Articles: nerve-block.
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Minerva anestesiologica · Aug 2019
Letter Case ReportsInvasive pulmonary aspergillosis with intercostal neuropathy and paroxysmal dyspnea.
Abstract
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Minerva anestesiologica · Aug 2019
Letter Case ReportsUltrasound-guided quadratus lumborum block type 2 associated to continuous intravenous infusion of dexmetomidine for anesthesiologic management in laparoscopic adrenalectomy for pheochromocytoma: could it be a safe strategy?
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Reg Anesth Pain Med · Jul 2019
Music versus midazolam during preoperative nerve block placements: a prospective randomized controlled study.
Music medicine is a non-pharmacologic intervention that is virtually harm-free, relatively inexpensive and has been shown to significantly decrease preoperative anxiety. In this study we aim to compare the use of music to midazolam as a preoperative anxiolytic prior to the administration of an ultrasound-guided single-injection peripheral nerve block. ⋯ Clinicaltrials.gov #NCT03069677.
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Spine surgery is associated with considerable postoperative pain and can be challenging to treat. A loco-regional technique suitable for spine surgery should cover the dorsal root of the spinal nerves at the levels where surgery is performed. The erector spinae block is a loco-regional technique with promising results and was recently described at the thoracic level. There are no randomized trials of this technique on a lumbar level. This study tests the hypothesis that the 24-h postoperative morphine consumption is significantly lower in patients undergoing posterior lumbar inter-body fusion surgery with a lumbar erector spinae (LUMBES) block when compared with a sham block. ⋯ The LUMBES trial is a pragmatic clinical study that will provide evidence of whether a bilateral lumbar erector spinae block is effective in reducing 24-h postoperative morphine consumption in patients undergoing lumbar inter-body fusion surgery. If this hypothesis is confirmed, this finding could contribute to more widespread implementation of this technique.