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Ultrasound Practice for Chronic Pain Procedures: A Comprehensive Review
Publication date: Available online 18 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Alan David Kaye, Mark W. Motejunas, Lauren A. Bonneval, Ken P. Ehrhardt, Dustin R. Latimer, Andrea Trescot, Kyle E. Wilson, Ibraham N. Ibrahim, Elyse M. Cornett, Richard D. Urman, Kenneth D. CandidoAbstractChronic pain management techniques have evolved in recent years. In this regard, ultrasound technology has become a standard for most acute pain procedures and essential for postsurgical pain relief and enhanced recovery after surgery protocols. This manuscript summarizes clinical studies evaluating ultrasou...
Source: Best Practice and Research Clinical Anaesthesiology - July 18, 2019 Category: Anesthesiology Source Type: research

Diastolic Dysfunction – What an Anesthesiologist needs to know?
Publication date: Available online 15 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Aidan Sharkey, Feroze Mahmood, Robina MatyalAbstractDiastolic dysfunction (DD) is a common condition that is increasingly being encountered in patients undergoing both cardiac and non-cardiac surgery as the age profile of our patient population increases and the non-invasive diagnosis of DD becomes more accessible. There is a growing body of evidence demonstrating the significance of DD and adverse peri-operative outcomes and thus it is becoming imperative for anesthesiologists to have an understanding of the ...
Source: Best Practice and Research Clinical Anaesthesiology - July 17, 2019 Category: Anesthesiology Source Type: research

Regional Techniques for Head and Neck Surgical Procedures
Publication date: Available online 2 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Matthew Novitch, Farees S. Hyatali, George Jeha, Mark Motejunas, Lauren Bonneval, Thakur Pankaj, Elyse M. Cornett, Mark R. Jones, Rachel J. Kaye, Richard D. Urman, Alan D. KayeAbstractRegional anesthesia has evolved as an important tool for anesthesiologists and surgeons managing patients for surgery of the head and neck regions. In recent years, the prevalence of ultrasound use has increased significantly, and newer nerve blocks have been established for surgeries of the head and regions. In this review, anato...
Source: Best Practice and Research Clinical Anaesthesiology - July 3, 2019 Category: Anesthesiology Source Type: research

Point of Care Ultrasound for the Clinical Anesthesiologist
Publication date: Available online 2 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Matthew Novitch, Amit Prabhakar, Harish Siddaiah, Anna J. Sudbury, Rachel J. Kaye, Kyle E. Wilson, Alexander Haroldson, Babar Fiza, C.M. Armstead-Williams, Elyse M. Cornett, Richard D. Urman, Alan D. KayeAbstractDiagnostic ultrasonography was first utilized in the 1940’s. The past 70+ years have seen an explosion in both ultrasound technology and availability of ultrasound technology to more and more clinicians. As ultrasound technology and availability have grown, the utility of ultrasound technology in the ...
Source: Best Practice and Research Clinical Anaesthesiology - July 3, 2019 Category: Anesthesiology Source Type: research

Peripheral Nerve Blocks for Postoperative Analgesia: From Traditional Unencapsulated Local Anesthetic to Liposomes, Cryoneurolysis and Peripheral Nerve Stimulation
Publication date: Available online 3 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Rodney A. Gabriel, Brian M. IlfeldAbstractPeripheral nerve blocks (PNB) using local anesthetics either via single injection or continuous perineural catheter have been the mainstay for regional anesthesia and are a vital component of postoperative multimodal opioid-sparing pain management. There are some limitations to PNBs, however, mainly its limited duration of action, but also risk of catheter-associated infection and dislodgements. Furthermore, local anesthetic-based blocks can induce sensory deficits and ...
Source: Best Practice and Research Clinical Anaesthesiology - July 3, 2019 Category: Anesthesiology Source Type: research

An Assessment of the Role of Non-Opioid Adjuvants in Regional Anesthesia Practice
Publication date: Available online 2 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Amit Prabhakar, Todd Lambert, Rachel J. Kaye, Scott M. Gaignard, Joseph Ragusa, Shannon Wheat, Vanessa Moll, Elyse M. Cornett, Richard D. Urman, Alan David KayeAbstractAdjuvants are medications that work synergistically with local anesthetics to help enhance the duration and quality of analgesia in regional techniques. Regional anesthesia has become more prevalent as evidence continues to show efficacy, enhancement of patient care, increased patient satisfaction, and improved patient safety. Practitioners in th...
Source: Best Practice and Research Clinical Anaesthesiology - July 2, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: March 2019Source: Best Practice & Research Clinical Anaesthesiology, Volume 33, Issue 1Author(s): (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - July 1, 2019 Category: Anesthesiology Source Type: research

