Regional Anesthesia and Pain Medicine back issues from May 2007:
"Going Fishing"-The Practice of Reporting Secondary Outcomes as Separate Studies
May 01, 2007; ... In this issue of Regional Anesthesia and Pain Medicine, Williams et al. present secondary outcomes from their previously published original clinical trial1 in two separate articles.2,3 How should readers interpret these newly-available results, and should they influence clinical ...
Rebound Pain Scores as a Function of Femoral Nerve Block Duration After Anterior Cruciate Ligament Reconstruction: Retrospective Analysis of a Prospective, Randomized Clinical Trial
May 01, 2007; ... Background and Objectives: Continuous perineural femoral analgesia has been reported to reduce numeric rating pain scores (NRS, scale 0-10) after anterior cruciate ligament reconstruction (ACLR). In the current study, we determined rebound pain scores in autograft ACLR outpatients after nerve ...
Nausea, Vomiting, Sleep, and Restfulness Upon Discharge Home After Outpatient Anterior Cruciate Ligament Reconstruction With Regional Anesthesia and Multimodal Analgesia/Antiemesis
May 01, 2007; ... Background and Objectives: We analyzed discharge outcome data after anterior cruciate ligament reconstruction (ACLR) under spinal anesthesia including a perineural femoral catheter and multimodal analgesia/antiemesis. The outcomes specifically addressed in this report are nausea, vomiting, and ...
Conflicting Results in Clinical Research: Is the Proof in the P Value, the Study Design, or the Pudding?
May 01, 2007; ... In this issue of Regional Anesthesia and Pain Medicine, Williams and colleagues present data from a previously published clinical investigation1 in which subjects undergoing outpatient anterior cruciate ligament reconstruction (ACLR) received 1 of 3 postoperative treatments in a randomized, ...
Comparison of Different Injectate Volumes for Stellate Ganglion Block: An Anatomic and Radiologic Study
May 01, 2007; ... Background: Volumes from 5 to 20 mL of local anesthetic are used for stellate ganglion block. The variation of practice gave us the impetus to investigate the distribution of 3 different volumes of solution. We documented the regions reached by each volume to assess the possibility to reduce the ...
Chronic Intrathecal Infusion of Minocycline Prevents the Development of Spinal-Nerve Ligation-Induced Pain in Rats
May 01, 2007; ... Background and Objectives: Minocycline is a second-generation tetracycline with multiple biological effects, including inhibition of microglial activation. Recently, microglial activation has been implicated in the development of nerve injury-induced neuropathic pain. In this study, the authors ...
Ultrasound Anatomy of the Radial Nerve in the Distal Upper Arm
May 01, 2007; ... Background and Objectives: We aimed to describe the ultrasound appearance of the radial nerve in the lateral aspect of the distal upper arm. This procedure was done to identify potential novel sites for ultrasound-guided radial-nerve block. Methods: We scanned the lateral aspect of the ...
Ultrasound-Guided Obturator Nerve Block: A Preliminary Report of a Case Series
May 01, 2007; ... Background and Objectives: Obturator-nerve block improves analgesia for knee surgery. Traditional techniques rely on surface landmarks, which can be variable and result in excessive performance times and multiple needle passes. The objective of this study was to evaluate a novel ...
A Randomized Controlled Trial of the Anticatabolic Effect of Epidural Analgesia and Hypocaloric Glucose
May 01, 2007; ... Background and Objectives: The goal of the present study was to investigate whether epidural analgesia exerts a protein-sparing effect after colorectal surgery in the presence of hypocaloric glucose supply initiated with surgical skin incision. Methods: We randomly allocated 10 patients ...
Altered Blood Flow in Terminal Vessels After Local Application of Ropivacaine and Prilocaine
May 01, 2007; ... Background: Ropivacaine is primarily a local anesthetic, but it also acts as a vasoactive agent. Case reports have described a critical reduction in blood flow when higher concentrations of ropivacaine were used for peripheral-nerve blocks. One hypothesis is that local application of ropivacaine ...
Howard Fields, M.D.: Bonica Lecturer
May 01, 2007; ... The John J. Bonica Award was established by the American Society of Regional Anesthesia to provide special recognition to a scientist or a clinician who has made significant contributions in the field of pain medicine. This year marks the 19th time that the award has been bestowed, and I am ...
Understanding How Opioids Contribute to Reward and Analgesia
May 01, 2007; ... Opioids acting at the mu opioid (MOP) receptor produce powerful analgesia. They also produce an intensely rewarding effect that can lead to addiction. The analgesic effect of MOP receptor agonists derives from a direct inhibitory effect on pain transmission at the spinal-cord level and through ...
