Article
Orthopedics
Yanan Li, Qi Zhang, Ying Wang, Chunping Yin, Junfei Guo, Shiji Qin, Yahui Zhang, Lian Zhu, Zhiyong Hou, Qiujun Wang
Summary: This study demonstrated that ultrasound-guided single popliteal sciatic nerve block is an effective postoperative pain management strategy for calcaneal fracture. It can reduce pain intensity and adverse reactions, prolong the use of patient-controlled analgesia pump, and improve patient, surgeon, and nurse satisfaction.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Anesthesiology
Clifford Bowens, Ignacio J. Badiola, Brian Frazer Scott Allen, Christopher Loredo Canlas, Rajnish Kumar Gupta, Lisa Michelle Jaeger, Eric Russell Briggs, John Matthew Corey, Yaping Shi, Jonathan Scott Schildcrout, Randall John Malchow
Summary: The study shows that during ultrasound-guided continuous popliteal sciatic nerve blocks, injecting an agitated local anesthetic solution through the catheter with mixed bubbles can improve the coverage of nerve branches and the success rate of the block.
PERIOPERATIVE MEDICINE
(2021)
Article
Automation & Control Systems
Long Lei, Baoliang Zhao, Xiaozhi Qi, Rui Mi, Hai Ye, Peng Zhang, Qiong Wang, Pheng-Ann Heng, Ying Hu
Summary: This paper proposes a dual-arm robotic needle insertion system with the guidance of intraoperative 2D ultrasound (US) and preoperative 3D computed tomography (CT) fusion for percutaneous liver tumor puncture operation. By addressing the shortcomings of existing puncture robots, the system can provide real-time, clear and all-round guidance using real-time ultrasound and clear CT images simultaneously, with good accuracy demonstrated in experiments.
IEEE TRANSACTIONS ON AUTOMATION SCIENCE AND ENGINEERING
(2023)
Article
Orthopedics
Bernard H. Sagherian, Todd A. Kile, David P. Seamans, Lopa Misra, Richard J. Claridge
Summary: This study compared nerve stimulation and ultrasound guidance for lateral popliteal blocks, finding no significant differences in most outcomes, but the nerve stimulation group had faster performance time and fewer needle redirections.
FOOT AND ANKLE SURGERY
(2021)
Article
Pediatrics
Amandeep Kaur, Swati Manerkar, Saikat Patra, Pavan Kalamdani, Thaslima Kalathingal, Jayashree Mondkar
Summary: This study found that ultrasound-guided umbilical venous catheter insertion significantly reduced the rate of catheter tip malposition. It also decreased the number of attempts at catheter manipulation, procedure time, and X-ray exposures.
INDIAN JOURNAL OF PEDIATRICS
(2022)
Article
Clinical Neurology
Codrin Lungu, Alexandra Nmashie, Mary Catherine George, Barbara I. Karp, Katharine Alter, Susan Shin, Winona Tse, Steven J. Frucht, Tianxia Wu, Vivian Koo, Elaine Considine, Gina Norato, Mark Hallett, David M. Simpson
Summary: This study compared the efficacy of electrophysiologic guidance and ultrasound guidance in onabotulinumtoxin-A injections for the treatment of spasticity and dystonia. The results showed that both techniques were equally effective, but participants found ultrasound-guided injections to be more comfortable.
MOVEMENT DISORDERS CLINICAL PRACTICE
(2022)
Article
Engineering, Electrical & Electronic
Bjarke Norrehvedde Jensen, Yuting Wang, Alice Le Friec, Sadegh Nabavi, Mingdong Dong, Dror Seliktar, Menglin Chen
Summary: A wireless electromagnetic neural stimulation patch has been developed, which combines electromagnetic induction and physical guidance cues to promote neural cell growth and treat neurological diseases. In vitro experiments confirmed the biocompatibility and efficacy of the patch's electromagnetic stimulation in promoting neurite outgrowth, demonstrating its great potential for non-invasive neurological therapeutics.
