BACKGROUND A well-known complication of peripheral nerve block is peripheral nerve injury, whether from the needle or toxicity of the medication used. In this study, we sought to determine the extent of damage that results from intrafascicular injection of various commonly used local anesthetics (LAs). METHODS Sixteen Lewis rats received an intrafascicular injection of saline (control) or 1 o...

This case report presents the treatment of a grade two sprain of the anterior talofibular ligament of a 24-year-old basketball player with acupuncture and moxibustion. Shallow needle technique and needle head moxibustion were applied at various intervals during treatment. However, the primary traditional Chinese medicine intervention was heat perception moxibustion. This method of moxibustion f...

Great question! It?s wise to be in the know about workplace health risks. The Centers for Disease Control and Prevention (CDC) estimates that approximately 385,000 sharps-related injuries (i.e., being stuck by a needle) occur in health care workers each year in the United States. But, fear not! There are things you can do to prevent a needlestick injury from happening (more on this later)! Gett...

for 2 days. He was discharged home 7 days after his operation. This is the first reported case of an ultrasound-guided TAP block causing a significant postoperative complication and highlights the potential for iatrogenic injury even when ultrasound is used. The injury here was likely due to a failure to accurately image the entire needle during the right-sided needle placement, resulting in ex...

The sampling of cerebrospinal fluid (CSF) for chemical analysis is usually performed by a freehand lumbar puncture in routine clinical procedure, while the suboccipital region used postmortem examinations. We introduce new application semiautomated robotic, computed tomography (CT)-guided needle placement and CSF sampling. Postmortem (PMCT) imaging was performed, data were sent to custom-made V...

Botulinum toxin type A (BTX-A) is a recognized treatment for the temporary relief of refractory palmar hyperhidrosis. Unfortunately, intradermal injection of BTX-A can be painful. Several modalities to reduce the pain of injection have consequently been devised. Peripheral nerve blockade with lidocaine before BTX-A treatment of palmar hyperhidrosis is a safe and effective method of pain relief....

Background: Needle stick injuries (NSI) are one of the dreaded but preventable occupational hazard posed to health care worker in various clinical settings. The causes NSI includes caused by use hypodermic needles, blood collection needles intravenous delivery systems, diagnostic aspiration procedures and needle interventional or surgical procedures. In developing countries, prevalence is also ...

Most of the reported vascular injuries in laparoscopic appendectomies occur during trocar or Veress needle insertions. As laparoscopy continues to evolve, it is essential that surgeons report unusual complications in an effort to raise awareness and guide management of any iatrogenic injury incurred during minimally-invasive procedures. We report the case of a patient who sustained a major non-...

OBJECTIVE To identify and resolve procedural issues during transgastric access for the Natural Orifice Translumenal Endoscopic Surgery (NOTES), where feasibility and safety is established in animals and humans. However, several technical problems during viscerotomy result in considerable delay or procedure failure. METHODS Gastrotomy was performed under general anaesthesia in survival canine ...