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Regional Anesthesia and Pain Medicine最新文献

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Simple strategy to minimize the risk of pneumothorax in thoracic paravertebral block. 降低胸椎旁阻滞患者气胸风险的简单策略。
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-15 DOI: 10.1136/rapm-2025-106711
Keisuke Yoshida, Shiori Tanaka, Yuya Itakura, Shuto Yoshizawa, Satoki Inoue
{"title":"Simple strategy to minimize the risk of pneumothorax in thoracic paravertebral block.","authors":"Keisuke Yoshida, Shiori Tanaka, Yuya Itakura, Shuto Yoshizawa, Satoki Inoue","doi":"10.1136/rapm-2025-106711","DOIUrl":"https://doi.org/10.1136/rapm-2025-106711","url":null,"abstract":"","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharmacokinetics of ropivacaine with minimal effective dose with minimally effective TAP block! 最小有效剂量与最小有效TAP阻断的罗哌卡因药代动力学研究！
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-14 DOI: 10.1136/rapm-2025-106765
Heitor Jose Silva Medeiros, A Sassan Sabouri
{"title":"Pharmacokinetics of ropivacaine with minimal effective dose with minimally effective TAP block!","authors":"Heitor Jose Silva Medeiros, A Sassan Sabouri","doi":"10.1136/rapm-2025-106765","DOIUrl":"https://doi.org/10.1136/rapm-2025-106765","url":null,"abstract":"","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paravertebral analgesia versus wound infiltration in children recovering from cardiac surgery: a randomized controlled trial. 脊柱旁镇痛对心脏手术恢复期儿童伤口浸润：一项随机对照试验。
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-14 DOI: 10.1136/rapm-2025-106506
Jingfei Guo, Yuan Jia, Lijuan Tian, Wenying Kang, Yanyan Zhao, Su Yuan, Daniel I Sessler
{"title":"Paravertebral analgesia versus wound infiltration in children recovering from cardiac surgery: a randomized controlled trial.","authors":"Jingfei Guo, Yuan Jia, Lijuan Tian, Wenying Kang, Yanyan Zhao, Su Yuan, Daniel I Sessler","doi":"10.1136/rapm-2025-106506","DOIUrl":"https://doi.org/10.1136/rapm-2025-106506","url":null,"abstract":"<p><strong>Introduction: </strong>Optimal analgesia for thoracotomies remains unclear. Paravertebral blocks are more complex than local anesthetic infiltration but may be more effective. We therefore tested the hypothesis that paravertebral blocks provide better postoperative analgesia than local anesthetic infiltration in children recovering from cardiac surgery thoracotomies.</p><p><strong>Methods: </strong>This was a single-center randomized double-blind trial. We recruited children aged 6-14 years with atrial or ventricular septal defects scheduled for cardiac surgery with cardiopulmonary bypass via thoracotomy were recruited. 100 patients were enrolled and randomized to either postoperative paravertebral blocks (n=50) or local anesthetic wound infiltration (n=50). We recorded opioid consumption during the initial 24 hours after surgery, along with pain scores at 6 hour intervals. Complications including postoperative nausea and vomiting and respiratory failure were also recorded.</p><p><strong>Results: </strong>100 patients (mean 7 years, 43% male) were included in the analysis. The only postoperative opioid used was sufentanil. Total sufentanil consumption in the first 24 hours postsurgery was 0.3±0.4 µg/kg for those receiving paravertebral blocks, significantly lower than the 0.6±0.5 µg/kg for wound infiltration (p=0.002). Faces Pain Scale-Revised pain scores were consistently lower in the paravertebral block group across all measured time points (6, 12, 18, and 24 hours), with the most pronounced difference observed at 6 hours postoperatively (1.7±2.2 vs 3.3±2.2; p<0.001). Postoperative mechanical ventilation time, ICU stay, hospitalization, and incidence of postoperative nausea and vomiting were comparable.</p><p><strong>Conclusion: </strong>Paravertebral blocks reduced opioid consumption and pain during the first postoperative day in pediatric cardiac thoracotomies but did not accelerate recovery.</p>","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ropivacaine's TAP dance: minimal dose, maximum insight. 罗哌卡因的踢踏舞：最小剂量，最大洞察力。
