Evaluation of paravertebral nerve blockade (PVB), as an element of anaesthesia and postoperative analgesia for different types of surgical procedures, concerning organs with unilateral nerve supply

2004 ◽  
Vol 21 (Supplement 32) ◽  
pp. 113-114
Author(s):  
B. Blaszczyk ◽  
M. Jedrzejewski ◽  
E. Mayzner-Zawadzka
Keyword(s):  
Surgical Procedures ◽  
Postoperative Analgesia ◽  
Nerve Supply ◽  
Nerve Blockade ◽  
Different Types

Pain—A Subject Ignored

PEDIATRICS ◽  
1987 ◽  
Vol 79 (2) ◽  
pp. 309-309
Author(s):  
SOHAIL R. RANA
Keyword(s):  
Surgical Procedures ◽  
Postoperative Analgesia ◽  
Personal Experience ◽  
Severe Pain ◽  
Hospitalized Children

To the Editor.— The majority of hospitalized children with severe pain do not receive optimal analgesia for its relief. Our opinion is based upon personal experience, communication with colleagues, and published surveys.1,2 Misuse of analgesics includes subtherapeutic doses, "prn" orders, inappropriately long intervals between doses, and use of placebos to prove that pain is not organic. This maltreatment reaches cruel proportions in infants and neonates when surgical procedures are sometimes performed without anesthesia and postoperative analgesia.

scholarly journals Is Office-Based Surgery Safe? Comparing Outcomes of 183,914 Aesthetic Surgical Procedures Across Different Types of Accredited Facilities

2016 ◽  
Vol 37 (2) ◽  
pp. 226-235 ◽  
Author(s):  
Varun Gupta ◽  
Rikesh Parikh ◽  
Lyly Nguyen ◽  
Ashkan Afshari ◽  
R. Bruce Shack ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Different Types

scholarly journals Anemia Following Nerve Resection

Blood ◽  
1959 ◽  
Vol 14 (3) ◽  
pp. 203-227 ◽  
Author(s):  
S. R. HOLLAN
Keyword(s):  
Femoral Nerve ◽  
Cell System ◽  
Nucleic Acid Metabolism ◽  
Nerve Supply ◽  
Tissue Destruction ◽  
Albino Rat ◽  
Secondary Infections ◽  
Impaired Metabolism ◽  
Different Types ◽  
Red Cell Count

Abstract 1. Unilateral sciatic and femoral nerve resection is followed by a marked and lasting fall in the red cell count and hemoglobin value in the albino rat. 2. There are different types in the course of the anemia. 3. A definite parallelism has been observed between the course and severity of anemia and of trophic disturbances developing in the limb almost deprived of its nerve supply. 4. The resection of different peripheral nerves equally results in anemia in the albino rat. The grade of anemia depends on the size of the area supplied by the resected nerve. 5. It is essential in the development of nerve resection anemia that the area with impaired nerve supply and trophic disturbances remain in the organism. Humoral or neurohumoral effects emitted from this area with impaired metabolism are the factors eliciting the anemia observed. 6. Anemia following nerve resection is not due to a change in the distribution of blood cells, nor is it a sequel to loss of blood. 7. Secondary infections, or manifestations of some latent infection (first of all, bartonellosis) are not involved in the development of nerve resection anemia. 8. Chronic tissue destruction induced in areas with intact innervation causes no anemia. 9. Anemia following nerve resection is not due to a deficiency in nutrition. 10. Nerve resections are followed by changes in the entire blood cell system, especially in the formation, maturation and destruction of erythrocytes. 11. Hematologic studies carried out after nerve resections indicate an increased reticuloendothelial activity and the impairment of iron and nucleic acid metabolism.

scholarly journals Femoral and sciatic nerve blockades and incision site infiltration in rabbits undergoing stifle joint arthrotomy

2016 ◽  
Vol 51 (1) ◽  
pp. 54-64 ◽  
Author(s):  
K Kluge ◽  
M P Larenza Menzies ◽  
H Kloeppel ◽  
S G Pearce ◽  
R Bettschart-Wolfensberger ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Analogue Scale ◽  
Local Anaesthetics ◽  
Nerve Stimulator ◽  
Reduce Heart Rate ◽  
Nerve Blockade ◽  
Stifle Joint ◽  
Incision Site ◽  
New Zealand White Rabbits ◽  
Higher Doses

