Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Nov 2017
Multicenter Study Comparative Study Clinical TrialPsoas Versus Femoral Blocks: A Registry Analysis of Risks and Benefits.
Psoas blocks are an alternative to femoral nerve blocks and have the potential advantage of blocking the entire lumbar plexus. However, the psoas muscle is located deeply, making psoas blocks more difficult than femoral blocks. In contrast, while femoral blocks are generally easy to perform, the inguinal region is prone to infection. We thus tested the hypothesis that psoas blocks are associated with more insertion-related complications than femoral blocks but have fewer catheter-related infections. ⋯ ID NCT02846610.
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Reg Anesth Pain Med · Nov 2017
ReviewUltrasound-Guided Regional Anesthesia Simulation Training: A Systematic Review.
Ultrasound-guided regional anesthesia (UGRA) has become the criterion standard of regional anesthesia practice. Ultrasound-guided regional anesthesia teaching programs often use simulation, and guidelines have been published to help guide URGA education. This systematic review aimed to examine the effectiveness of simulation-based education for the acquisition and maintenance of competence in UGRA. ⋯ Ultrasound-guided regional anesthesia knowledge and skills significantly improved with simulation training. The acquired UGRA skills may be transferred to the clinical setting; however, further studies are required to confirm these changes translate to improved patient outcomes.
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Reg Anesth Pain Med · Nov 2017
Impact of Video Technology for Improving Success of Medial Canthus Episcleral Anesthesia in Ophthalmology.
Efficient learning of regional anesthesia in ophthalmology remains challenging because trainees are afforded limited opportunity to practice ocular anesthesia. The aim of this prospective, randomized, blinded study was to determine whether teaching with video improves regional anesthesia skills of residents in ophthalmology. ⋯ Video-assisted teaching significantly improves performance of medial canthus episcleral anesthesia performed by novice trainees.