The Experts below are selected from a list of 33 Experts worldwide ranked by ideXlab platform
Carmelia L De Lira Fernandes - One of the best experts on this subject based on the ideXlab platform.
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esra19 0601 suprainguinal Iliac Fascia block and peng block guided by ultrasonography for surgical treatment of femoral fracture option in an elderly patient case report
Regional Anesthesia and Pain Medicine, 2019Co-Authors: L Rodriguez A Linares, P P Kimachi, Zeponi Dal V Acqua, Carmelia L De Lira FernandesAbstract:Background and aims Treatment crises are frequent in the elderly population, usually with comorbidities that may prolong the hospitalization of these patients. The great interest is a quick recovery, but with an efficient analgesia that allows an early mobilization of the patients. Methods Case report Results Patient is 91 years old, ASA II, who is presenting with left transtrocantical fracture, discrete mental and previous history of abdominal distension and nausea with the use of PCA morphine. The association was associated with blockage of the supinguinguinal Iliac Fascia associated with the PENG block before surgery, avoiding hemodynamic repercussions of the neuraxis, but maintaining the benefits and discussed regional anesthesia. 20 ml of lidocaine 2% + 4 mg of dexamethasone without Iliac Fascia and 20 ml of ropivacaine 0.375% + 6 mg dexamethasone were used in the PENG block, both of which were guided by ultrasonography. A sedation with fentanyl and propofol, and spontaneous ventilation with o2 catheter. Patient maintained with MAP >70 throughout the process, without reacting to the surgical stimulus. At the end of a period of time, the beginning and end of the operation were completed in the ICU, with high frequency for the 24-hour period. She presented a pain score in the hip region and thighs in the last 72 hours, with the walker walking the day after the surgery. Conclusions Review of satisfactory surgical anesthesia, with postoperative analgesia and drastic reduction of opioid consumption, with a rapid recovery of the patient, operating with early disease, without major hemodynamic changes, as an option.
L Rodriguez A Linares - One of the best experts on this subject based on the ideXlab platform.
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esra19 0601 suprainguinal Iliac Fascia block and peng block guided by ultrasonography for surgical treatment of femoral fracture option in an elderly patient case report
Regional Anesthesia and Pain Medicine, 2019Co-Authors: L Rodriguez A Linares, P P Kimachi, Zeponi Dal V Acqua, Carmelia L De Lira FernandesAbstract:Background and aims Treatment crises are frequent in the elderly population, usually with comorbidities that may prolong the hospitalization of these patients. The great interest is a quick recovery, but with an efficient analgesia that allows an early mobilization of the patients. Methods Case report Results Patient is 91 years old, ASA II, who is presenting with left transtrocantical fracture, discrete mental and previous history of abdominal distension and nausea with the use of PCA morphine. The association was associated with blockage of the supinguinguinal Iliac Fascia associated with the PENG block before surgery, avoiding hemodynamic repercussions of the neuraxis, but maintaining the benefits and discussed regional anesthesia. 20 ml of lidocaine 2% + 4 mg of dexamethasone without Iliac Fascia and 20 ml of ropivacaine 0.375% + 6 mg dexamethasone were used in the PENG block, both of which were guided by ultrasonography. A sedation with fentanyl and propofol, and spontaneous ventilation with o2 catheter. Patient maintained with MAP >70 throughout the process, without reacting to the surgical stimulus. At the end of a period of time, the beginning and end of the operation were completed in the ICU, with high frequency for the 24-hour period. She presented a pain score in the hip region and thighs in the last 72 hours, with the walker walking the day after the surgery. Conclusions Review of satisfactory surgical anesthesia, with postoperative analgesia and drastic reduction of opioid consumption, with a rapid recovery of the patient, operating with early disease, without major hemodynamic changes, as an option.
Zeponi Dal V Acqua - One of the best experts on this subject based on the ideXlab platform.
