RAEducation » Basic Science http://www.raeducation.com Regional Anesthesia Education...and Discussion Tue, 06 Apr 2010 12:21:26 +0000 http://wordpress.org/?v=2.9.2 en hourly 1 Ultrasound Imaging for Regional Anesthesia in Infants, Children… from Anesthesiology http://www.raeducation.com/2010/04/ultrasound-imaging-for-regional-anesthesia-in-infants-children-from-anesthesiology/ http://www.raeducation.com/2010/04/ultrasound-imaging-for-regional-anesthesia-in-infants-children-from-anesthesiology/#comments Tue, 06 Apr 2010 12:21:26 +0000 BlueNeedle http://www.raeducation.com/?p=1204
  • What do you do when your block appears permanent? Alain Borgeat presents a fantastic case discussion reviewing the management...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     Who in regional anesthesia wouldn’t look forward to an article by Tsui and Suresh?  The images in this manuscript are fantastic.

    Ultrasound Imaging for Regional Anesthesia in Infants, Child… : Anesthesiology.

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    1. What do you do when your block appears permanent? Alain Borgeat presents a fantastic case discussion reviewing the management...

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    ]]>     http://www.raeducation.com/2010/04/ultrasound-imaging-for-regional-anesthesia-in-infants-children-from-anesthesiology/feed/ 0     What do you do when your block appears permanent? http://www.raeducation.com/2010/03/what-do-you-do-when-your-block-appears-permanent/ http://www.raeducation.com/2010/03/what-do-you-do-when-your-block-appears-permanent/#comments Sat, 06 Mar 2010 18:00:25 +0000 BlueNeedle http://www.raeducation.com/?p=1200 Yet Another Related Posts Plugin.]]> Alain Borgeat presents a fantastic case discussion reviewing the management of a continuous interscalene block which appears to last a bit longer than usual. Dr. Borgeat deserves notable credit for also reviewing the psychosocial effects resulting from such situations. This should be required reading for all trainees before they are allowed to pick up a needle.

    Case Scenario: Neurologic Complication after Continuous Inte… : Anesthesiology.

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    ]]>     http://www.raeducation.com/2010/03/what-do-you-do-when-your-block-appears-permanent/feed/ 0     Epidural Catheter Disconnects http://www.raeducation.com/2010/02/epidural-catheter-disconnects/ http://www.raeducation.com/2010/02/epidural-catheter-disconnects/#comments Fri, 26 Feb 2010 23:47:39 +0000 BlueNeedle http://www.raeducation.com/2010/02/epidural-catheter-disconnects/ Yet Another Related Posts Plugin.]]> A 74 year-old female with borderline renal function and a history of spinal stenosis has an epidural catheter in place. She is post-op day 2 from a colon surgery for cancer.

    This morning, she was diagnosed with a PE, and was given 1mg/kg of enoxaparin. Six hours after the lovenox, the nurse calls the acute pain service. Apparently the epidural catheter has become disconnected in the last 3 hours (the disconnect was unwitnessed). The tips were found lying on the bed near the patient’s urinal.

    How would you manage this situation?

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    ]]>     http://www.raeducation.com/2010/02/epidural-catheter-disconnects/feed/ 2     TAP Block Review by NYSORA http://www.raeducation.com/2009/12/tap-block-review-by-nysora/ http://www.raeducation.com/2009/12/tap-block-review-by-nysora/#comments Thu, 31 Dec 2009 13:57:17 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=971
  • ROARing about Complications How do we report complications stemming from the administration and...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     A very nice review of the TAP block from NYSORA. Excellent diagrams demonstrating the anatomy. The article is also well researched, especially the portion pertaining to noted complications in the literature.

    NYSORA – The New York School of Regional Anesthesia – TAP BLOCK – TRANSVERSUS ABDOMINIS PLANE BLOCK.

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    ]]>     http://www.raeducation.com/2009/12/tap-block-review-by-nysora/feed/ 0     A Brief History of the Placebo http://www.raeducation.com/2009/09/a-brief-history-of-the-placebo/ http://www.raeducation.com/2009/09/a-brief-history-of-the-placebo/#comments Wed, 09 Sep 2009 12:00:32 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=905 Yet Another Related Posts Plugin.]]> Who knew that anesthesia had such an integral role in the modern placebo? A simply fantastic introduction to the topic, from a slightly uncharacteristic source.

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    ]]>     http://www.raeducation.com/2009/09/a-brief-history-of-the-placebo/feed/ 0     Fentanyl and Morphine: A CV Editorial http://www.raeducation.com/2009/07/fentanyl-and-morphine-a-cv-editorial/ http://www.raeducation.com/2009/07/fentanyl-and-morphine-a-cv-editorial/#comments Mon, 27 Jul 2009 02:08:21 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=874 Yet Another Related Posts Plugin.]]> It’s not too often that you’ll see us commenting on cardiac anesthetics. However, this editorial on the use of morphine and fentanyl in CV anesthesia summarizes some very nice points differentiating the two. Highly recommended, this is a short editorial worthy of your attention.

    Ovid: External Link.

