Regional anesthesia and pain medicine
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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
Anatomical considerations for obturator nerve block with fascia iliaca compartment block.
This report reviews the topographical and functional anatomy relevant for assessing whether or not the obturator nerve (ON) can be anesthetized using a fascia iliaca compartment (FIC) block. The ON does not cross the FIC. ⋯ Such a phenomena would require the creation of one or more artificial passageways to the ON in the retro-psoas compartment or the retroperitoneal compartment by disrupting the normal anatomical integrity of the FI. Due to this requirement for an artificial pathway, an FIC block probably does not block the ON.
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Reg Anesth Pain Med · Sep 2021
Machine learning approaches in predicting ambulatory same day discharge patients after total hip arthroplasty.
With continuing financial and regulatory pressures, practice of ambulatory total hip arthroplasty is increasing. However, studies focusing on selection of optimal candidates are burdened by limitations related to traditional statistical approaches. Hereby we aimed to apply machine learning algorithm to identify characteristics associated with optimal candidates. ⋯ Machine learning algorithm exhibited acceptable model quality and accuracy. Machine learning algorithms highlighted the as yet unrecognized impact of laboratory testing on future patient ambulatory pathway assignment.
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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.