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esra19 0601 suprainguinal Iliac Fascia block and peng block guided by ultrasonography for surgical treatment of femoral fracture option in an elderly patient case report
Regional Anesthesia and Pain Medicine, 2019Co-Authors: L Rodriguez A Linares, P P Kimachi, Zeponi Dal V Acqua, Carmelia L De Lira FernandesAbstract:Background and aims Treatment crises are frequent in the elderly population, usually with comorbidities that may prolong the hospitalization of these patients. The great interest is a quick recovery, but with an efficient analgesia that allows an early mobilization of the patients. Methods Case report Results Patient is 91 years old, ASA II, who is presenting with left transtrocantical fracture, discrete mental and previous history of abdominal distension and nausea with the use of PCA morphine. The association was associated with blockage of the supinguinguinal Iliac Fascia associated with the PENG block before surgery, avoiding hemodynamic repercussions of the neuraxis, but maintaining the benefits and discussed regional anesthesia. 20 ml of lidocaine 2% + 4 mg of dexamethasone without Iliac Fascia and 20 ml of ropivacaine 0.375% + 6 mg dexamethasone were used in the PENG block, both of which were guided by ultrasonography. A sedation with fentanyl and propofol, and spontaneous ventilation with o2 catheter. Patient maintained with MAP >70 throughout the process, without reacting to the surgical stimulus. At the end of a period of time, the beginning and end of the operation were completed in the ICU, with high frequency for the 24-hour period. She presented a pain score in the hip region and thighs in the last 72 hours, with the walker walking the day after the surgery. Conclusions Review of satisfactory surgical anesthesia, with postoperative analgesia and drastic reduction of opioid consumption, with a rapid recovery of the patient, operating with early disease, without major hemodynamic changes, as an option.
P P Kimachi - One of the best experts on this subject based on the ideXlab platform.
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esra19 0601 suprainguinal Iliac Fascia block and peng block guided by ultrasonography for surgical treatment of femoral fracture option in an elderly patient case report
Regional Anesthesia and Pain Medicine, 2019Co-Authors: L Rodriguez A Linares, P P Kimachi, Zeponi Dal V Acqua, Carmelia L De Lira FernandesAbstract:Background and aims Treatment crises are frequent in the elderly population, usually with comorbidities that may prolong the hospitalization of these patients. The great interest is a quick recovery, but with an efficient analgesia that allows an early mobilization of the patients. Methods Case report Results Patient is 91 years old, ASA II, who is presenting with left transtrocantical fracture, discrete mental and previous history of abdominal distension and nausea with the use of PCA morphine. The association was associated with blockage of the supinguinguinal Iliac Fascia associated with the PENG block before surgery, avoiding hemodynamic repercussions of the neuraxis, but maintaining the benefits and discussed regional anesthesia. 20 ml of lidocaine 2% + 4 mg of dexamethasone without Iliac Fascia and 20 ml of ropivacaine 0.375% + 6 mg dexamethasone were used in the PENG block, both of which were guided by ultrasonography. A sedation with fentanyl and propofol, and spontaneous ventilation with o2 catheter. Patient maintained with MAP >70 throughout the process, without reacting to the surgical stimulus. At the end of a period of time, the beginning and end of the operation were completed in the ICU, with high frequency for the 24-hour period. She presented a pain score in the hip region and thighs in the last 72 hours, with the walker walking the day after the surgery. Conclusions Review of satisfactory surgical anesthesia, with postoperative analgesia and drastic reduction of opioid consumption, with a rapid recovery of the patient, operating with early disease, without major hemodynamic changes, as an option.
Ernesto Manuel Luzardo Silveira - One of the best experts on this subject based on the ideXlab platform.
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bloqueo de la Fascia Iliaca frente al metamizol para analgesia preoperatoria en pacientes con fractura de cadera blocking of the Iliac Fascia compared to metamizol for preoperative analgesia in patients with hip fracture
2014Co-Authors: Roberto Gonzalez Castilla, Ernesto Manuel Luzardo SilveiraAbstract:A study of therapeutic intervention in 134 aged adults with hip fracture, operated in "Dr. Ambrosio Grillo Portuondo" University Hospital in Santiago de Cuba was carried out from November, 2009 to same period of 2012, in order to evaluate the use of the blocking of the Iliac Fascia compared to metamizol for the relief of the acute pain in the preoperative period. Two study groups were formed, both with 67 members; blocking with 0.25 % bupivacaina was carried out in one of them, and intramuscular metamizol was administered in the other one. The visual analogical scale was used to evaluate the relief of pain during rest and when there was movement. Female sex (64.2 %) and the 81-90 age group patients (38.8 %) prevailed. After 60 minutes of using the blockade of the Iliac Fascia, an evident improvement was obtained in the affected patients, demonstrating its effectiveness regarding metamizol, either during rest as during movement.