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    ]]>     http://www.raeducation.com/2009/07/fentanyl-and-morphine-a-cv-editorial/feed/ 0     Zofran Can! Well, sorta, when it comes to the Bezold-Jarisch reflex… http://www.raeducation.com/2009/06/zofran-not-just-for-nausea-anymore/ http://www.raeducation.com/2009/06/zofran-not-just-for-nausea-anymore/#comments Thu, 11 Jun 2009 21:56:42 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=822
  • TAP Block Review by NYSORA A very nice review of the TAP block from NYSORA....
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     To cap off this week’s case discussion, we’d like to return to the last teaser of a question:

    What does ondansetron have to do with hypotension when the Bezold-Jarisch reflex is involved?

    This article from RA&PMdescribes ondansetron’s possible role in hypotension, the Bezold-Jarisch reflex, and neuraxial anesthesia. Importantly, this review concerns spinal, and not epidural, anesthesia. However the mechanism described may also function similarly following hypotension and bradycardia seen with epidurals.

    More literature can be found here. A nice review of the Bezold-Jarisch reflex itself from the BJA in 2001 can be found here.

    For the pharmacologists and structural biologists among us, here is a very cool Wikipedia article on the discovery and drug development of seratonin receptor antagonists.

    Kudos to Drs. Lucas and Koyyalamundi for picking up on the involvement of seratonin in this reflex through their comments this week.

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    1. TAP Block Review by NYSORA A very nice review of the TAP block from NYSORA....

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    ]]>     http://www.raeducation.com/2009/06/zofran-not-just-for-nausea-anymore/feed/ 0     Vioxx maker Merck and Co drew up doctor hit list | The Australian http://www.raeducation.com/2009/04/vioxx-maker-merck-and-co-drew-up-doctor-hit-list-the-australian/ http://www.raeducation.com/2009/04/vioxx-maker-merck-and-co-drew-up-doctor-hit-list-the-australian/#comments Sat, 25 Apr 2009 21:55:01 +0000 admin https://www.anest.ufl.edu/gator-rap/?p=476 Yet Another Related Posts Plugin.]]> Quite the shocking revelation.

    From the article:

    AN international drug company made a hit list of doctors who had to be “neutralised” or discredited because they criticised the anti-arthritis drug the pharmaceutical giant produced.

    Staff at US company Merck &Co emailed each other about the list of doctors – mainly researchers and academics – who had been negative about the drug Vioxx or Merck and a recommended course of action.

    The email, which came out in the Federal Court in Melbourne yesterday as part of a class action against the drug company, included the words “neutralise”, “neutralised” or “discredit” against some of the doctors’ names.

    It is also alleged the company used intimidation tactics against critical researchers, including dropping hints it would stop funding to institutions and claims it interfered with academic appointments.

    “We may need to seek them out and destroy them where they live,” a Merck employee wrote, according to an email excerpt read to the court by Julian Burnside QC, acting for the plaintiff.

    Vioxx maker Merck and Co drew up doctor hit list | The Australian.

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    ]]>     http://www.raeducation.com/2009/04/vioxx-maker-merck-and-co-drew-up-doctor-hit-list-the-australian/feed/ 0     A&A: Recurrence of Cardiotoxicity After Lipid Rescue from Bupivacaine-Induced Cardiac Arrest. http://www.raeducation.com/2009/04/aa-recurrence-of-cardiotoxicity-after-lipid-rescue-from-bupivacaine-induced-cardiac-arrest/ http://www.raeducation.com/2009/04/aa-recurrence-of-cardiotoxicity-after-lipid-rescue-from-bupivacaine-induced-cardiac-arrest/#comments Sat, 25 Apr 2009 18:39:06 +0000 admin https://www.anest.ufl.edu/gator-rap/?p=379 Yet Another Related Posts Plugin.]]> With good reason, most regional anesthetic rooms and carts now come with a bag of intralipid. But is one bag enough? Perhaps not. Nice case report from Marwick et al.

    Ovid: Recurrence of Cardiotoxicity After Lipid Rescue from Bupivacaine-Induced Cardiac Arrest..

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    ]]>     http://www.raeducation.com/2009/04/aa-recurrence-of-cardiotoxicity-after-lipid-rescue-from-bupivacaine-induced-cardiac-arrest/feed/ 1     RAPM: A Case of Liver Trauma With a Blunt Regional Anesthesia Needle While Performing Transversus Abdominis Plane Block http://www.raeducation.com/2009/04/rapm-a-case-of-liver-trauma-with-a-blunt-regional-anesthesia-needle-while-performing-transversus-abdominis-plane-block-2/ http://www.raeducation.com/2009/04/rapm-a-case-of-liver-trauma-with-a-blunt-regional-anesthesia-needle-while-performing-transversus-abdominis-plane-block-2/#comments Thu, 23 Apr 2009 17:00:37 +0000 admin https://www.anest.ufl.edu/gator-rap/?p=436 Yet Another Related Posts Plugin.]]> This letter is in reply to a case described by Farooq et al that we posted yesterday. Worth reading to see how O’Donnell et al have modified their practice over time to incorporate the use of ultrasound.

    A Case of Liver Trauma With a Blunt Regional Anesthesia Needle While Performing Transversus Abdominis Plane Block
    O’Donnell, Brian D. MB FCARCSI, MSc; Mannion, Stephen MB FCARCSI, MRCPI, MD

    Regional Anesthesia and Pain Medicine:
    January/February 2009 – Volume 34 – Issue 1 – pp 75-76
    doi: 10.1097/AAP.0b013e3181934050
    Letters to the Editor


    A Case of Liver Trauma With a Blunt Regional Anesthesia Need… : Regional Anesthesia and Pain Medicine
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