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Platelet-rich plasma injections for lumbar discogenic pain: A preliminary assessment of structural and functional changes January—April Regenerative medicine injection techniques for the hip pathology January—April Platelet-rich plasma injections for knee osteoarthritis: Systematic review of duration of clinical benefit January—April Peripheral nerve entrapment, hydrodissection, and neural regenerative strategies January—April Bone marrow concentrate and platelet-rich plasma acquisition and preparation: Why technique matters January—April Current understanding of safety and efficacy of stem cell therapy for discogenic pain—A systematic review of human studies January—April Regenerative medicine: Invigorating pain management practice January—April Role of intra-articular platelet-rich plasma in sacroiliac joint pain January—April Regenerative medicine modalities for nondiscal spinal disorders January—April Regenerative medicine for muscle and ligament problems: Technical aspects and evidence January—April Optimizing needle tip visualization during out-of-plane ultrasonography: A novel technique October Ultrasound-guided quadratus lumborum and subcostal transversus abdominis plane blocks October Introduction October The role of peripheral nerve block analgesia in advancing therapeutic effectiveness spanning the episode of care October Ketamine in perioperative analgesia for knee surgeries: Review of evidence from randomized controlled trials October Application of cooled radiofrequency ablation in management of chronic joint pain October Giaufre and his colleagues explained the procedural feasibility of peripheral block and claimed that it is free of side effects.

With the use of hydrophilic opiates like morphine and hydromorphone, side effects including itching, nausea, vomiting and respiratory depression may be cumbersome. The use of ultrasound guidance USG has resulted in more accurate and effective blocks by allowing the block administrator to know clearly the anatomic location of the nerves and the adjacent muscles and the fascial layers as well as visualizing the block needles path and the location of the needle tip while injecting.

Considering the simplicity of the use of USG and it being less invasive, successful blocks are now more probable, thus decreasing the side effects and improving the use of regional anesthesia in children. Safe dosage of the used RA drugs is a restrictive factor in some children. With the help of USG initiating a block has become quicker and the dosage of drugs have decreased. Usage of electrical stimulation and visualization of segmented catheter location under USG by has reduced the failure rate of the epidural analgesia from caudal until thoracic levels.


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Though most of the anesthesia techniques are well-documented in the literature, the implementation of these techniques into routine clinical practice is still lacking. Continuous education and opportunities to learn practical aspects of the block techniques will help eliminate the fears and the taboos. The Pediatric Regional Anesthesia Network PRAN was formed to collect data on all regional anesthetics performed by anesthesiologists in USA and all of the intraoperative and postoperative complications were recorded.

The data showed that single injection blocks were safer than continuous blocks. There were no cases of death or serious complications. Neurological events were noted only in patients with lumbar or thoracic catheters. Regional networks like PRAN. Remember, the use of high dose of corticosteroids put the child on risk of epidural lipomatosis. This study supported use of continuous epidural anesthesia. Move to Section Abstract Citations References.

History of pediatric regional anesthesia. Pediatr Anesth ; Spinal Anaesthesia and Local Medication of the Cord. New York Journal of Medicine ; Bier A.


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Versuche uber Cocainisirung des Ruckenmarkes. Deuthsch Zeitschrift fur Chirugie ;51 1 — Compartment syndrome as a complication of the prolonged use of the Lloyd-Davies position. Gluteal compartment syndrome following joint arthroplasty under epidural anaesthesia: a report of 4 cases. J Orthop Surg. The use of regional anaesthesia in patients at risk of acute compartment syndrome.

Compartment syndrome with severe rhabdomyolysis in the postoperative period following major vascular surgery. Diagnosing acute compartment syndrome. J Bone Joint Surg Br. J Orthop Trauma. Diagnostic peripheral nerve block resulting in compartment syndrome.

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Case report. Am J Phys Med Rehabil. Acute compartment syndrome with an atypical presentation: a useful clinical lesson. J R Soc Med. Yang J, Cooper MG. Compartment syndrome and patient-controlled analgesia in children — analgesic complication or early warning system? Anaesth Intensive Care. Compartment syndrome diagnosed in due time by breakthrough pain despite continuous peripheral nerve block. Acta Anaesthesiol Scand. Acute compartment syndrome in lower extremity musculoskeletal trauma. J Am Acad Orthop Surg.

General Anesthesia Side Effects and Complications

Compartment syndrome following total knee arthroplasty: a case report. Am J Orthop. Acute traumatic compartment syndrome: a systematic review of results of fasciotomy. Acute compartment syndrome of the forearm. Compartment syndrome following lower limb arthroplasty: a review. Open Orthop J. Mannion S, Capdevila X. Acute compartment syndrome and the role of regional anesthesia.

Regional Anesthesia for Urgent Reconstructive Surgery

Int Anesthesiol Clin. Documentation of acute compartment syndrome at an academic health-care center. Acute compartment syndrome in children: a case series in 24 patients and review of the literature. Int Orthop.

Acute compartment syndrome of the lower limb and the effect of postoperative analgesia on diagnosis. Br J Anaesth. Ulmer T. The clinical diagnosis of compartment syndrome of the lower leg: are clinical findings predictive of the disorder? Compartment pressure in association with closed tibial fractures: the relationship between tissue pressure, compartment and the distance from the site of the fracture.

Thoracic epidural infusion complicated by epidural compartment syndrome.

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USRA - Regional Anesthesia & Pain Medicine Conference

Ganapathy S. Continuous nerve blocks for orthopedic injuries.


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Tech Reg Anesth Pain Manag. Compartment syndrome following total knee arthroplasty. J Bone Joint Surg. Did continuous femoral and sciatic nerve block obscure the diagnosis or delay the treatment of acute low leg compartment syndrome? A case report. Pain Med. Guarin PLB.

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Controlling Pain. How effective are nerve blocks after orthopedic surgery? A quality improvement study.