Latest Advances in Regional Anaesthesia DOI Creative Commons
Frances Fallon, Aneurin Moorthy, Conor Skerritt

et al.

Medicina, Journal Year: 2024, Volume and Issue: 60(5), P. 735 - 735

Published: April 28, 2024

Training and expertise in regional anaesthesia have increased significantly tandem with interest over the past two decades. This review outlines most recent advances focuses on novel areas of including fascial plane blocks. Pharmacological form prolongation drug duration liposomal bupivacaine are considered. Neuromodulation context is outlined as a potential future direction. The growing use outside theatre environment current thinking managing rebound after block regression also discussed. Recent relevant evidence summarised, unanswered questions outlined, priorities for ongoing investigation suggested.

Language: Английский

Spread of local anaesthetic after erector spinae plane block: a randomised, three-dimensional reconstruction, imaging study DOI Creative Commons

Tingting Shan,

Xiaodan Zhang, Zhenyu Zhao

et al.

British Journal of Anaesthesia, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Spread of local anaesthetic solution in the paravertebral space after erector spinae plane block (ESPB) is variable. We evaluated whether spread affected by patient position ESPB. randomised 84 patients to receive ESPB at T Local anaesthetic-contrast mix reached space, intercostal and neural foramina 96.5%, 94.2%, 77.9% individuals, respectively. Epidural occurred 20 cases. Prone positioning consistently allowed all patients, with more thoracic level compared supine (5.0 [1.9] vs 3.1 [1.7], difference [95% confidence interval, CI]: 1.9 [0.8-3.0] levels, P<0.001 for spread; 2.8 1.4 [1.4], CI] levels: [0.4-2.5], P=0.004 4.3 [1.3] 3.2 [1.5], 1.0 [0.1-1.9], P=0.019 spread). extended further prone than lateral group (4.3 2.6 [1.5] 1.7 [0.8-2.6], P<0.001). Sensory ventral dermatomes was variable participants. significantly enhanced foramina, suggesting that gravity plays a substantial role spread. Clinical Trials.gov (NCT06142630).

Language: Английский

Citations

2
Local anaesthesia systemic toxicity following erector spinae plane block: Does dose matter? DOI
Anju Gupta, Upendra Hansda,

Amiya Kumar Barik

et al.

The American Journal of Emergency Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

2
Regional anaesthesia truncal blocks for acute postoperative pain and recovery: a narrative review DOI
Aisling Ní Eochagáin, Seán Carolan, Donal J. Buggy

et al.

British Journal of Anaesthesia, Journal Year: 2024, Volume and Issue: 132(5), P. 1133 - 1145

Published: Jan. 19, 2024

Language: Английский

Citations

10
Bilateral Erector Spinae Plane Block for intraabdominal pain relief DOI
Anju Gupta,

Amiya Kumar Barik,

Chitta Ranjan Mohanty

et al.

The American Journal of Emergency Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

1
Bilateral external oblique intercostal plane block (EOIPB) in patients undergoing laparoscopic cholecystectomy DOI Open Access
Muhammet Korkusuz, Betül Başaran, Tayfun Et

et al.

Saudi Medical Journal, Journal Year: 2023, Volume and Issue: 44(10), P. 1037 - 1046

Published: Sept. 30, 2023

To measure tramadol intake in the first 24 hours post-surgery. In addition, pain scores and quality of recovery were evaluated as secondary outcomes.A total 80 adult patients scheduled for laparoscopic cholecystectomy randomized into 2 groups (with without external oblique intercostal plane block [EOIPB]). Control group received standard multimodal analgesia, EOIPB was applied on each side to addition analgesia. The primary outcome evaluate consumption at postoperative hours. Secondary outcomes evaluating Numeric Rating Scale (NRS) scores, Quality Recovery score (QoR-15), sedation score, incidence nausea vomiting, antiemetic consumption.In group, median (Q1, Q3) values (0 [0,50] mg) found be significantly lower than control (50 [50,100] (median difference -50) (p<0.001). NRS during rest motion compared all measurement points within (p<0.05). QoR-15 higher No differences detected other parameters.External resulted less consumption. However, there no minimal clinically important about opioid On hand, analgesia improved overall hours.Clinical Trial Reg. No.: NCT05536557.

Language: Английский

Citations

14
Erector Spinae Plane Block and Chronic Pain: An Updated Review and Possible Future Directions DOI Creative Commons
Alessandro De Cassai, Federico Geraldini, Ulderico Freo

et al.

