Inadvertent neuraxial block placement at or above the L1–L2 interspace in the super-obese parturient: a retrospective study

2020 ◽  
Vol 42 ◽  
pp. 20-25
Author(s):  
D. Arnolds ◽  
J. Hofer ◽  
B. Scavone
Keyword(s):  
Retrospective Study ◽  
Super Obese ◽  
Neuraxial Block ◽  
Block Placement

scholarly journals Recent Advances in Epidural Analgesia

2012 ◽  
Vol 2012 ◽  
pp. 1-14 ◽  
Author(s):  
Maria Bauer ◽  
John E. George ◽  
John Seif ◽  
Ehab Farag
Keyword(s):  
Epidural Anesthesia ◽  
Postoperative Morbidity ◽  
Adverse Outcomes ◽  
Factors Affecting ◽  
Neuraxial Block ◽  
Recent Advances ◽  
Versatile Technique ◽  
Pediatric Populations ◽  
Block Placement ◽  
Spinal Epidural

Neuraxial anesthesia is a term that denotes all forms of central blocks, involving the spinal, epidural, and caudal spaces. Epidural anesthesia is a versatile technique widely used in anesthetic practice. Its potential to decrease postoperative morbidity and mortality has been demonstrated by numerous studies. To maximize its perioperative benefits while minimizing potential adverse outcomes, the knowledge of factors affecting successful block placement is essential. This paper will provide an overview of the pertinent anatomical, pharmacological, immunological, and technical aspects of epidural anesthesia in both adult and pediatric populations and will discuss the recent advances, the related rare but potentially devastating complications, and the current recommendations for the use of anticoagulants in the setting of neuraxial block placement.

Can Parturients Identify the Midline During Neuraxial Block Placement?

2012 ◽  
Vol 32 (1) ◽  
pp. 27-28
Author(s):  
B.M. Marroquin ◽  
K. Fecho ◽  
V. Salo-Coombs ◽  
F.J. Spielman
Keyword(s):  
Neuraxial Block ◽  
Block Placement

Can parturients identify the midline during neuraxial block placement?

2011 ◽  
Vol 23 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Bridget M. Marroquin ◽  
Karamarie Fecho ◽  
Victoria Salo-Coombs ◽  
Fred J. Spielman
Keyword(s):  
Neuraxial Block ◽  
Block Placement

scholarly journals Comparison of serratus anterior plane block with epidural and paravertebral block in critically ill trauma patients with multiple rib fractures

2021 ◽  
Vol 6 (1) ◽  
pp. e000621
Author(s):  
Paul I Bhalla ◽  
Stuart Solomon ◽  
Ray Zhang ◽  
Cordelie E Witt ◽  
Arman Dagal ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Length Of Stay ◽  
Critically Ill ◽  
Outcome Measures ◽  
Rib Fractures ◽  
Serratus Anterior ◽  
Multiple Rib Fractures ◽  
Neuraxial Block ◽  
Pain Scores ◽  
Anterior Plane

BackgroundPain from rib fractures is associated with significant pulmonary morbidity. Epidural and paravertebral blocks (EPVBs) have been recommended as part of a multimodal approach to rib fracture pain, but their utility is often challenging in the trauma intensive care unit (ICU). The serratus anterior plane block (SAPB) has potential as an alternative approach for chest wall analgesia.MethodsThis retrospective study compared critically injured adults sustaining multiple rib fractures who had SAPB (n=14) to EPVB (n=25). Patients were matched by age, body mass index, American Society of Anesthesiology Physical Status, whether the patient required intubation, number of rib fractures and injury severity score. Outcome measures included hospital length of stay, ICU length of stay, preblock and post block rapid shallow breathing index (RSBI) in intubated patients, pain scores and morphine equivalent doses administered 24-hour preblock and post-block in non-intubated patients, and mortality.ResultsThere were no demographic differences between the two groups after matching. Nearly all of the patients who received either SAPB or EPVB demonstrated a reduction in RSBI or pain scores. The preblock RSBI was higher in the serratus anterior plane block group, but there was no difference between any of the other outcome measures.DiscussionThis retrospective study of our institutional data suggests no difference in efficacy between the serratus anterior plane block and neuraxial block for traumatic rib fracture pain in critically ill patients, but the sample size was too small to show statistical equivalence. Serratus anterior plane block is technically easier to perform with fewer theoretical contraindications compared with traditional neuraxial block. Further study with prospective comparative trials is warranted.Level of evidenceRetrospective matched cohort; Level IV.

Postoperative hyperthermia in cats treated with Simbadol or morphine: a retrospective study

2020 ◽  
Vol 47 (6) ◽  
pp. 855.e3
Author(s):  
C. Cannarozzo ◽  
P. Kirch ◽  
L. Campoy ◽  
R. Gleed ◽  
M. Martin-Flores
Keyword(s):  
Retrospective Study

Abstract #1059 Prognostic Factors of Metastatic Thyroid Carcinoma: A Single Center Retrospective Study

2018 ◽  
Vol 24 ◽  
pp. 249
Author(s):  
David Broome ◽  
Gauri Bhuchar ◽  
Ehsan Fayazzadeh ◽  
James Bena ◽  
Christian Nasr
Keyword(s):  
Prognostic Factors ◽  
Retrospective Study ◽  
Thyroid Carcinoma ◽  
Single Center

Abstract #316: Reproductive Life Following Spinal Cord Injury: A Retrospective Study

2006 ◽  
Vol 12 ◽  
pp. 65
Author(s):  
Ghasak Mahmood ◽  
Sylvia J. Shaw ◽  
Yaga Szlachick ◽  
Rod Atkins ◽  
Stefan Bughi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Retrospective Study ◽  
Cord Injury ◽  
Reproductive Life
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