scholarly journals BILATERAL MAXILLARY AND MANDIBULAR NERVE BLOCKS FOR POST-OPERATIVE PAIN MANAGEMENT IN MAXILLOFACIAL SURGERY FOR TREACHER-COLLINS SYNDROME: A CASE-REPORT

2018 ◽  
Author(s):  
Portugalyan Mihran ◽  
Lopes Luis
Keyword(s):  
Case Report ◽  
Pain Management ◽  
Maxillofacial Surgery ◽  
Mandibular Nerve ◽  
Treacher Collins Syndrome ◽  
Nerve Blocks ◽  
Post Operative Pain

scholarly journals Spinal Cord Stimulation for the Treatment of Chronic Renal Pain Secondary to Uretero-Pelvic Junction Obstruction

2011 ◽  
Vol 1;14 (1;1) ◽  
pp. 55-59
Author(s):  
Chong H. Kim
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Pain Management ◽  
Spinal Cord Stimulation ◽  
Visceral Pain ◽  
Flank Pain ◽  
Management Options ◽  
Nerve Blocks ◽  
Number Of Patients ◽  
Patient Reported

Background: Chronic renal pain secondary to uretero-pelvic junction obstruction (UPJO) is common but remains poorly understood. Patients with UPJO experience frequent infections, renal calculi and pain. Management options for patients with this condition are traditionally limited to surgical interventions to eliminate the obstruction. Spinal Cord Stimulation (SCS) has gained widespread popularity for the treatment of numerous conditions from complex regional pain syndrome to failed back syndrome. With continued success, the possible use of SCS has steadily increased. Although a significant number of patients with severe chronic renal pain will transiently respond to analgesics and physical interventions such as autonomic sympathetic blocks, substantial long-term pain relief is usually lacking. SCS therefore might be a welcome addition to the treatment of moderate to severe chronic renal pain. . Objective: This article presents a case of using spinal cord stimulation in the management of chronic renal pain secondary to Uretero-pelvic junction obstruction. Design: Case report Setting: Academic University Pain Management Center Methods: A 38-year old female presented with a 15-year history of persistent right sided flank pain secondary to congenital uretero-pelvic junction obstruction. After failing to respond adequately to stenting, medications and nerve blocks, a trial of spinal cord stimulation and subsequent permanent implantation of a spinal cord stimulator (SCS) were performed. Results: The patient reported significant improvement in pain, overall functioning and no consumption of opioids during the SCS trial and following system implant. Limitations: A case report. Conclusion: Spinal cord stimulation might be an option in the management of chronic renal pain secondary to Uretero-pelvic junction obstruction. Key words: spinal cord stimulation, renal pain, uretero-pelvic jnction obstruction, visceral pain, flank pain, pelvic pain

scholarly journals Effectiveness of Multimodal Preemptive Analgesic Therapy in Maxillofacial Surgery

1970 ◽  
pp. 17-23
Author(s):  
Shohda Khatun ◽  
Motiur Rahman Molla ◽  
AKM Akhteruzzaman ◽  
Md Sayedur Rahman
Keyword(s):  
Pain Management ◽  
Multimodal Therapy ◽  
Maxillofacial Surgery ◽  
Preemptive Therapy ◽  
Analgesic Requirement ◽  
Patient’S Satisfaction ◽  
Pain Scores ◽  
Recipient Group ◽  
Post Operative Pain ◽  
Operative Complications

This study was an attempt to find out the efficacy of pre-emptive analgesia in reducing post-operative pain. Multiple pre-emptive therapies were used in an attempt to see its superiority over single preemption. Pain scores showed significant differences between the pre-emptive and non pre-emptive groups. Pethidine consumed by the pre-emptive non-recipient group was much higher. Patient’s satisfaction was higher and post operative complications were less in the pre-emptive recipient group. Thus pre-emptive multimodal therapy would be better, in reducing post-operative pain, and the amount of post-operative analgesic requirement. It might be concluded that multimodal preemptive therapy by using I/V Ketorolac & Bupivacaine infiltration is an effective method for post operative pain management in maxillofacial surgery. DOI: 10.3329/bjpp.v24i1.5733Bangladesh J Physiol Pharmacol 2008; 24(1&2) : 17-23

scholarly journals Evidence-based Review of Periarticular Injections and Peripheral Nerve Blocks in Total Knee Arthroplasty

2020 ◽  
Vol 14 (1) ◽  
pp. 69-72
Author(s):  
Alexander Gaukhman ◽  
Simon Garceau ◽  
Ran Schwarzkopf ◽  
James Slover
Keyword(s):  
Total Knee Arthroplasty ◽  
Pain Management ◽  
Peripheral Nerve ◽  
Regional Anesthesia ◽  
Knee Arthroplasty ◽  
Motor Blockade ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Post Operative Pain ◽  
Total Knee

