Anesthesiology, Department of
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Recent Submissions
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Clinical and functional outcomes of acute lower extremity compartment syndrome at a Major Trauma Hospital
(International Journal of Critical Illness and Injury Science | Published by Wolters Kluwer - Medknow, 2016-09)Background: Acute lower extremity compartment syndrome (CS) is a condition that untreated causes irreversible nerve and muscle ischemia. Treatment by decompression fasciotomy without delay prevents permanent disability. ... -
Regional Anesthesia in TraumaMedicine
(Hindawi Publishing Corporation, 2011)Regional anesthesia is an established method to provide analgesia for patients in the operating room and during the postoperative phase. While regional anesthesia offers unique advantages, as shown by the recent military ... -
Propofol infusion syndrome in a super morbidly obese patient (BMI = 75)
(Medknow Publications, 2011)Propofol infusion syndrome (PRIS) is a rare but often fatal complication as a result of large doses of propofol infusion (4–5 mg/kg/hr) for a prolonged period (>48 h). It has been reported in both children and adults. ... -
A Rare Complication of Tracheal Intubation: Tongue Perforation
(Hindawi Publishing Corporation, 7/4/1905)Aim. To describe the subsequent treatment of airway trauma sustained during laryngoscopy and endotracheal intubation. Methods. A rare injury occurring during laryngoscopy and endotracheal intubation that resulted in ... -
Inferior Hypogastric Plexus Block Affects Sacral Nerves and the Superior Hypogastric Plexus
(, 2012)Background. The inferior hypogastric plexus mediates pain sensation through the sympathetic chain for the lower abdominal and pelvic viscera and is thought to be a major structure involved in numerous pelvic and perineal ... -
Abstract Title: Ultrasound Guided Trans-sartorial Continuous Saphenous Nerve Blockade - A technique for Relief of Postoperative Medial Incisional Foot and Ankle Pain
(, 1/1/2009)The saphenous nerve (SaN) innervates the region from the upper medial thigh to the medial aspect of the foot and ankle. A femoral nerve block (FNB) is effective for blockade of the SaN but this causes quadriceps weekness ... -
Post-Operative Pain Scores and Level of Regional Anesthesia Expertise: Using Clinical Outcomes to Assess Procedural Proficiency
(Austin Publishing Group, 12/3/2014)Background and Objectives: Peripheral nerve blockade requires regional anesthesia skills that trainees learn in several formats. Technical proficiency has shifted from a quota to comprehensive procedural evaluation. ... -
Prolonged Duration of Sciatic Nerve Blockade in the Elderly after Foot and Ankle Surgery
(the Science Fair Open Library, 9/24/2014)1.1 Background and Objectives: Perioperative morbidity related to anesthesia renders elderly patients vulnerable because age related factors affect medication effects, clearance and metabolism. Regional anesthesia within ... -
Ultrasound Guided lateral Infra-trochanteric Sciatic Nerve Blockade for Proximal Tibial Surgery: A Novel Technique
(, 9/1/2011)Sciatic nerve blockade (SNB) can be performed at several point along its anatomic course. Proximal SNB techniques described include the classic Labat, sacral (Mansur), infragluteal (Raj), and anterior approches Distal SNB ... -
Postoperative Analgesia Following Sciatic Nerve Blockade Administered by Nurse Anesthetists Supervised by Regional Anesthesia Faculty in an Academic Hospital
(Sciencedemain International, 8/23/2015)Introduction: Assessment of expertise in regional anesthesia techniques is traditionally based upon quota fulfillment of procedures during training. Validation of practitioner proficiency in performing procedures in surgical ... -
Patient Variability in Sciatic Nerve Branch Point Distance Using Ultrasound Guided Localization
(Austin Publishing Group, 7/1/2014)Background and Objectives: Improved ultrasound and needle technology make popliteal sciatic nerve blockade a popular anesthetic technique and imaging to localize the branch point of the common peroneal and posterior tibial ... -
Comparison of Analgesic Outcomes Following Sciatic Nerve Blockade Performed by Resident Trainees and Nurse Anesthetists
(MedCrave, 8/6/2015)Background and objectives: Peripheral nerve blockade requires regional anesthesia skills that are taught in several formats and assessing technical proficiency has shifted from fulfillment of quotas to comprehensive ... -
Differences in analgesia in opioid naïve and tolerant patients with sciatic nerve blockade following elective foot and ankle surgery
(the Science Fair Open Library, 9/24/2014)1.1 Introduction and Purpose: Adequate postoperative analgesia in the opioid tolerant with chronic non-malignant pain is challenging. Multimodal pain relief regimens include regional anesthesia but opioid tolerant patients ... -
Ultrasound Mapping of Nerve Stimulator Response during Sciatic Nerve Blockade and Relation to Postoperative Pain Scores
(Science Fair Open Library, 9/24/2014)1.1 Background and Purpose: Ultrasound guided sciatic nerve blockade has rapid onset but at 24 hours pain is greater than nerve stimulator techniques. Injection of the nerve branches or trunk and sub-sheath blockade increase ... -
Ultrasound Mapping of Stimulated Finger Flexion During Infra-Clavicular Brachial Plexus Nerve Blockade for Elbow Arthroplasty and Its Correlation To Postoperative Analgesia
(SciDoc Publishers, 6/17/2015)Background: Infraclavicular brachial plexus nerve blockade (ICNB) is a very common anesthetic procedure performed for upper extremity surgery at the elbow and distally, however the rate of adequate analgesia is variable ... -
Postoperative sciatic and femoral or saphenous nerve blockade for lower extremity surgery in anesthetized adults
(International Journal of Critical Illness and Injury Science, 2015-12-01)Background: Guidelines warn of increased risks of injury when placing regional nerve blocks in the anesthetized adult but complications occurred in patients that received neither sedation nor local anesthetic. This restriction ... -
Combined Saphenous-Sciatic Nerve Blockade Superior to Femoral-Sciatic Nerve Blockade for Postoperative Analgesia Following Foot and Ankle Surgery
(Journal of Anesthesia & Critical Care: Open Access, 2015-10-29)Introduction: Femoral nerve blockade combined with sciatic nerve blockade has been reported to be an effective treatment regimen for postoperative analgesia following lower extremity surgery.Saphenous nerve blockade ... -
Two Cases of Lower Extremity Compartment Syndrome after Posterior Urethroplasty
(International Journal of Anesthesiology & Research (IJAR), 2015-09-23)Acute lower extremity compartment syndrome following surgery in the lithotomy position is uncommon but is a surgical emergency causing irreversible damage if suspected and requires emergent decompressive fasciotomy. This ... -
Low Cost, High Fidelity Ultrasound Phantom Gels for Regional Anesthesia Training Programs
(MedEdPortal, 2012-05-04)This is a regional anesthesia training curriculum using low cost high fidelity phantom gels that can be inexpensively produced and reused. These gels mimic the anatomic structures pertinent to performance of upper and lower ... -
Advanced Pain Life Support (APLS) Simulation Training for Interventional Pain Physicians
(MedEdPortal, 2012-09-25)Educational interventions including pre- and post-tests, didactic lectures, and simulation/learner feedback increase the interventional pain physician's knowledge, skills, and attitudes related to responding appropriately ...
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