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-14 DOI: 10.1136/rapm-2025-106795
Romain Rozier, Axel Maurice-Szamburski
{"title":"Ropivacaine's TAP dance: minimal dose, maximum insight.","authors":"Romain Rozier, Axel Maurice-Szamburski","doi":"10.1136/rapm-2025-106795","DOIUrl":"https://doi.org/10.1136/rapm-2025-106795","url":null,"abstract":"","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current state of anesthesiology experience with buprenorphine for pain management: results of a nationwide survey. 丁丙诺啡用于疼痛管理的麻醉学经验现状：一项全国性调查的结果。
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-13 DOI: 10.1136/rapm-2025-106692
Ryan Hopkins, R Ross MacLean, Brian Pittman, Andres Missair, Robert R Gaiser, Albert C Perrino, Thomas R Hickey
{"title":"Current state of anesthesiology experience with buprenorphine for pain management: results of a nationwide survey.","authors":"Ryan Hopkins, R Ross MacLean, Brian Pittman, Andres Missair, Robert R Gaiser, Albert C Perrino, Thomas R Hickey","doi":"10.1136/rapm-2025-106692","DOIUrl":"https://doi.org/10.1136/rapm-2025-106692","url":null,"abstract":"","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incidence of chronic postsurgical pain after cardiac surgery and the effect of bilateral erector spinae plane block: a randomized controlled trial. 心脏手术后慢性疼痛的发生率和双侧竖脊肌平面阻滞的影响：一项随机对照试验。
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-07 DOI: 10.1136/rapm-2025-106591
Burhan Dost, Elif Sarıkaya Ozel, Cengiz Kaya, Esra Turunc, Deniz Karakaya, Mustafa Kemal Demirag, Sezgin Bilgin, Alessandro De Cassai, Hesham Elsharkawy
{"title":"Incidence of chronic postsurgical pain after cardiac surgery and the effect of bilateral erector spinae plane block: a randomized controlled trial.","authors":"Burhan Dost, Elif Sarıkaya Ozel, Cengiz Kaya, Esra Turunc, Deniz Karakaya, Mustafa Kemal Demirag, Sezgin Bilgin, Alessandro De Cassai, Hesham Elsharkawy","doi":"10.1136/rapm-2025-106591","DOIUrl":"https://doi.org/10.1136/rapm-2025-106591","url":null,"abstract":"<p><strong>Background: </strong>The effects of the erector spinae plane (ESP) block on chronic postsurgical pain (CPSP) after cardiac surgery remain unclear. This study evaluated the efficacy of bilateral ESP block in reducing the incidence and severity of CPSP after cardiac surgery.</p><p><strong>Methods: </strong>This prospective, randomized, controlled, single-blind trial included 63 patients aged 18-80 years with American Society of Anesthesiologists physical status II-III, scheduled for elective cardiac surgery via median sternotomy. Participants received a bilateral ultrasound-guided ESP block or standard care without regional anesthesia. The primary outcome was the Brief Pain Inventory (BPI) score at 3 months postoperatively. Secondary outcomes included morphine consumption in the first 24 hours; Numerical Rating Scale (NRS) scores during rest/activity at 0, 3, 6, 12, and 24 hours; BPI scores at 6 months postoperatively; and Douleur Neuropathique 4 (DN4) and Hospital Anxiety and Depression Scale (HADS) scores at 3 and 6 months postoperatively.</p><p><strong>Results: </strong>The BPI scores of the two groups did not differ significantly at 3 months postoperatively (median (IQR): 0(26) vs 12 (31), p=0.166). However, 24 hours postoperative morphine consumption (8 mg vs 10.5 mg, p<0.001) and NRS scores at multiple time points were significantly lower in the ESP block group. No significant differences were observed between the groups in terms of the BPI, DN4, or HADS scores at three or 6 months.