Background: Recently, post-operative pain management after Total Knee Arthroplasty (TKA) has focused on a multimodal approach for reducing opioid requirements, promoting early rehabilitation, and expediting discharge from hospital. Regional anesthesia, in the form of Periarticular Injections (PAI) and Peripheral Nerve Blocks (PNB), has shown promise as adjunctive therapy to oral analgesics. Objective: To review the current literature surrounding regional anesthesia for TKA. Discussion: PNBs provide effective analgesia after TKA. Historically, femoral nerve blocks (FNB) have been commonly employed. FNBs, however, lead to the significant motor blockade to the quadriceps musculature, which can dampen early rehabilitation efforts and increase the risk of post-operative falls. Adductor Canal Blocks (ACB) have shown excellent results in reducing post-operative pain while minimizing motor blockade. Periarticular injections (PAI), and infiltration between the popliteal Artery and Capsule of the Knee (IPACK) have similarly helped in reducing patient discomfort after TKA and providing analgesia to the posterior capsular region of the knee. Conclusion: PAIs, and PNBs are important elements in many multimodal postoperative pain management protocols after TKA. Current evidence appears to suggest that a combination of an ACB supplemented by posterior capsular analgesic coverage through PAI or IPACK may provide optimal results.

scholarly journals Pain Management Strategies Postoperatively in Arthroscopy of Foot & Ankle: A Review Article

2021 ◽  
Vol 2 (3) ◽  
pp. 097-099
Author(s):  
C LaPorte ◽  
MD Rahl ◽  
OR Ayeni ◽  
TJ Menge
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Peripheral Nerve ◽  
Management Strategies ◽  
Therapeutic Benefit ◽  
Opioid Use ◽  
Nerve Blocks ◽  
Analgesic Regimen ◽  
Post Operative Pain ◽  
Modal Treatment

Foot & Ankle arthroscopy is an increasingly rapid field in the treatment of multiple hip conditions, owing to its important diagnostic and therapeutic benefit. As these patients lack a consistent pain relief plan, effective post-operative pain control appears to be a concern. Several methods were used to identify a method that decreases post-operative pain, narcotic intake and hospital and treatment system costs. This article aims to study and report the relevant findings of the previous paper “Post-operative pain management strategies in hip arthroscopy.” Latest research encourages the use of a multimodal approach to the treatment of postoperative pain in hip arthroscopic patients. In tandem with peripheral nerve blocks or intraoperative anesthetic injection a pre- and after-operative analgesic regimen is used, patients experience lower discomfort and post-operative narcotic use. Different methods are similar in post-operative pain and opioid use. However, of those undergoing Intraarticular (IA) or Local Anesthetic Infiltration (LAI), postoperative risks relative to peripheral nervous blocks are smaller. Latest trials have demonstrated that the best and most reliable, multi-modal treatment for the reduction of postoperative pain in these patients may be intraoperative techniques such as IA injection or LAI in combination with a pre and postoperative analgesy. Furthermore, failure to use the peripheral nerve block can result in lower anesthesia procedural fees and operating room turnover, thereby lowering patients’ costs and increasing facility effectiveness.

scholarly journals Mastication Muscle Suppression by the Mandibular Branch of Trigeminal Nerve Catheter-Based, Ultrasound-Guided Block: A Case Report

2020 ◽  
Vol 7 (3) ◽  
Author(s):  
Fardin Yousefshahi ◽  
Juan Francisco Asenjo ◽  
Hossein Majedi
Keyword(s):  
Case Report ◽  
Nerve Block ◽  
Mandibular Nerve ◽  
Seizure Threshold ◽  
Partial Seizures ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Seizure Focus ◽  
Out Of Plane ◽  
Continuous Block

Introduction: Ultrasound-guided nerve blocks have enhanced our abilities to selectively and effectively suppress certain nerves to accomplish specific goals, including blockade a localized seizure muscle movement without affecting the seizure threshold or level of the consciousness. Case Presentation: This is a case report of the blockade of the movement of a chewing muscle by the continuous (catheter-based) mandibular nerve block in a 27 years old man with high-frequency partial seizures in facial muscles who was a candidate for seizure focus ablation. An out-of-plane approach was used to insert a catheter near the mandibular nerve to provide intermittent or continuous peripheral nerve block. This report demonstrated that a continuous block of the mandibular nerve could effectively facilitate the seizure focus mapping and ablation. Conclusions: We can selectively suppress the contractures of a certain muscle in partial seizures by a continuous block of the responsible nerve. This blockade can facilitate seizure focus mapping and ablation.

Acute pain management in trauma: anatomy, ultrasound-guided peripheral nerve blocks and special considerations

2019 ◽  
Vol 85 (7) ◽  
Author(s):  
Theodosios Saranteas ◽  
Iosifina Koliantzaki ◽  
Olga Savvidou ◽  
Marina Tsoumpa ◽  
Georgia Eustathiou ◽  
...  
Keyword(s):  
Pain Management ◽  
Peripheral Nerve ◽  
Acute Pain ◽  
Ultrasound Guided ◽  
Acute Pain Management ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks
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