Ultrasound-guided ankle block. History revisited
Publication date: Available online 7 May 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Delbos Alain, Marty Philippe, Chassery Clément, Rontes Olivier, Steve CoppensAbstractFollowing forefoot surgery, compared to the traditional multimodal approach, regional anesthesia and analgesia provides high quality pain relief, decreases opioids consumption and leads to very high satisfaction scores. Traditional regional techniques relied either on wound infiltration, landmark technique ankle blocks or popliteal sciatic nerve block. Numerous anatomic variations of the different nerves might lead to failure f...
Source: Best Practice and Research Clinical Anaesthesiology - June 13, 2019 Category: Anesthesiology Source Type: research

What the anaesthesiologist needs to know about heart–lung interactions
Publication date: Available online 7 May 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Simon T. Vistisen, Johannes N. Enevoldsen, Jacob Greisen, Peter Juhl-OlsenThe impact of positive pressure ventilation extends the effect on lungs and gas exchange because the altered intra-thoracic pressure conditions influence determinants of cardiovascular function. These mechanisms are called heart–lung interactions, which conceptually can be divided into two components (1) The effect of positive airway pressure on the cardiovascular system, which may be more or less pronounced under various pathologic card...
Source: Best Practice and Research Clinical Anaesthesiology - June 11, 2019 Category: Anesthesiology Source Type: research

Incidence of Vocal Cord Paresis Following Ultrasound Guided Interscalene Nerve Block: an observational cohort study
ConclusionsAlthough larger studies are required to determine the true incidence of vocal cord paresis following ultrasound guided IBPB, our results suggest that incidence of unwanted nerve blockade other than brachial plexus is much lower than previously described. (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - June 7, 2019 Category: Anesthesiology Source Type: research

Perioperative goal-directed therapy – what is the evidence?
Publication date: Available online 18 May 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Thomas Kaufmann, Bernd Saugel, Thomas.W. L. ScheerenAbstractPerioperative goal-directed therapy aims at optimizing global hemodynamics during the perioperative period by titrating fluids, vasopressors, and/or inotropes to predefined hemodynamic goals. There is evidence on the benefit of perioperative goal-directed therapy but its adaptation into clinical practice is slow and incomprehensive. Current evidence indicates that treating patients according to perioperative goal-directed therapy protocols reduces morb...
Source: Best Practice and Research Clinical Anaesthesiology - May 20, 2019 Category: Anesthesiology Source Type: research

Preface
Publication date: Available online 18 May 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Steve Coppens (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - May 18, 2019 Category: Anesthesiology Source Type: research

Ultrasound guided ankle block. History revisited
Publication date: Available online 7 May 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Delbos Alain, Marty Philippe, Chassery Clément, Rontes Olivier, Steve Coppens (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - May 8, 2019 Category: Anesthesiology Source Type: research

What the anaesthesiologist needs to know about heart-lung interactions
Publication date: Available online 7 May 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Simon T. Vistisen, Johannes N. Enevoldsen, Jacob Greisen, Peter Juhl-OlsenAbstractThe impact of positive pressure ventilation extends the effect on lungs and gas exchange, because the altered intrathoracic pressure conditions influence determinants of cardiovascular function. These mechanisms are called heart-lung interactions, which conceptually can be divided into two components (1) The positive airway pressure’s effect on the cardiovascular system, which may be more or less pronounced under various patholog...
Source: Best Practice and Research Clinical Anaesthesiology - May 8, 2019 Category: Anesthesiology Source Type: research

Perioperative Blood Pressure Monitoring
Publication date: Available online 7 May 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Joshua K. Roach, Robert H. ThieleAbstractArterial blood pressure monitoring is a major part of the decision-making process for every anesthetic. It is important to recognize the advantages, disadvantages, and limitations of available measurement modalities as well as have some understanding of the engineering principles on which these measurements are based. Oscillometry is by far the most common modality used, but is limited by its intermittent nature and inaccuracy during hypotension and hypertension. Arterial...
Source: Best Practice and Research Clinical Anaesthesiology - May 8, 2019 Category: Anesthesiology Source Type: research