This study was designed to determine whether perineural injections of local anaesthetics decreases intraoperative nociception and improves postoperative analgesia in New Zealand White rabbits undergoing experimental stifle arthrotomy. All animals were anaesthetized using isoflurane and received morphine intramuscularly. The sciatic and femoral nerves of the leg to be operated on were located using a nerve stimulator (1 Hz, 0.5 mA). Rabbits were assigned to a treatment group (LB; n = 12) or a placebo group (P; n = 12) in a randomized blinded fashion. Group LB received lidocaine 2% (1 mg/kg) combined with bupivacaine 0.5% (0.25 mg/kg) injections around the sciatic and femoral nerves (0.1 mL/kg total volume per site) and subcutaneous infiltration of the incision site with lidocaine 1% (1.25 mg/kg). Group P received the same volume of 0.9% NaCl. Rabbits in group P required higher doses of intraoperative fentanyl and propofol to reduce heart rate and suppress increase in systolic blood pressure, and maintain an adequate anaesthetic plane. Interventional analgesia (buprenorphine and carprofen) was required significantly earlier in rabbits in group P (2 and 6 h after the first nerve blockade, respectively) based on assessment of their pain-related behaviour and range of motion. Using a visual analogue scale (0 mm= no pain to 100 mm= maximal possible pain), rabbits in group LB were judged to show significantly less pain compared with rabbits in group P (14 ± 10 mm and 37 ± 25 mm, respectively) 2 h after nerve blockade. In conclusion, this technique of perineural analgesia combined with incision site infiltration reduced intraoperative fentanyl requirements and improved postoperative analgesia in rabbits.

scholarly journals Frontalis Sling Procedure Using Prolene Material in Severe Ptosis

2017 ◽  
Vol 12 (1) ◽  
pp. 31-33
Author(s):  
Md Amjad Hossain ◽  
Md Sharfuddin Ahmed ◽  
Md Saleh Uddin
Keyword(s):  
Tensile Strength ◽  
Surgical Procedures ◽  
Final Outcome ◽  
Sling Procedure ◽  
Good Outcome ◽  
Common Practices ◽  
Levator Resection ◽  
Different Types

Abnormally low position (drooping) of the upper eye lid is called ptosis. Common practices in correction of ptosis are different types of surgical procedures like, Fasanella-Servat procedure, Levator resection, Frontalis brow suspension (sling), Aponeurosis strengthening etc. In sling operation different types of materials are used, like, autogenus fascialata, cadaver fascilata, skin, sclera, collagen and artificial eg. Prolene, ethibond, silicone, supramid, mersilene mesh, goretex etc. The aim of study is to establish that use of prolene in sling operation gives better result. The study was carried out at BSMMU. A total thirty cases were selected for study. Technique of operation was Frontalis brow suspension (sling) procedure using prolene. The follow-up period was three months to six months. Final outcome of ptosis correction was good outcome in 24 (80%) patients out of 30. So prolene use in sling operation has excellent tensile strength, good handling properties, permanent result and better tolerance.Faridpur Med. Coll. J. Jan 2017;12(1): 31-33

Postoperative Analgesia After Knee Surgery: A Comparison of Three Different Concentrations of Ropivacaine for Continuous Femoral Nerve Blockade

2007 ◽  
Vol 105 (1) ◽  
pp. 256-262 ◽  
Author(s):  
Gerhard Brodner ◽  
Hartmut Buerkle ◽  
Hugo Van Aken ◽  
Roushan Lambert ◽  
Marie-Luise Schweppe-Hartenauer ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Femoral Nerve ◽  
Knee Surgery ◽  
Nerve Blockade

Etidocaine Hydrochloride in Surgical Procedures: Effects on Postoperative Analgesia

1990 ◽  
Vol 120 (4) ◽  
pp. 429-434
Author(s):  
Rosalind Donoghue ◽  
Kristi Doberenz ◽  
Peter L. Jacobsen
Keyword(s):  
Surgical Procedures ◽  
Postoperative Analgesia

The regional anesthesia for surgical correction of the malformation of upper extremities in pediatric

2017 ◽  
Vol 8 (5) ◽  
pp. 83-90
Author(s):  
Julia A. Manokhina
Keyword(s):  
Young Children ◽  
Upper Extremity ◽  
Regional Anesthesia ◽  
Surgical Procedures ◽  
Postoperative Analgesia ◽  
Postoperative Period ◽  
Negative Impact ◽  
Early Postoperative Period ◽  
Surgical Correction ◽  
Nerve Blocks