NPJ FLEXIBLE ELECTRONICS
(2023)
Review
Acoustics
Saeed Baradwan, Majed Saeed Alshahrani, Albaraa Alnoury, Khalid Khadawardi, Mahmoud Anis Khan, Rehab Abdelkhalek Ahmed Abdelkader, Ola Saleh, Heba Mohammed Galal, Suzan Mohamed Abdelkareem Mohamed, Ahmed Mohamed Abdelhakim, Asmaa M. Elgedawy, Amira M. Elbahie, Mostafa A. Gaber, Amr Ahmed Magdy, Kareem Shaheen
Summary: This study evaluated the effect of ultrasound guidance on pain relief during IUD insertion. The results showed that ultrasound-guided group had significantly lower pain scores, shorter insertion time, higher satisfaction, and lower rates of complications and misplaced IUDs compared to the non-guided group.
JOURNAL OF ULTRASOUND IN MEDICINE
(2023)
Article
Anesthesiology
Manoj Kumar Karmakar, Miguel A. Reina, Ranjith Kumar Sivakumar, Pornpatra Areeruk, Jatuporn Pakpirom, Xavier Sala-Blanch
Summary: This article reviews the use of popliteal sciatic nerve block for foot and ankle surgery and how the anatomy of the sciatic nerve can affect block outcomes. The study found that the internal architecture of the sciatic nerve is more complex than previously described, which promotes the spread of local anesthetic to the internal aspect of the nerve trunk.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2021)
Article
Urology & Nephrology
Xiaoli Zhang, Guangsen Liu, Cong Sun, Yi Zhong, Ling Wang, Zhihua Huang, Guoping Wang, Reai Shan
Summary: This study found that adding dexmedetomidine to ropivacaine for blockades during PD catheter insertion in ESRD patients can inhibit oxidative stress and increase antioxidant enzyme levels.
INTERNATIONAL UROLOGY AND NEPHROLOGY
(2022)
Article
Neurosciences
Xiangling Li, Tieyuan Zhang, Chaochao Li, Wenjing Xu, Yanjun Guan, Xiaoya Li, Haofeng Cheng, Shengfeng Chen, Boyao Yang, Yuli Liu, Zhiqi Ren, Xiangyu Song, Zhibo Jia, Yu Wang, Jinshu Tang
Summary: Low-frequency electrical stimulation (ES) promotes nerve regeneration by accelerating Wallerian degeneration (WD) and upregulating the expression of neurotrophic factors, leading to accelerated early axonal and vascular regeneration while delaying muscle atrophy.
Article
Medicine, General & Internal
Tao Xu, Li Xie, Xiaoling Qin, Xueting Xie, Sien Mo, Qiu Jiang, Feng Liang, Xuehong Zhu, Bin Li, Zhong Lin
Summary: This study aims to explore the effectiveness of electrical muscle stimulation combined with ultrasound acupuncture therapy in preventing the recurrence of intrauterine adhesions (IUAs) and improving reproductive outcomes after hysteroscopic surgery. The study results will be disseminated through academic presentations and publications in peer-reviewed journals.
Article
Acoustics
Laura Griseto, Geraldine Armissoglio, Paschalitsa Serchan, Gabriella Iohom
Summary: This article briefly reviews the two most common sciatic nerve blocks used for lower limb surgery, with emphasis on ultrasound guidance.
MEDICAL ULTRASONOGRAPHY
(2023)
Article
Anesthesiology
Rosa Nickl, Oliver Vicent, Thomas Mueller, Anne Osmers, Konrad Schubert, Thea Koch, Torsten Richter
Summary: This study investigated the dislocation rate and postoperative pain effects of a novel self-coiling catheter compared to a conventional catheter. The results showed that the self-coiling catheter had a lower dislocation rate and better postoperative pain control. Further research is needed to explore the potential beneficial effects of the self-coiling catheter in other locations and application techniques.
BMC ANESTHESIOLOGY
(2022)
Article
Clinical Neurology
Benjamin Fisher, Wai Cheong Soon, John Ong, Tin Chan, Yasir Chowdhury, James Hodson, Anwen White
Summary: This study compared the accuracy and complication rates of neuronavigation-guided, ultrasound-guided, and freehand techniques in EVD placement, and found that image-guided EVD placement significantly reduced the risk of suboptimal placement. Surgeon seniority and other procedural factors did not impact accuracy or complications of EVD placement.