High-Resolution Ultrasound-Guided High Interscalene Plexus Block for Carotid Endarterectomy
May 01, 2007; ... Background and Objectives: High-resolution ultrasound imaging (HRUI) allows real-time visualization of peripheral nerves, needle insertion, and the spread of local-anesthetic (LA) solution. We evaluated the feasibility of performing a high interscalene brachial-plexus block for carotid ...
Ultrasound-Guided and CT-Navigation-Assisted Periradicular and Facet Joint Injections in the Lumbar and Cervical Spine: A New Teaching Tool to Recognize the Sonoanatomic Pattern
May 01, 2007; ... Background and Objectives: The aim of this study is to provide a teaching tool to facilitate the acquirement of periradicular and facet-joint infiltration techniques in the cervical and lumbar spine. Methods: On 3 fresh cadavers, a computed tomography (CT) of the lumbar and cervical ...
Exploring Origins: Was John Bonica's Model of Modern-Day Pain Management Influenced by John Lundy's Earlier Work?
May 01, 2007; ... Contemporary pain medicine is a multimodality and multidisciplinary field. Many of the current ideas and styles of practice that influence the specialty today can be traced back to John Bonica, M.D., and his model of pain management introduced more than 50 years ago. Although much of the ...
The New York School of Regional Anesthesia Textbook of Regional Anesthesia and Acute Pain Management
May 01, 2007; ... The New York School of Regional Anesthesia Textbook of Regional Anesthesia and Acute Pain Management McGraw-Hill Companies, Inc., New York, 2007. ISBN: 0071449069, 2,000 pp, hardcover, $200. The first edition of The New York School of Regional Anesthesia Textbook of Regional Anesthesia ...
Announcing the Official Formation of ASRA AcutePOP (Acute Postoperative Pain) Initiative
May 01, 2007; ... The Board of Directors is delighted to announce the formation of the ASRA AcutePOP initiative. This project will be guided by Spencer S. Liu, M.D. (Hospital for Special Surgery and Cornell Weill Medical Center), Christopher L. Wu, M.D. (Johns Hopkins University), Jane C. Ballantyne, M.D ....
Bringing Closure to the Retraction Issue
May 01, 2007; ... In the July-August 2006 issue of Regional Anesthesia and Pain Medicine, a previously published manuscript titled "A New Rule for Femoral Nerve Blocks^sup -1^ was cooperatively retracted by its lead author 2 and the Editorial Board.3 The lead author and the Editorial Board agreed that the ...
New Approaches to Ganglion Impar Blocks via Coccygeal Joints
May 01, 2007; ... To the Editor: I commend your journal and authors Hong and Jang1 for the recently published case report of a ganglion impar block performed via a coccygeal-joint approach. As the authors noted, the ganglion impar is a solitary midline ganglion of the sympathetic nervous system, located ...
Local Opioid Analgesia at Cervical Sympathetic Ganglia: What Is the Contribution of Placebo Effect?
May 01, 2007; ... To the Editor: We read with interest the recent case series of Harris et al.1 that described an effective treatment of both chronic headache and facial pain with repeated application of buprenorphine to the stellate ganglion. We would like to congratulate the authors for their ...
Clonidine in Resuscitation of Bupivacaine-Related Cardiac Arrest/Reply to Dr. Pham Dang
May 01, 2007; ... To the Editor: Dr. Weinberg et al.1 have again demonstrated the salutary effect of lipid infusion in cardiac arrest after bupivacaine. This development is tremendous good news, particularly in light of a recently reported successful clinical application2 and emerging explanations on how ...
Prolonged Femoral Nerve Palsy After Ilio-Inguinal Nerve Block
May 01, 2007; ... To the Editor: A 63-year-old male presented for a right inguinal hernia repair as a day case. After induction of general anesthesia, 20 mL of 0.5% plain bupivacaine was injected at a point medial and inferior to the right anterior superior iliac spine. Gentle pressure superior to the ...
Modification of the Sitting Position for Posterior Brachial Plexus Block by Utilizing an Eye Surgery Stretcher
May 01, 2007; ... To the Editor: Of the 2 methods to position a patient for a posterior brachial-plexus block (PBPB) (Pippa technique), the preferred method is the sitting position, which makes landmark identification easy and properly aligns the head with the cervical and the thoracic spine.1 Neck pain ...