The article presents an analysis of the publications devoted to the problems of anesthesia to surgical procedures at the malformations of the upper extremity in children. The article reviews the questions of epidemiology, classification of upper extremity malformation, safety of anesthesia and the role of regional blockades in the structure of intraoperative and postoperative analgesia to surgical procedures at the malformations of the upper extremity in children. Children are more likely than adults to experience stress in the operating room and early postoperative period. Children are almost impossible to prepare psychologically for the upcoming anesthesia, surgical intervention, a sense of pain after it. Surgical correction of malformations of the upper limbs in children is characterized by multistage and high traumatism, which requires the search for adequate methods of anesthesia, capable of ensuring not only the absence of pain, but also the negative impact on the nervous system of little patients. The key to the application of regional anesthesia in young children is the need for sedation or general anesthesia. The use of ultrasound navigation and electrostimulation of peripheral nerves significantly increases the level of safety and success of their realization. At present, the questions about the duration of postoperative analgesia with the use of peripheral nerve blocks and the need for additional anesthesia in the early postoperative period have been little studied. The influence of the applied anesthesia technique on the state of young children in the postoperative period are requires further investigation.

scholarly journals REGIONAL ANESTHESIA FOR CHILDREN WITH THE DISEASES OF LOWER LIMBS

2017 ◽  
Vol 11 (3) ◽  
pp. 157-163
Author(s):  
Yuliya A. Manokhina ◽  
G. E Ulrikh
Keyword(s):  
Regional Anesthesia ◽  
Surgical Procedures ◽  
Postoperative Analgesia ◽  
Lower Limbs ◽  
Anesthesia Safety

The article presents an analysis of the publications devoted to the problems of anesthesia to surgical procedures at the diseases of the lower limbs in children. The article reviews the questions of anesthesia safety and the role of regional blockades in the structure of intra- and postoperative analgesia.

scholarly journals RISK FACTORS FOR HEPATITIS;

2018 ◽  
Vol 20 (05) ◽  
pp. 661-666
Author(s):  
MUHAMMAD ASHRAF CHAUDHRY ◽  
BUSHRA GHULAM ◽  
LAILA KHALID ◽  
Marryam Shaheen Ahmed ◽  
Amnah -
Keyword(s):  
Risk Factors ◽  
Blood Transfusion ◽  
Surgical Procedures ◽  
Public Awareness ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Large Reservoir ◽  
Different Types ◽  
History Of

Background: Infections with Hepatitis B Virus (HBV) and Hepatitis C virus (HCV) are worldwide public health problem. Thisis related to the continued occurrence of new infections and the presence of a large reservoir of chronically infected persons. Objective:To determine the frequency of risk factors (causes of transmission) for HBV and HCV infections in hospitalized patients of CMH, Lahoreand Sheikh Zayed hospital, Lahore. Design: Descriptive (cross sectional). Setting: The study was carried out in CMH, Lahore and SheikhZayed hospital, Lahore from January, 2012 to July, 2012. Methods: The patients were selected by consecutive (non-probability)sampling technique. The data was collected through questionnaire. Informed written consent was obtained SPSS version 16.0 was usedto calculate the descriptive statistics. Results: Out of total of 100 subjects, 50 were cases and 50 were controls. Out of 50 cases, 26%were HBV positive and 74% were HCV positive with female preponderance. The history of injections was very high in both the groups,making a total of 64% (14% HBV; 16% HCV) the important contributors for different types of hepatitis were blood transfusion (HBV =10%; HCV = 28%; controls = 14%). Surgical procedures (4% HBV, 28% HCV; 8% controls). History of piercing in the last six months(HBV = 6%; HCV = 22% and control = 8%). History of dental procedures in the last six months was higher in HCV patients (18% HCV and4% HBV). History of HBV or HCV positive patients or relatives at home. (HBV 18%; HCV 36%; control 30%). Conclusions: In Pakistan thereis an urgent need to raise the public awareness about importance of properly screened blood transfusion, use of disposable needles andusing new blades for shaving and haircuts especially at barber shops. In our study, the important contributors for different types ofhepatitis were blood transfusion, surgical procedures and history piercing in the last 6months.

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