A regional anesthesia service offers significant advantages for patients and healthcare providers. Improved perioperative pain control directly benefits the patient while facilitating the work of the anesthesiologist and the surgeon. In recent years, ultrasound (US) guidance has undoubtedly played a prominent role in the evolution of pain control as evidenced by the growing number of clinical i...

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 ...

THE vast majority of ophthalmic surgeries are performed under regional anesthesia only. However, its use is also described in association with general anesthesia for pediatric cases and for postoperative analgesia. Eye blocks have long been limited to retrobulbar anesthesia (RBA) as performed by surgeons. Surgical technique changes and research on improving patient safety during eye blocks has ...

Abstract: Breast surgery is exceedingly common and may result in significant acute as well as chronic pain. Numerous options exist for the control of perioperative breast pain, including several newly described regional anesthesia techniques, but anesthesiologists have an insufficient understanding of the anatomy of the breast, the anatomic structures disrupted by the various breast surgeries, ...

The clavicle is the most frequently fractured bone in humans. General anesthesia with or without Regional Anesthesia (RA) used for surgeries due to its complex innervation.

Anesthesia may be considered in terms of two categories: general and regional. The aim of general anesthesia is to induce analgesia, sedation, amnesia, suppression of autonomic reflexes, and relaxation of muscles. Regional anesthesia is more site-specific and is typically divided into three categories based on the location of injection: 1. a central neuraxial block is an injection of an anesthe...

Regional anesthesia for carotid endarterectomy is a simple, reliable, and virtually complication-free technique. We began to perform a series of carotid endarterectomy under regional anesthesia at our institution in May 1990. This report describes our experience with 180 operated patients from May 1990 till December 1995, with regional anesthesia. All patients were operated with microsurgery an...

Background andObjectives: This multicenter, randomized trial compared intravenous (IV) and perineural (PN) dexamethasone for ultrasound (US)-guided infraclavicular brachial plexus block. Our research hypothesis was both modalities would result in similar durations of motor block. Methods: One hundred fifty patients undergoing upper limb surgery with US-guided infraclavicular block were randomly...

Knee surgery may be performed under general anesthesia, preferably, however, under regional anesthesia because of the profound preemptive analgesic effect that is provided by regional anes the t ic techn iques . Both cent roneurax is (sp ina l , ep idura l ) as well as peripheral nerve blocks may be used for knee surgery. Although the former may be used less frequently in the near future in kne...