The Experts below are selected from a list of 672 Experts worldwide ranked by ideXlab platform

Fatemeh Moini - One of the best experts on this subject based on the ideXlab platform.

  • simple arm Tourniquet as an adjunct to double cuff Tourniquet in intravenous regional anesthesia
    Anesthesiology and Pain Medicine, 2016
    Co-Authors: Ali Akbar Jafarian, Farnad Imani, Reza Salehi, Farid Najd Mazaher, Fatemeh Moini
    Abstract:

    BACKGROUND: Intravenous Regional Anesthesia (IVRA) is a well-known technique for producing analgesia during surgical procedures in the extremities. However, the rapid onset of pain following the deflation of a double-cuff Tourniquet during IVRA is a serious disadvantage, leading patient suffering. OBJECTIVES: The aim of this study was to evaluate the clinical effectiveness of a Pneumatic arm Tourniquet applied 2 cm above the double-cuff Tourniquet in controlling the pain that occurs after its deflation. PATIENTS AND METHODS: Twenty patients undergoing outpatient hand surgery were operated on under IVRA, using 40 - 50 mL of a solution containing 3 mg/kg of lignocaine. A simple Pneumatic Tourniquet was applied proximal to the double-cuff Tourniquet, 3 min before its deflation, while the procedure was being conducted. The severity of pain on the basis of the Numerical Rating Scale (NRS) was assessed throughout the operation, and continued until an hour after the double-cuff Tourniquet was removed. RESULTS: The mean operation time after the deflation of the double-cuff Tourniquet was 20.12 ± 6.1 minutes. Moreover, the mean NRS for the post-deflation time was insignificant (NRS = 2), and only one patient during first 20 minutes received opioids. CONCLUSIONS: This study showed that a Pneumatic arm Tourniquet as an adjunct to IVRA provides acceptable analgesia following the deflation of the double- cuff Tourniquet for relieving surgical pain.

I. Hamanaka - One of the best experts on this subject based on the ideXlab platform.

  • Hamanaka I. Endoscopic anatomical nerve observation and minimally invasive management of cubital tunnel syndrome
    2016
    Co-Authors: A. Yoshida, Ichiro Okutsu, I. Hamanaka
    Abstract:

    Experience with the use of the Universal Subcutaneous Endoscope (USE) system in surgical treatment of cubital tunnel syndrome in 35 patients is reported. Patients included in the study had pre- and postoperative clinical and electrophysiological data, and had undergone a minimum follow-up period of 13 months. Mean patient age was 59.5 years and the mean follow-up period was 25.9 months. The operation was performed under local anaesthesia without Pneumatic Tourniquet and on an out-patient basis. A 1.5 cm portal is made at the cubital tunnel and the USE system is inserted next to the ulnar nerve, first distally and then proximally. The nerve is endoscopically assessed and only the tissue that compresses the nerve is released, in keeping with the principles of minimally invasive treatment. Preoperative tingling sensations disappeared postoperatively in 63% of cases. Pain and sensory disturbance recovered to normal in 92 % and 89 % of cases, respectively. Abnormal motor nerve conduction velocities improved in 77%. Abductor digiti minimi weakness MMT 0, 1, 2 in 16 hands recovered to MMT 4 or 5 in eight. First-dorsal interosseous weakness in 18 hands recovered to MMT 4 or 5 in seven. There were no complications in this series. The endoscopic approach facilitates inspection of the ulnar nerve so that selective release of the tissue that compresses the nerve can readily be performed. The technique has proven effective in the treatment of cubital tunnel syndrome

  • endoscopic anatomical nerve observation and minimally invasive management of cubital tunnel syndrome
    Journal of Hand Surgery (European Volume), 2009
    Co-Authors: A. Yoshida, I Okutsu, I. Hamanaka
    Abstract:

    Experience with the use of the Universal Subcutaneous Endoscope (USE) system in surgical treatment of cubital tunnel syndrome in 35 patients is reported. Patients included in the study had pre- and postoperative clinical and electrophysiological data, and had undergone a minimum follow-up period of 13 months. Mean patient age was 59.5 years and the mean follow-up period was 25.9 months. The operation was performed under local anaesthesia without Pneumatic Tourniquet and on an out-patient basis. A 1.5 cm portal is made at the cubital tunnel and the USE system is inserted next to the ulnar nerve, first distally and then proximally. The nerve is endoscopically assessed and only the tissue that compresses the nerve is released, in keeping with the principles of minimally invasive treatment. Preoperative tingling sensations disappeared postoperatively in 63% of cases. Pain and sensory disturbance recovered to normal in 92% and 89% of cases, respectively. Abnormal motor nerve conduction velocities improved in 7...

Ali Akbar Jafarian - One of the best experts on this subject based on the ideXlab platform.

