Articles: nerve-block.
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Case Reports
Functional Abdominal Pain in a Pediatric Patient After Resolution of Acute Pancreatitis: A Case Report.
Children with acute pancreatitis may develop chronic abdominal wall pain after resolution of clinical, laboratory, and radiographic signs of disease. We describe a 13-year-old boy who underwent an unrevealing, complex diagnostic evaluation for persistent abdominal pain after resolution of acute pancreatitis. ⋯ After receiving abdominal nerve blocks and trigger point injections, he experienced near-complete resolution of pain with normalization of eating habits and daily function. Pain practitioners should think critically about the signs and symptoms of visceral versus somatic pain and try newer diagnostic interventions that may be therapeutic.
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Postoperative pain remains a major challenge following immediate breast reconstruction with 40% of patients experiencing acute pain and up to 60% developing chronic pain. Paravertebral blocks (PVB's) have emerged as a promising adjunct to standard analgesic protocols. The aim of this study was to assess the utility of PVB's in immediate breast reconstruction following mastectomy. ⋯ The present study offers one of the largest retrospective cohort studies to date evaluating the utility of PVB's in immediate breast reconstruction following mastectomy. We demonstrate that, PVB's in immediate breast reconstruction are associated with reductions in postoperative pain, narcotic usage and length of stay in PACU, but are associated with delays to the start time of the case. Anesthesiologists, plastic surgeons and hospital administrators must continue to work together to ensure this important and necessary service is administered in an efficient and cost effective manner.
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Minerva anestesiologica · Jul 2019
Letter Case ReportsUltrasound guided erector spinae plane block: an alternative technique for providing analgesia after total hip arthroplasty surgery?
Abstract
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Each year, over 300,000 individuals aged 65 and older are hospitalized for hip fractures in the United States.1 Traditional pain management in the elderly population is difficult because of physiologic changes and comorbidities.2 Peripheral nerve blocks are often placed by anesthesia professionals following hip surgery as part of a multi modal pain management program. Recently, the placement of fascia iliacal blocks has been successfully utilized in the emergency department for geriatric patients suffering from hip fractures. This technique can be easily mastered with proper training for use in the emergency department and pre-hospital environments reducing the pain of hip fracture and its associated risks of morbidity. This article provides a detailed review of anatomy and an ultrasound-guided technique for placement of the fascia iliaca block.
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To compare two needle insertion techniques in a novel lateral approach to the radial, ulnar, median and musculocutaneous (RUMM) nerve block in cat cadavers. ⋯ The lateral approach to the RUMM was achievable in cat cadavers using both needle insertion techniques. The IP technique was significantly more successful than the OP technique.