. Similarly, while efforts to extend the bene fi ts of regional anesthesia to patients in the perioperative setting have been greatly successful, there remain signi fi cant patient cohorts who experience pain in the setting of nonoperating room anesthesia (NORA) encounters that might also bene fi t from a reappraisal of analgesic strategies. NORA represents an increasing share of anesthetizing locations and is projected to represent greater than 50% of all cases in the next decade. 4,5 These cases can be incredibly diverse in scope and can involve collaborations with specialists within psychiatry, gastroenterology, cardiology, interventional","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"82 16","pages":"43 - 53"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}