Anesthesia and analgesia
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Anesthesia and analgesia · May 2015
Randomized Controlled Trial Comparative StudyBilateral Paravertebral Blockade (T7-10) Versus Incisional Local Anesthetic Administration for Pediatric Laparoscopic Cholecystectomy: A Prospective, Randomized Clinical Study.
Single-injection paravertebral nerve blocks (PVBs) provide effective postoperative analgesia after adult laparoscopic cholecystectomy (LC). We sought to compare PVBs with local anesthetic injections at laparoscopic port sites in a pediatric population. ⋯ PVBs did not reduce postoperative pain associated with pediatric LC but decreased intraoperative fentanyl requirements.
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Anesthesia and analgesia · May 2015
Review Practice GuidelineCritical care basic ultrasound learning goals for american anesthesiology critical care trainees: recommendations from an expert group.
In this review, we define learning goals and recommend competencies concerning focused basic critical care ultrasound (CCUS) for critical care specialists in training. ⋯ Immediate bedside availability of ultrasound resources can dramatically improve the ability of critical care physicians to care for critically ill patients. Anesthesia--critical care medicine training should have definitive expectations and performance standards for basic CCUS interpretation by anesthesiology--critical care specialists. The learning goals in this review reflect current trends in the multispecialty critical care environment where ultrasound-based diagnostic strategies are already frequently applied. These competencies should be formally taught as part of an established anesthesiology-critical care medicine graduate medical education programs.
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Anesthesia and analgesia · May 2015
Comparative Study Clinical Trial Observational StudyDiagnosis of Postoperative Urinary Retention Using a Simplified Ultrasound Bladder Measurement.
In this study, we sought to determine whether a simplified ultrasound measurement of the largest transverse diameter, using a standard ultrasound machine, could be used to diagnose postoperative urinary retention (POUR). This method may replace expensive bladder volume measuring devices or a more complex ultrasound procedure (involving the measurement of 3 bladder diameters). ⋯ A simple ultrasound measurement of the largest transverse bladder diameter seemed to be helpful to exclude or confirm POUR.