MRI of the spine requires patient to stay still in lying down position. With on severe excruciating pain, supine is not always feasible during and any intervention with least possible adverse effect preferred. Sedation suite compatible monitors which readily available all centers. The erector spinae plane block provides analgesia via its action ventral rami spinal nerves. ESP a safe easy proced...

Several recently developed analgesic techniques effectively control pain after major orthopaedic surgery. Neuraxial analgesia provided by epidural and spinal administration of local anesthetics and opioids provides the highest level of pain control; however, such therapy is highly invasive and labor intensive. Neuraxial analgesia is contraindicated in patients receiving low-molecular-weight hep...

Effective perioperative pain management techniques and accelerated rehabilitation programs can improve health-related quality of life and functional status of patients after total hip arthroplasty. Traditionally, postoperative analgesia following arthroplasty was provided by intravenous patient-controlled analgesia or epidural analgesia. Recently, peripheral nerve blockade has emerged alternati...

ANESTHESIOLOGY is a dynamic specialty that has adapted well to demands from patients to improve the quality of their care and pressures from the healthcare industry to achieve this in a cost-effective fashion. The aging of the population undergoing surgical procedures, increasing proportion of surgical procedures performed in an outpatient setting, and emphasis on cost containment have led clin...

conclusions our study shows that there is improvement in pain scores, at rest and on movement, as well as a reduction in incidence of severe pain, in patients who receive cfnb versus those who receive intravenous pca. results our results show that the incidence of a severe pain episode was higher in the pca compared with the cfnb group. lower pain scores were observed in the cfnb group compared...