BACKGROUND Hip fracture is a common, morbid, and costly event among older adults. Data are inconclusive as to whether epidural or spinal (regional) anesthesia improves outcomes after hip fracture surgery. METHODS The authors examined a retrospective cohort of patients undergoing surgery for hip fracture in 126 hospitals in New York in 2007 and 2008. They tested the association of a record ind...

results totally, 20 patients completed the study. the cms and pain scores significantly improved after the block. conclusions the use of the modified lateral ssnb of feigl significantly reduces pain and increases shoulder function, in chronic shoulder pain. patients and methods patients were evaluated using the constant-murley score (cms) and number rating scale values for pain. the ssn was blo...

conclusions there is still not a definitive consensus as to which technique is superior, but including one of the methods in addition to providing the patient with parenteral and enteral drugs could provide better postsurgical analgesia. the aim of this review article is to look at the effectiveness of various local anesthetic techniques available to provide analgesia following laparoscopic sur...

OBJECTIVE To evaluate the effect of anesthesia type on the risk of in-hospital mortality among adults undergoing hip fracture surgery in the United States. DESIGN Retrospective cohort study. SETTING Premier research database, United States. PARTICIPANTS 73,284 adults undergoing hip fracture surgery on hospital day 2 or greater between 2007 and 2011. Of those, 61,554 (84.0%) received gener...

aim and background:   intravenous regional anesthesia is easy to administer, reliable, and costeffective methods and materials:   in a randomized, double blinded, clinical trial thirty patients of 18 to 60 findings:   sensory block onset time, motor block onset time, tourniquet pain and analgesic conclusions:   addition of nitroglycerine to lidocaine to intravenous regional anesthesia can

OBJECTIVE This survey aimed to assess both the extent of practice and need for training in regional anesthesia among anesthesiologists in Saudi Arabia in 2012. METHODS We distributed an electronic survey among 382 anesthesiologists attending the bi-annual meetings of the Saudi Anesthetic Association, enquiring about their practice in regional anesthesia. Questions concerned the practice of re...

Total knee arthroplasty (TKA) is amenable to various regional anesthesia techniques that may improve patient outcome. We sought to answer whether regional anesthesia decreased mortality, cardiovascular morbidity, deep venous thrombosis and pulmonary embolism, blood loss, duration of surgery, pain, opioid-related adverse effects, cognitive defects, and length of stay. We also questioned whether ...

The objective of this Chapter was to investigate the feasibility and outcome of gasless laparoscopy under regional anesthesia. A prospective evaluation of Lift-(gasless) laparoscopic procedures under regional anesthesia (Canadian Task Force classification II-1) was done at three endoscopic gynecology centers (franchise system of EndGyn(r)). Sixty-three patients with gynecological diseases compr...

nerve blocks) can be used for multiple surgical procedures [1–3]. The effect of anesthetic technique on perioperative outcomes is controversial. Central neuraxial blocks including spinal, epidural, and caudal anesthesia are regional anesthesia techniques. Regional anesthesia techniques provide important advantages compared with general anesthesia in some surgical procedures [1, 3]. Regional ane...

Regional anesthesia offers many benefits for the patient, surgery center, anesthesiology practice, and hospital. Unfortunately, there are no evidence-based guidelines to follow when starting a new service aimed at providing peripheral nerve blocks. A regional anesthesia program adds value by improving the quality of postoperative analgesia and recovery after surgery. Specialized training in reg...