The Experts below are selected from a list of 22491 Experts worldwide ranked by ideXlab platform
Richard Brull - One of the best experts on this subject based on the ideXlab platform.
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Musculoskeletal Sonopathology and Ultrasound-Guided Regional Anesthesia
HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2010Co-Authors: Alan J. R. Macfarlane, Brian D. Sites, Vincent R. Sites, Ali Naraghi, Vincent W. S. Chan, Mandeep Singh, John G. Antonakakis, Richard BrullAbstract:The use of real-time ultrasound guidance has revolutionized the practice of Regional Anesthesia. Ultrasound is rapidly becoming the technique of choice for nerve blockade due to increased success rates, faster onset, and potentially improved safety. In the course of ultrasound-guided Regional Anesthesia, unexpected pathology may be encountered. Such anomalous or pathological findings may alter the choice of nerve block and occasionally affect surgical management. This case series presents a variety of musculoskeletal conditions that may be encountered during ultrasound-guided Regional Anesthesia practice.
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Practical knobology for ultrasound-guided Regional Anesthesia.
Regional anesthesia and pain medicine, 2010Co-Authors: Richard Brull, Alan J. R. Macfarlane, Cyrus TseAbstract:This article provides an instructive review of the essential functions universal to modern ultrasound machines in use for Regional Anesthesia practice. An understanding of machine knobology is integral to performing safe and successful ultrasound-guided Regional Anesthesia.
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does Regional Anesthesia improve outcome after total knee arthroplasty
Clinical Orthopaedics and Related Research, 2009Co-Authors: Alan J. R. Macfarlane, Vincent W. S. Chan, Govindarajulu A Prasad, Richard BrullAbstract: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 Regional Anesthesia improved rehabilitation. To do so, we performed a systematic review of the contemporary literature comparing general Anesthesia and/or systemic analgesia with Regional Anesthesia and/or Regional analgesia for TKA. To reflect contemporary surgical and anesthetic practice, only randomized, controlled trials from 1990 onward were included. We identified 28 studies involving 1538 patients. There was insufficient evidence from randomized, controlled trials alone to conclude if anesthetic technique influenced mortality, cardiovascular morbidity other than postoperative hypotension, or the incidence of deep venous thrombosis and pulmonary embolism when using thromboprophylaxis. Our review suggests there was no difference in perioperative blood loss or duration of surgery in patients who received general Anesthesia versus Regional Anesthesia. Compared with general Anesthesia and/or systemic analgesia, Regional Anesthesia and/or analgesia reduced postoperative pain, morphine consumption, and opioid-related adverse effects. Length of stay may be reduced and rehabilitation facilitated for patients undergoing Regional Anesthesia and analgesia for TKA.
Alan J. R. Macfarlane - One of the best experts on this subject based on the ideXlab platform.
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Musculoskeletal Sonopathology and Ultrasound-Guided Regional Anesthesia
HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2010Co-Authors: Alan J. R. Macfarlane, Brian D. Sites, Vincent R. Sites, Ali Naraghi, Vincent W. S. Chan, Mandeep Singh, John G. Antonakakis, Richard BrullAbstract:The use of real-time ultrasound guidance has revolutionized the practice of Regional Anesthesia. Ultrasound is rapidly becoming the technique of choice for nerve blockade due to increased success rates, faster onset, and potentially improved safety. In the course of ultrasound-guided Regional Anesthesia, unexpected pathology may be encountered. Such anomalous or pathological findings may alter the choice of nerve block and occasionally affect surgical management. This case series presents a variety of musculoskeletal conditions that may be encountered during ultrasound-guided Regional Anesthesia practice.
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Practical knobology for ultrasound-guided Regional Anesthesia.
Regional anesthesia and pain medicine, 2010Co-Authors: Richard Brull, Alan J. R. Macfarlane, Cyrus TseAbstract:This article provides an instructive review of the essential functions universal to modern ultrasound machines in use for Regional Anesthesia practice. An understanding of machine knobology is integral to performing safe and successful ultrasound-guided Regional Anesthesia.
