Articles: nerve-block.
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Trauma Surg Acute Care Open · Jan 2021
Comparison of serratus anterior plane block with epidural and paravertebral block in critically ill trauma patients with multiple rib fractures.
Pain from rib fractures is associated with significant pulmonary morbidity. Epidural and paravertebral blocks (EPVBs) have been recommended as part of a multimodal approach to rib fracture pain, but their utility is often challenging in the trauma intensive care unit (ICU). The serratus anterior plane block (SAPB) has potential as an alternative approach for chest wall analgesia. ⋯ Retrospective matched cohort; Level IV.
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Anaesthesia reports · Jan 2021
Case ReportsPericapsular nerve group (PENG) block for hip fracture in the emergency department: a case series.
Guidelines for the management of hip fractures recommend timely identification, analgesia and optimisation, in order to facilitate prompt surgical repair. In achieving these aims, multidisciplinary care is essential. In this case series, we present five patients who received bedside pericapsular nerve group (PENG) blocks by emergency physicians in collaboration with the anaesthesia team for pain management following hip fracture. ⋯ All patients reported a clinically important reduction in pain scores. Patients with hip fracture are often medically complex, and while early surgery is not always possible, pain management should be addressed from an early point in their hospital admission. Multidisciplinary input into peri-operative pathways can enhance the provision of analgesia in the emergency department, by allowing anaesthetists and emergency physicians to work together for the benefit of these often-frail patients.
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Meta Analysis
Postoperative Analgesic Effectiveness of Quadratus Lumborum Block for Cesarean Delivery under Spinal Anesthesia.
Quadratus lumborum block modestly reduces post-operative pain after caesarean section when intrathecal morphine is not used.
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