Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Sep 2008
Biography Historical ArticleRegional anesthesia: advancing the practice of medicine; the 2008 Gaston Labat Award lecture.
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Reg Anesth Pain Med · Sep 2008
Review Meta AnalysisPregabalin as a treatment for painful diabetic peripheral neuropathy: a meta-analysis.
Painful diabetic peripheral neuropathy (DPN) is an increasingly prevalent disorder that is best managed through a multimodal approach. We examined the effects of pregabalin on pain control, sleep disturbance, and the patient's global impression of change (PGIC) for the treatment of this disorder. ⋯ Pregabalin has significant effects on the pain associated with DPN as well as secondary endpoints that affect patients' quality of life.
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Reg Anesth Pain Med · Sep 2008
ReviewPathophysiology of peripheral nerve injury during regional anesthesia.
Despite attention to technical details in performance of regional anesthetics, damage to nerves continues to be a concern. Understanding of pathophysiological mechanisms may aid in decreasing the incidence and severity of such injuries. ⋯ The relative importance of these pathogenic factors in cases of nerve injury after regional anesthesia is not resolved.
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Reg Anesth Pain Med · Sep 2008
Practice GuidelineASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine.
Neurologic complications associated with regional anesthesia and pain medicine practice are extremely rare. The ASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine addresses the etiology, differential diagnosis, prevention, and treatment of these complications. This Advisory does not focus on hemorrhagic and infectious complications, because they have been addressed by other recent ASRA Practice Advisories. The current Practice Advisory offers recommendations to aid in the understanding and potential limitation of neurologic complications that may arise during the practice of regional anesthesia and pain medicine.
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Reg Anesth Pain Med · Sep 2008
Practice patterns related to block selection, nerve localization and risk disclosure: a survey of the American Society of Regional Anesthesia and Pain Medicine.
We aimed to identify current clinical practice patterns among members of the American Society of Regional Anesthesia and Pain Medicine (ASRA) members that relate to complications of regional anesthesia (RA). ⋯ Based on a 22% response rate, our survey suggests that the risks of RA most commonly disclosed to patients by ASRA members are benign while severe complications of RA are far less commonly disclosed. There is little agreement among ASRA members regarding their perceived incidence of complications following RA.