  • simple arm Tourniquet as an adjunct to double cuff Tourniquet in intravenous regional anesthesia
    Anesthesiology and Pain Medicine, 2016
    Co-Authors: Ali Akbar Jafarian, Farnad Imani, Reza Salehi, Farid Najd Mazaher, Fatemeh Moini
    Abstract:

    BACKGROUND: Intravenous Regional Anesthesia (IVRA) is a well-known technique for producing analgesia during surgical procedures in the extremities. However, the rapid onset of pain following the deflation of a double-cuff Tourniquet during IVRA is a serious disadvantage, leading patient suffering. OBJECTIVES: The aim of this study was to evaluate the clinical effectiveness of a Pneumatic arm Tourniquet applied 2 cm above the double-cuff Tourniquet in controlling the pain that occurs after its deflation. PATIENTS AND METHODS: Twenty patients undergoing outpatient hand surgery were operated on under IVRA, using 40 - 50 mL of a solution containing 3 mg/kg of lignocaine. A simple Pneumatic Tourniquet was applied proximal to the double-cuff Tourniquet, 3 min before its deflation, while the procedure was being conducted. The severity of pain on the basis of the Numerical Rating Scale (NRS) was assessed throughout the operation, and continued until an hour after the double-cuff Tourniquet was removed. RESULTS: The mean operation time after the deflation of the double-cuff Tourniquet was 20.12 ± 6.1 minutes. Moreover, the mean NRS for the post-deflation time was insignificant (NRS = 2), and only one patient during first 20 minutes received opioids. CONCLUSIONS: This study showed that a Pneumatic arm Tourniquet as an adjunct to IVRA provides acceptable analgesia following the deflation of the double- cuff Tourniquet for relieving surgical pain.

Isabela Ugo Luques - One of the best experts on this subject based on the ideXlab platform.

  • neurapraxia do femoral pelo uso do garrote relato de caso
    Revista Brasileira De Ortopedia, 2008
    Co-Authors: Wagner Castropil, Alexandre Carneiro Bitar, Mario Wilson Iervolino Brotto, Breno Schor, Caio Oliveira Delia, Isabela Ugo Luques
    Abstract:

    The authors describe the case of a 27 year-old female patient submitted to knee surgery for patellar realignment with the use of a Pneumatic Tourniquet, who developed femoral neurapraxia. They make a brief literature review about the advantages and disadvantages of using a Tourniquet in knee surgeries, and discuss the need for Tourniquet indication considering the complications entailed by the incorrect use of the Tourniquet.

  • Neurapraxia do femoral pelo uso do garrote: relato de caso Femoral neurapraxia due to the use of Tourniquet: case report
    Sociedade Brasileira de Ortopedia e Traumatologia, 2008
    Co-Authors: Wagner Castropil, Alexandre Carneiro Bitar, Mario Wilson Iervolino Brotto, Caio Oliveira D'elia, Breno Schor, Isabela Ugo Luques
    Abstract:

    Os autores descrevem caso de paciente do sexo feminino, com 23 anos de idade, submetida à cirurgia do joelho para realinhamento patelar com uso de garrote pneumático e que desenvolveu neurapraxia femoral. Faz-se breve revisão da literatura sobre as vantagens e desvantagens do uso do garrote em cirurgias do joelho e discute-se a necessidade da sua indicação, considerando-se as complicações acarretadas por seu uso incorreto.The authors describe the case of a 27 year-old female patient submitted to knee surgery for patellar realignment with the use of a Pneumatic Tourniquet, who developed femoral neurapraxia. They make a brief literature review about the advantages and disadvantages of using a Tourniquet in knee surgeries, and discuss the need for Tourniquet indication considering the complications entailed by the incorrect use of the Tourniquet

Wagner Castropil - One of the best experts on this subject based on the ideXlab platform.

  • neurapraxia do femoral pelo uso do garrote relato de caso
    Revista Brasileira De Ortopedia, 2008
    Co-Authors: Wagner Castropil, Alexandre Carneiro Bitar, Mario Wilson Iervolino Brotto, Breno Schor, Caio Oliveira Delia, Isabela Ugo Luques
    Abstract:

    The authors describe the case of a 27 year-old female patient submitted to knee surgery for patellar realignment with the use of a Pneumatic Tourniquet, who developed femoral neurapraxia. They make a brief literature review about the advantages and disadvantages of using a Tourniquet in knee surgeries, and discuss the need for Tourniquet indication considering the complications entailed by the incorrect use of the Tourniquet.

  • Neurapraxia do femoral pelo uso do garrote: relato de caso Femoral neurapraxia due to the use of Tourniquet: case report
    Sociedade Brasileira de Ortopedia e Traumatologia, 2008
    Co-Authors: Wagner Castropil, Alexandre Carneiro Bitar, Mario Wilson Iervolino Brotto, Caio Oliveira D'elia, Breno Schor, Isabela Ugo Luques
    Abstract:

    Os autores descrevem caso de paciente do sexo feminino, com 23 anos de idade, submetida à cirurgia do joelho para realinhamento patelar com uso de garrote pneumático e que desenvolveu neurapraxia femoral. Faz-se breve revisão da literatura sobre as vantagens e desvantagens do uso do garrote em cirurgias do joelho e discute-se a necessidade da sua indicação, considerando-se as complicações acarretadas por seu uso incorreto.The authors describe the case of a 27 year-old female patient submitted to knee surgery for patellar realignment with the use of a Pneumatic Tourniquet, who developed femoral neurapraxia. They make a brief literature review about the advantages and disadvantages of using a Tourniquet in knee surgeries, and discuss the need for Tourniquet indication considering the complications entailed by the incorrect use of the Tourniquet

  • neurapraxia do femoral pelo uso do garrote relato de caso femoral neurapraxia due to the use of Tourniquet case report
    2008
    Co-Authors: Wagner Castropil, Alexandre Carneiro Bitar, Breno Schor, Mario Wilson, Iervolino Brotto, Caio Oliveira, Isabela Ugo
    Abstract:

    The authors describe the case of a 27 year-old female patient submitted to knee surgery for patellar realignment with the use of a Pneumatic Tourniquet, who developed femoral neurapraxia. They make a brief literature review about the advantages and disadvantages of using a Tourniquet in knee surgeries, and discuss the need for Tourniquet indication considering the complications entailed by the incorrect use of the Tourniquet.