RAEducation » Journal Articles 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 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.

No related posts.

Related posts brought to you by Yet Another Related Posts Plugin.

]]> http://www.raeducation.com/2010/03/what-do-you-do-when-your-block-appears-permanent/feed/ 0 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.

    Related posts:

    1. ROARing about Complications How do we report complications stemming from the administration and...

    Related posts brought to you by Yet Another Related Posts Plugin.

    ]]>     http://www.raeducation.com/2009/12/tap-block-review-by-nysora/feed/ 0     Rivals Take Aim at the Software Company SAS – NYTimes.com http://www.raeducation.com/2009/11/rivals-take-aim-at-the-software-company-sas-nytimes-com/ http://www.raeducation.com/2009/11/rivals-take-aim-at-the-software-company-sas-nytimes-com/#comments Sun, 22 Nov 2009 22:20:32 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=952
  • Vital Signs – Pain Often Lasts Long After Breast Cancer Surgery, Study Finds – NYTimes.com From the home page of the New York Times. A...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     As healthcare attempts to bring electronic records into mainstream clinical care, users at all levels should keep this budding competition in mind.

    Rivals Take Aim at the Software Company SAS – NYTimes.com.

    Related posts:

    1. Vital Signs – Pain Often Lasts Long After Breast Cancer Surgery, Study Finds – NYTimes.com From the home page of the New York Times. A...

    Related posts brought to you by Yet Another Related Posts Plugin.

    ]]>     http://www.raeducation.com/2009/11/rivals-take-aim-at-the-software-company-sas-nytimes-com/feed/ 0     Outcome Reporting in Industry-Sponsored Trials of Gabapentin… http://www.raeducation.com/2009/11/nejm-outcome-reporting-in-industry-sponsored-trials-of-gabapentin-for-off-label-use/ http://www.raeducation.com/2009/11/nejm-outcome-reporting-in-industry-sponsored-trials-of-gabapentin-for-off-label-use/#comments Thu, 12 Nov 2009 23:40:13 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=948
  • Gabapentin and Ketamine for TAH. Ok, that’s a lot of gabapentin, at least compared to...
  • NEJM — A Bloody Mystery NEJM — A Bloody Mystery. ...
  • Epidural Catheter Disconnects A 74 year-old female with borderline renal function and a...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     Worth reading. With all of the relatively recent literature on gabapentin for acute pain, we should remember this bit of history. NEJM — Outcome Reporting in Industry-Sponsored Trials of Gabapentin for Off-Label Use.

    Related posts:

    1. Gabapentin and Ketamine for TAH. Ok, that’s a lot of gabapentin, at least compared to...
    2. NEJM — A Bloody Mystery NEJM — A Bloody Mystery. ...
    3. Epidural Catheter Disconnects A 74 year-old female with borderline renal function and a...

    Related posts brought to you by Yet Another Related Posts Plugin.

    ]]>     http://www.raeducation.com/2009/11/nejm-outcome-reporting-in-industry-sponsored-trials-of-gabapentin-for-off-label-use/feed/ 0     Vital Signs – Pain Often Lasts Long After Breast Cancer Surgery, Study Finds – NYTimes.com http://www.raeducation.com/2009/11/vital-signs-pain-often-lasts-long-after-breast-cancer-surgery-study-finds-nytimes-com/ http://www.raeducation.com/2009/11/vital-signs-pain-often-lasts-long-after-breast-cancer-surgery-study-finds-nytimes-com/#comments Tue, 10 Nov 2009 21:33:18 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=946
  • Rivals Take Aim at the Software Company SAS – NYTimes.com As healthcare attempts to bring electronic records into mainstream clinical...
  • The Effect of Perioperative IV Lidocaine on Post-Op Pain and Immune Function What’s nice about this study is the control group: PCEA!...
  • Epidural Catheter Disconnects A 74 year-old female with borderline renal function and a...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     From the home page of the New York Times. A quick read on a topic of great importance for breast cancer survivors.   Vital Signs – Pain Often Lasts Long After Breast Cancer Surgery, Study Finds – NYTimes.com.

    Related posts:

    1. Rivals Take Aim at the Software Company SAS – NYTimes.com As healthcare attempts to bring electronic records into mainstream clinical...
    2. The Effect of Perioperative IV Lidocaine on Post-Op Pain and Immune Function What’s nice about this study is the control group: PCEA!...
    3. Epidural Catheter Disconnects A 74 year-old female with borderline renal function and a...

    Related posts brought to you by Yet Another Related Posts Plugin.

    ]]>     http://www.raeducation.com/2009/11/vital-signs-pain-often-lasts-long-after-breast-cancer-surgery-study-finds-nytimes-com/feed/ 1     ROARing about Complications http://www.raeducation.com/2009/10/roaring-about-complications/ http://www.raeducation.com/2009/10/roaring-about-complications/#comments Fri, 30 Oct 2009 13:00:58 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=942
  • 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.]]>     How do we report complications stemming from the administration and management of regional anesthetics?  Once reported, how should we categorize them? What about advanced decision-support to guide local practices?

    Recently, Buckenmaier et al have recently published a superb system for cataloguing complications from regional anesthesia. In this series, they reported an overall morbidity rate of 9.5% and mortality rate of 0.08%.

    The story doesn’t end there. Head on over to http://www3.interscience.wiley.com/cgi-bin/fulltext/122593797/HTMLSTART for a nice review.

