Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Mar 2015
A Standardized Anesthetic and Surgical Clinical Pathway for Esophageal Resection: Impact on Length of Stay and Major Outcomes.
Esophageal cancer is a leading cause of cancer death worldwide, and esophageal resection is associated with extremely high perioperative morbidity and mortality. A perioperative clinical pathway for esophagectomy patients in which anesthetic care is both integral and standardized has not been described previously. ⋯ We present a detailed anesthetic and surgical perioperative pathway for esophageal resection, along with evidence of improved or stable patient outcomes despite an increase in comorbidity burden and increasingly advanced tumor stage.
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Reg Anesth Pain Med · Mar 2015
Fluoroscopic Evaluation of Contrast Distribution Within the Adductor Canal.
This case series assesses the in vivo spread of contrast within the adductor canal in subjects who recently underwent a total knee arthroplasty. A previous analysis of profound leg weakness with a continuous adductor canal revealed contrast spread from the adductor canal to the femoral triangle with as little as 2 mL of volume. ⋯ This study reveals that in vivo continuous infusions within the adductor canal spread in both a cephalad and caudad direction in limited fashion. Although a previous report described proximal spread of injectate to the level of the common femoral nerve, this event is infrequent.