The New York School of Regional Anesthesia: Textbook of Regional Anesthesia and Acute Pain Management.

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The Journal of New York School of Regional Anesthesia

I am heavily indebted to Vincent Chan who first described in great detail this specific technique, although in his initial paper (1), both ultrasound and nerve stimulation were used, which I no longer routinely do. Although la Grange et al. (2), as early as 1978, advocated the use of a Doppler probe to locate the axillary artery and facilitate plexus location, Kapral et al. (3) first described ...

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The Journal of New York School of Regional Anesthesia

Adequate control of postoperative pain following hip and knee arthroplasty can be a challenging task1,2. Previous studies have shown that over 50% of patients undergoing surgery report postoperative pain as a major concern3. Consequences of uncontrolled pain can lead to myocardial ischemia and infarctions, pulmonary infections, paralytic ileus, urinary retention, thromboembolisms, impaired immu...

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The Journal of New York School of Regional Anesthesia

Since the introduction of cocaine in 1884, local anesthetics have been used as a mainstay of pain management. However, numerous studies over the past several decades have elucidated the supplemental role of local anesthetics as antimicrobial agents. In addition to their anesthetic properties, medications such as bupivacaine and lidocaine have been shown to exhibit bacteriostatic, bactericidal, ...

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The Journal of New York School of Regional Anesthesia

Effective postoperative analgesia is important from the patient’s perspective and can also improve clinical outcomes. Recent surveys report only modest success in providing suitable analgesia, as 30% to 86% of surgical patients report moderate to severe pain after a surgical procedure. Although “advanced” analgesic techniques, such as epidural analgesia or perineural catheters, can provide supe...

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Regional Anesthesia and Acute Pain

Background and Objectives: Epinephrine is usually administered in concert with a lipid emulsion during local anesthetic toxicity. However, the timing and role of epinephrine administration in combination with a lipid emulsion remain unclear. Specifically, the temporal association of epinephrine and lipid emulsion administration with related changes in pulmonary vascular pressures that may lead ...

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ژورنال

عنوان ژورنال: Anesthesiology

سال: 2007

ISSN: 0003-3022

DOI: 10.1097/01.anes.0000282090.83335.09