Articles: postoperative.
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Anesthesia and analgesia · Mar 2014
Ambulatory Continuous Peripheral Nerve Blocks in Children and Adolescents: A Longitudinal 8-Year Single Center Study.
Although the role of regional anesthesia in pediatric patients has been increasing over the last few years, there are only a few small case series that describe the use of ambulatory continuous peripheral nerve blocks (CPNBs) in this patient population. In this report, we describe our experience with the use of ambulatory CPNBs in 1285 children. ⋯ This audit of 1285 children shows ambulatory CPNBs can provide postoperative analgesia and may reduce the need for inpatient parenteral opioid therapy.
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Reg Anesth Pain Med · Mar 2014
Prolonged Amelioration of Experimental Postoperative Pain by Bupivacaine Released From Microsphere-Coated Hernia Mesh.
Postoperative pain alters physiological functions and delays discharge. Perioperative local anesthetics are effective analgesics in the immediate 1- to 2-day postoperative period, but acute pain often lasts longer. The goal of this work was to develop a local anesthetic formulation adhering to an intraoperative implanted device that reduces pain for at least 3 days after surgery. ⋯ Bupivacaine slowly released for 72 hours from microspheres adsorbed to the hernia mesh significantly suppresses evoked postoperative hypersensitivity for at least 1 week and is more effective than a suspension of these microspheres or preoperative single-shot infiltration of bupivacaine.
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Acta Anaesthesiol Scand · Mar 2014
Randomized Controlled TrialThe efficacy of adductor canal blockade after minor arthroscopic knee surgery - a randomised controlled trial.
Adductor canal blockade (ACB) has been demonstrated to be effective in the treatment of post-operative pain after major knee surgery. We hypothesised that the ACB would reduce pain and analgesic requirements after minor arthroscopic knee surgery. ⋯ No significant analgesic effect of the ACB could be detected after minor arthroscopic knee surgery with a basic analgesic regimen with acetaminophen and ibuprofen, except from a minor reduction in immediate requirements for supplemental opioids. Clinicaltrials.gov Identifier: NCT01254825.
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Transplantation PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Share our experience in pediatric lung transplantation, survival rates and analyze the results in comparison to worldwide experience. ⋯ The following authors have nothing to disclose: José González García, Sebastian Peñafiel, Eugenia Libreros Niño, Diana Baquero Velandia, Carlos Jordá Aragón, Victor Calvo Medina, Gabriel Sales Badia, Juan Escrivá, Ángel García Zarza, Juan Pastor GuillemNo Product/Research Disclosure Information.
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Pleural Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Prolonged air leak (PAL) is the most common complication after pulmonary resection. In our settings PAL is defined as a postoperative persistent air leak of at least 5 days. We described 2 cases of PAL treated using endobronchial valves (EBV) placement. We have performed a retrospective review of 13 patients presenting with PAL after any type of pulmonary resection between January 2012 and August 2013. Data were obtained from our prospectively recorded database. Two of these patients were treated using EBV (Table 1). We describe patients' characteristics, clinical course, type of valves, complications and final outcome. ⋯ The following authors have nothing to disclose: Maria Rodríguez, María Teresa Gómez Hernández, Aldo Torracchi, Nuria María Novoa Valentín, Rosa Cordovilla, Jose Luis Aranda Alcaide, Marcelo Fernando Jiménez López, Gonzalo Varela SimóNo Product/Research Disclosure Information.