Journal of Regional Anesthesia and Intensive Care - An Introduction

2018 ◽  
Keyword(s):  
Intensive Care ◽  
Regional Anesthesia

Recovery and Discharge for Procedures Conducted Outside of the Operating Room

2011 ◽  
pp. 37-41
Author(s):  
Lianfeng Zhang ◽  
Frances F. Chung
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Operating Room ◽  
Regional Anesthesia ◽  
Postoperative Care ◽  
Postoperative Recovery ◽  
Therapeutic Interventions ◽  
Postanesthesia Care Unit ◽  
Discharge Process ◽  
Step Down

Continued advances in procedural techniques, anesthetic pharmacology, and regional anesthesia allow more prolonged diagnostic and therapeutic interventions to be conducted at an increasing variety of locations outside of the operating room (OOOR). However, recovery and discharge process may vary according to the patient’s condition and the specifics of the procedure. Generally, most patients are sent to the postanesthesia care unit (PACU) and ambulatory surgery unit (ASU) or a medical post-procedure recovery unit not staffed by an anesthesiologist, while some patients receive special postoperative care in a step-down or intensive care unit. Therefore, ensuring rapid postoperative recovery and safe discharge are important components following these OOOR procedures.

REGIONAL ANESTHESIA TECHNIQUES FOR PAIN CONTROL IN THE INTENSIVE CARE UNIT

1999 ◽  
Vol 15 (1) ◽  
pp. 77-88 ◽  
Author(s):  
Allen W. Burton ◽  
Sunil Eappen
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Regional Anesthesia ◽  
Pain Control

scholarly journals Investigating the association of regional anesthesia during labor with postpartum depression

2020 ◽  
Author(s):  
Esmat Barooti ◽  
Bahman Malek ◽  
Safoora Honarmand ◽  
Mohammadreza Moshari ◽  
Seyed Alshohadaei SM
Keyword(s):  
Body Mass Index ◽  
Intensive Care ◽  
Postpartum Depression ◽  
Regional Anesthesia ◽  
Significant Relationship ◽  
Control Group ◽  
Medical Sciences ◽  
Normal Delivery ◽  
Factors Affecting ◽  
The Relationship

Introduction: Postpartum depression (PPD) is a common disorder and a type of clinical depression that affects mothers during the first 4 weeks after childbirth. Considering the destructive effects of this disease on mothers' behavior, identifying the factors affecting PPDand using proper methods in normal delivery is important. The aim of this study was to determine the relationship between regional anesthesia (RA) during labor and the incidence of PPDin women referred to hospitals affiliated to Shahid Beheshti University of Medical Sciences. Methodology: In this study, 200 pregnant women referred to hospitals of Shahid Beheshti University of Medical Sciences during 2015 to 2017 entered into two equal groups, Group R, administered RA, and Group C; control group without RA according to their desire. Each group consisted of 100 parturients, and the two groups were compared for the incidence of PPD and the association of depression with RA during labor. Results: Based on the obtained data, the participants in the two groups did not differ significantly in terms of age, body mass index (BMI), duration of delivery phases and depression in the first week of postpartum. However, the severity of pain in different phases of delivery was different due to the use of anesthetic for one of the groups. No significant relationship between RA and depression was observed in the first week after childbirth. However, RA has a significant relationship with PPD in the 4th week, so that the use of RA reduces the incidence of PPD in the 4th week (p = 0.066). Conclusion: We conclude that the use of regional anesthesia will not have a significant effect on postpartum depression in the first week, but it reduces the incidence of postpartum depression in the 4th week after childbirth. Citation: Barooti E, Malek B, Honarmand S, Moshari M, Alshohadaei SMS. Investigating the association of regional anesthesia during labor with postpartum depression. Anaesth pain & intensive care 2019;23(3):----  Received – 30 May 2018, Reviewed – 23 August, 26 October 2018, 2 May, 4 May, 16 June, 14 September 2019; Revised – 14 October 2018, 18 March, 10 June 2019; Accepted- 14 September 2019

scholarly journals Dr. Jean-Pierre Estèbe

2021 ◽  
Vol 25 (2) ◽  
Author(s):  
Dr. Xavier Falieres
Keyword(s):  
Intensive Care ◽  
Regional Anesthesia ◽  
Local Anesthetics ◽  
Medical Studies ◽  
Fundamental Research

It is with great sadness that we heard of the death of Dr Jean-Pierre Estèbe, French anesthesiologist, on the 16th of March 2021. Jean-Pierre Estèbe was born in 1955. He started his medical studies in Rennes, France in 1975 and continued with training in anesthesia-intensive care, primarily wanting to become an intensivist. He was passionate about his job, spending his energy on two fronts: pain and loco-regional anesthesia, problems within and the relevant fundamental research; more specifically the prolongation of analgesia with local anesthetics, which were finalized by a university thesis in 2001.