WORLD NEUROSURGERY
(2021)
Editorial Material
Anesthesiology
A. Patel, M. S. Kars, L. V. Duggan, E. R. Mariano
Article
Health Care Sciences & Services
Oluwatobi O. Hunter, Alan Lu, Deborah Fretwell, Edward R. Mariano
Summary: Intravenous ketamine infusion is a safe and effective acute pain management method for surgical procedures, especially for patients at higher risk for opioid-related adverse events. However, restricted access to intravenous ketamine in the medical-surgical setting limits its effectiveness. In this report, the authors present their ketamine infusion protocol and demonstrate the safety and cost-effectiveness of ketamine infusions on the medical-surgical ward, highlighting the essential role of nurse practitioners in increasing patient access.
JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
(2023)
Editorial Material
Anesthesiology
F. Abdallah, M. D. Neuman, E. R. Mariano
Review
Anesthesiology
Christopher L. Wu, Brian Cho, Rodney Gabriel, Robert Hurley, Jiabin Liu, Edward R. Mariano, Vineesh Mathur, Stavros G. Memtsoudis, Michael Conrad Grant
Summary: ChatGPT, an AI chatbot, is capable of generating detailed and coherent responses, and has been used in clinical and academic medicine. However, its accuracy in regional anesthesia topics was found to be inadequate for expert authors.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Editorial Material
Anesthesiology
Lei Xu, Daniel Gessner, Alex Kou, Ksenia Kasimova, Stavros G. Memtsoudis, Edward R. Mariano
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Anesthesiology
Brian M. Ilfeld, Bahareh Khatibi, Kamal Maheshwari, Sarah Madison, Wael Ali Sakr Esa, Edward R. Mariano, Michael Kent, Steven Hanling, Daniel Sessler, James C. Eisenach, Steven P. Cohen, Edward Mascha, Shuyi Li, Alparslan Turan, PAINfRE Investigators
Summary: This study found that a 6-day continuous peripheral nerve block can significantly reduce phantom pain in amputees and is clinically relevant. The results provide information for treatment decisions and guide future trial design.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Review
Anesthesiology
Lauren Mahyar, Andres Missair, Michael J. Buys, Alex Kou, Esther Benedetti de Marrero, Friedhelm Sandbrink, Christina M. Matadial, Edward R. Mariano, Vet Affairs Acute Pain Med Comm
Summary: This study assessed the current state of acute pain services within the Veterans Health Administration (VHA) in the USA and found that the availability of these services is not universal. Higher complexity facilities were more likely to have acute pain services.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Anesthesiology
Rodney A. Gabriel, Edward R. Mariano, Julian McAuley, Christopher L. Wu
Summary: Interest in natural language processing, specifically large language models, for clinical applications has soared following the introduction of ChatGPT. These models are powerful but have their limitations. This article discusses the potential of large language models in perioperative medicine and highlights three areas where they can be beneficial: clinical decision support, research data analysis, and optimized documentation. It emphasizes the need to understand and leverage this technology for patient care rather than fear it taking over clinical decision-making.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Anesthesiology
Lei Xu, Daniel Gessner, Alex Kou, Ksenia Kasimova, Stavros G. Memtsoudis, Edward R. Mariano
Summary: Continuous interscalene nerve block is an effective non-opioid postoperative analgesia technique for shoulder arthroplasty patients, but it carries the risk of phrenic nerve blockade and respiratory complications. This retrospective cohort study analyzed the association between patient-related factors and respiratory complications in patients undergoing elective shoulder arthroplasty with continuous interscalene brachial plexus blocks. The study found that certain patient-related factors were associated with an increased likelihood of respiratory complications.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Anesthesiology
Vwaire Orhurhu, Nasir Hussain, Jay Karri, Edward R. Mariano, Alaa Abd-Elsayed
Summary: The use of neuromodulation systems is increasing for the treatment of various pathologies. It is important for healthcare professionals to familiarize themselves with these systems and their unique perioperative considerations. This review explores the various neuromodulation systems, their general perioperative considerations, and notable special circumstances for perioperative management.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Anesthesiology
Alice Seol, John Chan, Brittni Micham, Ying Ye, Edward R. Mariano, T. Kyle Harrison, Oluwatobi O. Hunter
Summary: This case report demonstrates the novel use of botulinum toxin A injections to treat abdominal spasticity and facilitate the initiation of buprenorphine/naloxone in a patient with opioid use disorder and severe abdominal spasticity. The use of botulinum toxin A resulted in the resolution of abdominal spasticity and successful buprenorphine/naloxone initiation.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Anesthesiology
A. Robinson, R. B. George, G. Lim, R. Landau, E. R. Mariano, A. Kou, E. E. Sharpe
Summary: During the onset of the COVID-19 pandemic, there were thousands of discussions on Twitter related to obstetric anesthesia using the hashtag #OBAnes, with the majority focusing on anesthesia type (neuraxial or general anesthesia).
