Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Sep 2021
Case ReportsSpinal anesthesia in a patient on monoclonal antibody treatment: a poisoned chalice? A case report.
Paraplegia is a rare complication of spinal anesthesia. ⋯ The presented case warrants caution when performing neuraxial anesthesia in patients on monoclonal antibody therapies.
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Reg Anesth Pain Med · Sep 2021
ReviewInfiltration between the popliteal artery and the capsule of the knee (IPACK) block in knee surgery: a narrative review.
The infiltration between the popliteal artery and the capsule of the knee (IPACK) block has been described as an alternative analgesic strategy for knee pain. ⋯ The IPACK block was potentially complementary to the ACB and might be preferable to the TNB as a motor-sparing regional anesthesia technique in knee surgery. Definitive recommendations were not reached in the presence of the heterogeneous and limited evidence base.
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Reg Anesth Pain Med · Sep 2021
Association of body pain and chronic disease: evidence from a 7-year population-based study in China.
Evidence is limited on the risk impact of body pain on future chronic disease. The present study aimed to investigate the association between body pain and chronic diseases. ⋯ Body pain is associated with major disease and mortality. Future clinical research should be targeted to whether or not improved pain control can mitigate this population-level disease burden.
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Reg Anesth Pain Med · Sep 2021
Randomized Controlled TrialIs preoperative genicular radiofrequency ablation effective for reducing pain following total knee arthroplasty? A pilot randomized clinical trial.
Although total knee arthroplasty (TKA) is an effective treatment for severe knee osteoarthritis (OA), a subset of patients experience significant postoperative pain and dissatisfaction. Several clinical trials support the analgesic benefits of genicular nerve radiofrequency ablation (GN-RFA) for non-operative knee OA, but only one prior trial has examined the effects of this intervention given preoperatively on postoperative outcomes following TKA, showing no analgesic benefit of cooled GN-RFA. The current study evaluated whether conventional thermal GN-RFA performed preoperatively resulted in significant improvements in pain and function following TKA. ⋯ Conventional GN-RFA of the superior lateral, superior medial, and inferior medial genicular nerves when performed prior to TKA did not provide clinically significant pain relief or improvement in functional status at 2 or 6 weeks postoperatively.