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does Regional Anesthesia improve outcome after total knee arthroplasty
Clinical Orthopaedics and Related Research, 2009Co-Authors: Alan J. R. Macfarlane, Vincent W. S. Chan, Govindarajulu A Prasad, Richard BrullAbstract: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 Regional Anesthesia improved rehabilitation. To do so, we performed a systematic review of the contemporary literature comparing general Anesthesia and/or systemic analgesia with Regional Anesthesia and/or Regional analgesia for TKA. To reflect contemporary surgical and anesthetic practice, only randomized, controlled trials from 1990 onward were included. We identified 28 studies involving 1538 patients. There was insufficient evidence from randomized, controlled trials alone to conclude if anesthetic technique influenced mortality, cardiovascular morbidity other than postoperative hypotension, or the incidence of deep venous thrombosis and pulmonary embolism when using thromboprophylaxis. Our review suggests there was no difference in perioperative blood loss or duration of surgery in patients who received general Anesthesia versus Regional Anesthesia. Compared with general Anesthesia and/or systemic analgesia, Regional Anesthesia and/or analgesia reduced postoperative pain, morphine consumption, and opioid-related adverse effects. Length of stay may be reduced and rehabilitation facilitated for patients undergoing Regional Anesthesia and analgesia for TKA.
Santhanam Suresh - One of the best experts on this subject based on the ideXlab platform.
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Regional Anesthesia: Options for the Pediatric Patient.
Anesthesiology clinics, 2020Co-Authors: Nisha Pinto, Amod Sawardekar, Santhanam SureshAbstract:The scope of pediatric Regional Anesthesia is expanding, with increased safety and efficacy data over the past few years. As familiarity and expertise has developed with ultrasonography, Regional Anesthesia has played an important role in the management of acute pain in the postsurgical population.
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Ultrasound for Regional Anesthesia in Children
Anesthesiology clinics, 2013Co-Authors: Santhanam Suresh, Amod Sawardekar, Ravi D. ShahAbstract:The use of Regional Anesthesia in children is increasing. Rapid advancement in the use of ultrasound guidance has allowed for a greater ease in performing peripheral Regional Anesthesia in pediatrics. Successful peripheral nerve blockade provides children with analgesia that will improve their operative experience.
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Everyday Regional Anesthesia in children
Paediatric anaesthesia, 2012Co-Authors: Peter Marhofer, Giorgio Ivani, Santhanam Suresh, Estela Melman, Guadalupe Zaragoza, Adrian T. BosenbergAbstract:Summary Regional Anesthesia in children is an evolving technique with many advantages in perioperative management. Although most Regional Anesthesia techniques are sufficiently described in the literature, the implementation of these techniques into daily clinical practice is still lacking. The main problems associated with pediatric Regional Anesthesia (PRA) include the appropriate selection of blockade, the management around the block, and how to teach these techniques in an optimal manner. This review article provides an overview of these ‘hot’ topics in PRA.
Gil Faclier - One of the best experts on this subject based on the ideXlab platform.
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Regional Anesthesia and co-existing chronic pain.
Current opinion in anaesthesiology, 2010Co-Authors: Dmitri Souzdalnitski, Thomas M. Halaszynski, Gil FaclierAbstract:PURPOSE OF REVIEW Investigate the rational for incorporation of Regional Anesthesia techniques into a multimodal approach toward patients with co-existing chronic pain as increasing numbers of chronic pain patients are presenting for surgery. RECENT FINDINGS There is a growing body of evidence suggesting that Regional Anesthesia may be superior to opioids for improved pain control along with increased patient satisfaction and decreased perioperative morbidity and mortality comparing to general Anesthesia in patients with significant medical disease(s) and may also carry several economic benefits. Despite the prevalence of chronic pain and data suggesting that patients with chronic pain are prone to exacerbation of their condition(s) following surgery, Regional Anesthesia techniques for these patients is only beginning to be developed. SUMMARY The systemic condition of chronic pain has important practical and clinical implications for Regional Anesthesia implementation by anesthesiologists and pain management physicians. Comprehensive preadmission assessment together with a complete medication history and close follow-up management should always be employed in patients with pre-existing chronic pain throughout the perioperative setting. Despite successful implementation of neural blockade, and to avoid opioid withdrawal, at least half the chronic pain patient's daily pre-admission opioid dose should be continued daily throughout the perioperative period. Regional Anesthesia is a preferable anesthetic option for perioperative management technique of patients with co-existing chronic pain, even if it requires supplementation with sedation or general Anesthesia. The specifics of Regional Anesthesia performance and practical strategies for Regional Anesthesia application in chronic pain patients, including implanted pain management devices, are reviewed in this study.
Cyrus Tse - One of the best experts on this subject based on the ideXlab platform.
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Practical knobology for ultrasound-guided Regional Anesthesia.
Regional anesthesia and pain medicine, 2010Co-Authors: Richard Brull, Alan J. R. Macfarlane, Cyrus TseAbstract:This article provides an instructive review of the essential functions universal to modern ultrasound machines in use for Regional Anesthesia practice. An understanding of machine knobology is integral to performing safe and successful ultrasound-guided Regional Anesthesia.