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA
(2023)
Article
Anesthesiology
E. J. Halvey, N. Haslam, E. R. Mariano
Article
Anesthesiology
Edoardo Flaviano, Silvia Bettinelli, Maddalena Assandri, Hassam Muhammad, Alberto Benigni, Gianluca Cappelleri, Edward Rivera Mariano, Luca Ferdinando Lorini, Dario Bugada
Summary: This study compared the analgesic effectiveness and motor impairment between ultrasound-guided supra-inguinal fascia iliaca block (FIB) and erector spinae plane block (ESPB) after total hip arthroplasty (THA). The results showed that there were no significant differences in morphine consumption and pain scores at 24 hours after surgery between the two methods. However, FIB provided more reliable sensory block in the femoral nerve and lateral femoral cutaneous nerve distributions, while ESPB resulted in better preservation of quadriceps motor strength. There were no differences in side effects or incidence of chronic pain between the groups.
KOREAN JOURNAL OF ANESTHESIOLOGY
(2023)
Article
Anesthesiology
Kariem El-Boghdadly, Eric Albrecht, Morne Wolmarans, Edward R. Mariano, Sandra Kopp, Anahi Perlas, Athmaja Thottungal, Jeff Gadsden, Serkan Tulgar, Sanjib Adhikary, Jose Aguirre, Anne M. R. Agur, Basak Altiparmak, Michael J. Barrington, Nigel Bedforth, Rafael Blanco, Sebastien Bloc, Karen Boretsky, James Bowness, Margaretha Breebaart, David Burckett-St Laurent, Brendan Carvalho, Jacques E. Chelly, Ki Jinn Chin, Alwin Chuan, Steve Coppens, Ioana Costache, Mette Dam, Matthias Desmet, Shalini Dhir, Christian Egeler, Hesham Elsharkawy, Thomas Fichtner Bendtsen, Ben Fox, Carlo D. Franco, Philippe Emmanuel Gautier, Stuart Alan Grant, Sina Grape, Carrie Guheen, Monica W. Harbell, Peter Hebbard, Nadia Hernandez, Rosemary M. G. Hogg, Margaret Holtz, Barys Ihnatsenka, Brian M. Ilfeld, Vivian H. Y. Ip, Rebecca L. Johnson, Hari Kalagara, Paul Kessler, M. Kwesi Kwofie, Linda Le-Wendling, Philipp Lirk, Clara Lobo, Danielle Ludwin, Alan James Robert Macfarlane, Alexandros Makris, Colin Mccartney, John Mcdonnell, Graeme A. Mcleod, Stavros G. Memtsoudis, Peter Merjavy, E. M. Louise Moran, Antoun Nader, Joseph M. Neal, Ahtsham U. Niazi, Catherine Njathi-Ori, Brian D. O'Donnell, Matt Oldman, Steven L. Orebaugh, Teresa Parras, Amit Pawa, Philip Peng, Steven Porter, Bridget P. Pulos, Xavier Sala-Blanch, Andrea Saporito, Axel R. Sauter, Eric S. Schwenk, Maria Paz Sebastian, Navdeep Sidhu, Sanjay Kumar Sinha, Ellen M. Soffin, James Stimpson, Raymond Tang, Ban C. H. Tsui, Lloyd Turbitt, Vishal Uppal, Geert J. van Geffen, Kris Vermeylen, Kamen Vlassakov, Thomas Volk, Jeff L. Xu, Nabil M. Elkassabany
Summary: Through a Delphi international consensus study, standardized names and anatomical descriptions for upper and lower limb peripheral nerve blocks were established, with strong consensus achieved for the majority of items. This framework will improve research, education, and clinical practice in regional anesthesia, ultimately benefiting patient care.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