Biology, Journal Year: 2023, Volume and Issue: 12(8), P. 1073 - 1073

Published: Aug. 1, 2023

Chronic pain is a common, pervasive, and often disabling medical condition that affects millions of people worldwide. According to the Global Burden Disease survey, painful chronic conditions are causing largest numbers years lived with disability In America, more than one in five adults experiences pain. Erector spinae plane block novel regional anesthesia technique used provide analgesia multiple possible uses relatively low learning curve complication rate. Here, we review erector rationale, mechanism action complications, discuss its potential use for future directions research

Language: Английский

Citations

13
Impact of Regional Anesthesia on Subjective Quality of Recovery in Patients Undergoing Thoracic Surgery: A Systematic Review and Meta-Analysis DOI

Min Xu,

Guangchao Zhang, Yidan Tang

et al.

Journal of Cardiothoracic and Vascular Anesthesia, Journal Year: 2023, Volume and Issue: 37(9), P. 1744 - 1750

Published: May 5, 2023

Language: Английский

Citations

11
Regional analgesia for acute pain relief after open thoracotomy and video-assisted thoracoscopic surgery DOI Creative Commons
Samir Mehta, Tim T. H. Jen,

Duncan Hamilton

et al.

BJA Education, Journal Year: 2023, Volume and Issue: 23(8), P. 295 - 303

Published: June 22, 2023

Language: Английский

Citations

11
The Analgesic Mechanism and Recent Clinical Application of Erector Spinae Plane Block: A Narrative Review DOI Creative Commons
Jing Yang, Ye Sun, Yi Yang

et al.

Journal of Pain Research, Journal Year: 2024, Volume and Issue: Volume 17, P. 3047 - 3062

Published: Sept. 1, 2024

Now, the erector spinae plane block (ESPB) is widely used in various thoracolumbar surgeries. It has unique advantages: simple and convenient operation, low safety risks, reduced opioid use. The ESPB thoracic surgery, abdominal spinal surgery. There are also relevant research reports on postoperative analgesia during general anesthesia This article searches PubMed Web of Science databases to find screen studies since 2019 retrospectively summarizes current indications ESPB. methodological quality included was assessed using Cochrane bias risk tool. results showed that generally provides low-level clinical evidence. complex anatomy muscles both responsible for its advantages restricts development. Few anatomical have clearly completely demonstrated diffusion relationship local anesthetics among structures muscles. uncontrollability prevents from being applied a wider scale with high level To further clarify scope application achieve best analgesic effect, future, we should focus course distribution their fascia nerves. necessary combine anatomical, imaging, histological methods obtain high-quality evidence guide application.

Language: Английский

Citations

4
Rationale and design for the thoracic Paravertebral Adjunctive Dexamethasone Palmitate Reducing chronic pain After cardiac surgery (PANDORA) trial: a parallel-group, double-blinded, randomised controlled, single-centre study DOI Creative Commons
Hui Zhang,

Taoyuan Zhang,

Ziyu Zheng

et al.

BMJ Open, Journal Year: 2025, Volume and Issue: 15(1), P. e086392 - e086392

Published: Jan. 1, 2025

Introduction Minimally invasive cardiac surgery (MICS) is important for enhanced recovery in surgery. However, the incidence of chronic postsurgical pain (CPSP) high and associated with worsened quality life, as well raised short-term or long-term mortality. The mechanism not clear, there still a lack safe effective preventive measures. Methods analysis Paravertebral Adjunctive Dexamethasone Palmitate Reducing After (PANDORA) trial parallel-group, double-blinded, randomised controlled, single-centre study recruiting 902 participants undergoing MICS. Participants will be 1:1 ratio to dexamethasone palmitate (D-PAL) emulsion group (DSP) group. To investigate effect single bolus perineural administration D-PAL an adjuvant treatment standard thoracic paravertebral block (TPVB) ropivacaine decreases CPSP adult patients compared DSP combined TPVB. primary endpoint postoperative at 3 months following defined per updated International Classification Diseases. new development increase intensity surgical area projected onto innervation nerve this after procedure that persists least months. nature evaluated Brief Pain Inventory Short Form (BPI-SF) questionnaire. Ethics dissemination was approved by Committee Xijing Hospital, First Affiliated Hospital Air Force Military Medical University (KY20232194-C-1). Results submitted publication peer-reviewed journals presented academic meetings. Trial registration number ClinicalTrials.gov, NCT05920967 .

Language: Английский

Citations

0