    Related posts:

    1. 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.

    ]]>     http://www.raeducation.com/2009/10/roaring-about-complications/feed/ 0     The Effect of Perioperative IV Lidocaine on Post-Op Pain and Immune Function http://www.raeducation.com/2009/10/the-effect-of-perioperative-iv-lidocaine-on-post-op-pain-and-immune-function/ http://www.raeducation.com/2009/10/the-effect-of-perioperative-iv-lidocaine-on-post-op-pain-and-immune-function/#comments Thu, 29 Oct 2009 13:00:15 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=931
  • Gabapentin and Ketamine for TAH. Ok, that’s a lot of gabapentin, at least compared to...
  • Vital Signs – Pain Often Lasts Long After Breast Cancer Surgery, Study Finds – NYTimes.com From the home page of the New York Times. A...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     What’s nice about this study is the control group: PCEA! The differences in pain scores were statistically different but of questionable clinical difference. Another study with incremental pain improvements, but importantly reflecting non-incremental changes in perioperative stress response. Also note the higher pain scores despite increased PCEA volume and intra-op opioid use (although, this could increase OR decrease post-op pain depending on your literature purview). A&A via Ovid.

    Related posts:

    1. Gabapentin and Ketamine for TAH. Ok, that’s a lot of gabapentin, at least compared to...
    2. Vital Signs – Pain Often Lasts Long After Breast Cancer Surgery, Study Finds – NYTimes.com From the home page of the New York Times. A...

    Related posts brought to you by Yet Another Related Posts Plugin.

    ]]>     http://www.raeducation.com/2009/10/the-effect-of-perioperative-iv-lidocaine-on-post-op-pain-and-immune-function/feed/ 0     NEJM — A Bloody Mystery http://www.raeducation.com/2009/10/nejm-a-bloody-mystery/ http://www.raeducation.com/2009/10/nejm-a-bloody-mystery/#comments Mon, 19 Oct 2009 14:04:24 +0000 admin http://www.anest.ufl.edu/gator-rap/?p=921
  • Outcome Reporting in Industry-Sponsored Trials of Gabapentin… Worth reading. With all of the relatively recent literature on...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     NEJM — A Bloody Mystery.

    Related posts:

    1. Outcome Reporting in Industry-Sponsored Trials of Gabapentin… Worth reading. With all of the relatively recent literature on...

    Related posts brought to you by Yet Another Related Posts Plugin.

    ]]>     http://www.raeducation.com/2009/10/nejm-a-bloody-mystery/feed/ 0     Identifying the sciatic nerve at the sub-gluteal level with u/s http://www.raeducation.com/2009/07/identifying-the-sciatic-nerve-at-the-sub-gluteal-level-with-us/ http://www.raeducation.com/2009/07/identifying-the-sciatic-nerve-at-the-sub-gluteal-level-with-us/#comments Sat, 11 Jul 2009 17:47:16 +0000 Veerandra Koyyalamudi http://www.anest.ufl.edu/gator-rap/?p=853
  • ROARing about Complications How do we report complications stemming from the administration and...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     Here is a link to a recent publication in Acta Anaesthesiologica Scandinavica.

    The authors described the consistent identification of the sciatic nerve using an hyperechoic structure along the medial border of the biceps femoris muscle. However, they only looked at lean patients. Not sure how easy it would be to identify in our high BMI patients.

    http://www3.interscience.wiley.com/journal/122365664/abstract?CRETRY=1&SRETRY=0

    Related posts:

    1. ROARing about Complications How do we report complications stemming from the administration and...

    Related posts brought to you by Yet Another Related Posts Plugin.

    ]]>     http://www.raeducation.com/2009/07/identifying-the-sciatic-nerve-at-the-sub-gluteal-level-with-us/feed/ 0     Unique case of transient profound neurologic deficit resulting from an unusual epidural mass- Case Report http://www.raeducation.com/2009/06/epidural-mass/ http://www.raeducation.com/2009/06/epidural-mass/#comments Sun, 28 Jun 2009 20:32:12 +0000 Veerandra Koyyalamudi http://www.anest.ufl.edu/gator-rap/?p=837
  • Epidural Catheter Disconnects A 74 year-old female with borderline renal function and a...
    • Related posts brought to you by Yet Another Related Posts Plugin.]]>     Here is an interesting case report that was published a few years ago (2004) in Anesthesiology.

    They describe an episode of profound transient neurological deficit following a difficult thoracic epidural placement ( dural puncture, 3 attempts, T6-T7, T7-T8, T8-T9) in an elderly women undergoing a thoracotomy for repair of a hiatal hernia.

    Profound neurological deficit was noticed on the 2nd post op day.

    MRI showed an unusual collection of fluid with a high water content extending from T6 to T9 with evidence of spinal cord compression. Minimal heme and no evidence of an abscess.

    Link:

    http://journals.lww.com/anesthesiology/Fulltext/2004/12000/Transient_Profound_Neurologic_Deficit_Associated.31.aspx

    Something to add to our differential diagnoses.

    Related posts:

    1. Epidural Catheter Disconnects A 74 year-old female with borderline renal function and a...

    Related posts brought to you by Yet Another Related Posts Plugin.

    ]]>     http://www.raeducation.com/2009/06/epidural-mass/feed/ 0