</p><p><strong>Conclusions: </strong>The ESP block effectively reduced acute pain and opioid consumption; however, it had no significant effect on the incidence or severity of CPSP at 3 and 6 months.</p>","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pericapsular nerve group (PENG) block: what have we learned in the last 5 years? 帽周神经组（PENG）阻滞：过去 5 年我们学到了什么？
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-06 DOI: 10.1136/rapm-2024-105427
Laura Girón-Arango, Philip Peng
{"title":"Pericapsular nerve group (PENG) block: what have we learned in the last 5 years?","authors":"Laura Girón-Arango, Philip Peng","doi":"10.1136/rapm-2024-105427","DOIUrl":"10.1136/rapm-2024-105427","url":null,"abstract":"<p><p>This educational article discusses the current understanding of the pericaspular nerve group block (PENG) of the hip regarding its mechanism of action and spread patterns, as well as plausible explanations for postblock quadriceps weakness. Finally, we will discuss the recent evidence of PENG block as an analgesic block in hip fractures and in different hip surgeries.</p>","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":"402-409"},"PeriodicalIF":5.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pulsed radiofrequency treatment of the Gasserian ganglion for trigeminal neuralgia: a retrospective study (PROGRESS). 脉冲射频治疗三叉神经痛的Gasserian神经节：回顾性研究（进展）。
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-06 DOI: 10.1136/rapm-2022-104310
Jan Van Zundert, Matthias Vanderdonckt, Klaas Buyse, Roel Mestrum, Dieter Mesotten, Koen Van Boxem
{"title":"Pulsed radiofrequency treatment of the Gasserian ganglion for trigeminal neuralgia: a retrospective study (PROGRESS).","authors":"Jan Van Zundert, Matthias Vanderdonckt, Klaas Buyse, Roel Mestrum, Dieter Mesotten, Koen Van Boxem","doi":"10.1136/rapm-2022-104310","DOIUrl":"10.1136/rapm-2022-104310","url":null,"abstract":"","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":"449-451"},"PeriodicalIF":5.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alpha-2 antagonists should be developed as xylazine antidotes in humans. 应开发α-2拮抗剂作为人类的甲苯噻嗪解毒剂。
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-06 DOI: 10.1136/rapm-2024-105471
William Oles, Janet O Adeola, Alexander B Stone
{"title":"Alpha-2 antagonists should be developed as xylazine antidotes in humans.","authors":"William Oles, Janet O Adeola, Alexander B Stone","doi":"10.1136/rapm-2024-105471","DOIUrl":"10.1136/rapm-2024-105471","url":null,"abstract":"","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":"452-453"},"PeriodicalIF":5.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Board certification in regional anesthesiology and acute pain medicine: a modified Delphi survey study. 区域麻醉学和急性疼痛医学的委员会认证：一项改进的德尔菲调查研究。
IF 5.1 2区 医学
Regional Anesthesia and Pain Medicine Pub Date : 2025-05-06 DOI: 10.1136/rapm-2023-104645
Bryant Winston Tran, Jody C Leng, Mary J Hargett, Brian Frazer Scott Allen
{"title":"Board certification in regional anesthesiology and acute pain medicine: a modified Delphi survey study.","authors":"Bryant Winston Tran, Jody C Leng, Mary J Hargett, Brian Frazer Scott Allen","doi":"10.1136/rapm-2023-104645","DOIUrl":"10.1136/rapm-2023-104645","url":null,"abstract":"","PeriodicalId":54503,"journal":{"name":"Regional Anesthesia and Pain Medicine","volume":" ","pages":"439-440"},"PeriodicalIF":5.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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