Blunt Chest Trauma and Regional Anesthesia for Analgesia of Multitrauma Patients in French Intensive Care Units: A National Survey

2021 ◽  
Author(s):  
Raiko Blondonnet ◽  
Marc Begard ◽  
Matthieu Jabaudon ◽  
Thomas Godet ◽  
Benjamin Rieu ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Regional Anesthesia ◽  
National Survey ◽  
Blunt Chest Trauma ◽  
Chest Trauma

A 13-Year Review of Eclampsia and Anesthetic Techniques at a Single Tertiary Care Center

2021 ◽  
Vol 104 (4) ◽  
pp. 576-582
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
General Anesthesia ◽  
Cesarean Delivery ◽  
Regional Anesthesia ◽  
Care Center ◽  
Tertiary Care ◽  
Perinatal Outcomes ◽  
Anesthetic Techniques ◽  
Tertiary Care Center

Objective: To assess recent perinatal outcomes of women with eclampsia in relation with the choices of anesthesia. Materials and Methods: The electronic medical records of women with eclampsia that delivered at a single tertiary care center between January 2005 and December 2017 were retrospectively reviewed. Anesthesiologists had the discretion to decide the choice of anesthesia for cesarean delivery. Results: The authors identified 45 eclampsia cases from 113,914 deliveries during the study period. The mean ± standard deviation (SD) of maternal age and gestational age at delivery of the cases was 24.4±8.5 years and 35.4±3.0 weeks, respectively, and 32 (71.1%) were primigravids. There were 29 (64.4%), eight (17.8%), and eight (17.8%) eclampsia cases that occurred antepartum, intrapartum, and postpartum, respectively. Out of the cohort, 35 (77.8%) underwent Cesarean delivery, of which 18 (51.4%) and 17 (48.6%) received general anesthesia or combined, and regional anesthesia, respectively. There was one (2.2%) maternal and three (6.67%) neonatal deaths. The general anesthesia group had a higher incidence of platelets of less than 100,000/mL and higher admission to the intensive care unit (p<0.05). Conclusion: Eclampsia remains a cause of serious perinatal morbidity. Most eclampsia occurred without prior risks, warning signs, or a critically high blood pressure. With proper patient selection and individualization, general or regional anesthesia is safe. The higher intensive care unit admissions were likely attributable to severe sequelae of eclampsia in those that underwent a general anesthesia. Keywords: Eclampsia, General anesthesia, Spinal anesthesia, Epidural anesthesia, Perinatal outcomes

scholarly journals A retrospective examination of the effects of regional anesthesia methods applied for postoperative pain control on analgesic consumption after lower extremity surgery

2020 ◽  
Vol 7 (10) ◽  
pp. 659-662
Author(s):  
Mehmet Kenan Erol
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Postoperative Pain ◽  
Lower Extremity ◽  
Peripheral Nerve ◽  
Regional Anesthesia ◽  
Intensive Care Stay ◽  
Significant Difference ◽  
The Difference ◽  
Group 1

Objective: If preferable, the regional anesthesia is a more preferred method than general anesthesia. The preference for regional anesthesia increases as postoperative recovery is quicker, hospitalization is less and hospital costs are low. Material and methods: We retrospectively evaluated the hemodynamic findings, postoperative pain, hospital, and intensive care stay in patients aged 18-80 who underwent lower extremity surgery with regional anesthesia in the last 1 year. We divided the cases into 3 groups; Group 1 (n =114) patients with a peripheral nerve block, Group 2 (n =104) spinal anesthesia, and Group 3 (n =81) epidural anesthesia. Results: The difference between group 1 and 2, age hospitalization, and time of stay in intensive care was statistically significant. (P=0.021) (P=0.000). The difference between group 1 and 3 Intensive care unit stay was statistically significant (P = 0.003). The difference between the length of stay in the intensive care unit between groups 2 and 3 was found as statistically significant (P = 0.000). There was no significant difference in terms of hospital stay. Group 1 was found to have the shortest duration of intensive care stay. Conclusion: In lower extremity surgeries, peripheral nerve blocks may have provided more hemodynamic stability and longer analgesic effect compared to central blocks.

scholarly journals Regional anesthesia for management of acute pain in the intensive care unit

2015 ◽  
Vol 5 (3) ◽  
pp. 138 ◽  
Author(s):  
Mario De Pinto ◽  
Armagan Dagal ◽  
Brendan O′Donnell ◽  
Agnes Stogicza ◽  
Sheila Chiu ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Regional Anesthesia ◽  
Acute Pain
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