Techniques in Regional Anesthesia and Pain Management This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Interventional pain management for phantom limb pain: An algorithmic approach
Abstract: Phantom limb pain is a type of chronic pain existing in different organs, not just limbs. The incidence is very high in the postamputation period and treatment can be a challenge. The pharmaceutical treatment strategies in addition to psychological rehabilitative strategies and interventional management play a successful role in the management of these patients. For this article, we conducted a review of literature about pain management for phantom limb pain to identify the treatment modalities, which involved interventional pain management, and an algorithmic approach is proposed. (Source: Techniques in Regional...
Source: Techniques in Regional Anesthesia and Pain Management - October 1, 2012 Category: Anesthesiology Authors: Santiago Jaramillo, Lizeth Jazmin Ramirez, Carlos Eduardo Restrepo-Garces, Carlos Mario Gómez B, Juan Felipe Vargas Silva Source Type: research

Pain management in areas of military conflict
Abstract: Acute and chronic pain conditions are an inescapable by-product of the conduct of war, and have been so throughout the recorded history. The field of pain management within the war zone has evolved during the Global War on Terrorism, spurred in part by increased survival rates from improved vehicle and personal armor, improved surgical lifesaving techniques and hastened evacuation. A result of these improvements is that wounds that were once fatal are now survivable, but may be a cause for significant pain. In this article, we discuss acute and chronic pain management during war, and describe important changes th...
Source: Techniques in Regional Anesthesia and Pain Management - October 1, 2012 Category: Anesthesiology Authors: Scott R. Griffith, David E. Jamison, Steven P. Cohen Source Type: research

Posttraumatic stress disorder and chronic pain
Abstract: Chronic pain has been long recognized as a stressor that can precipitate anxiety symptoms. Research has recently focused on the prevalence and role of pain-related posttraumatic stress disorder (PTSD). Rates of chronic pain among those diagnosed with PTSD are unexpectedly high, and it is still unknown why pain and PTSD symptoms coexist. Yet, different physiological, psychological, and behavioral mechanisms could explain the association between both disorders. PTSD is a disorder that requires the exposure to a traumatic event and is characterized by avoidance, re-experiencing, and increased physiological arousal. ...
Source: Techniques in Regional Anesthesia and Pain Management - October 1, 2012 Category: Anesthesiology Authors: Carolina Palacio, Alicia Krikorian, Nora Saldarriaga, John Jairo Vargas Source Type: research

Battlefield regional anesthesia: Evolution and future concepts
Abstract: Owing to advanced protective technologies, many servicemembers are returning home with injuries that proved fatal in previous conflicts. However, such severe injuries provide numerous challenges for acute pain physicians. Advanced regional anesthetic techniques provide an essential multimodal tool that optimizes pain and minimizes opioid use. Utilization of such techniques in current conflicts has progressed from a rare occurrence owing to limited equipment and personnel to a widely use array of techniques utilized on the battlefield and continued throughout transport stateside. Such an evolution has enhanced the...
Source: Techniques in Regional Anesthesia and Pain Management - October 1, 2012 Category: Anesthesiology Authors: Michael L. Kent, Chester C. Buckenmaier Source Type: research

Pain in patients with spinal cord injury: An A to Z approach
Abstract: Spinal cord injury is a devastating occurence, an event that alters patients' lives and their families. Individuals with spinal cord injury often have chronic pain. The aim is to present a course with management measures that should be taken at the time of appearance of pain, acute, chronic or both, a multimodal management approach according to pathophysiology, taking into account that its treatment remains unsatisfactory. Also consider involving cognitive, emotional, and social issues for a comprehensive approach to patient with spinal cord injury. (Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - October 1, 2012 Category: Anesthesiology Authors: Tatiana Mayungo Source Type: research

Perspectives to pain associated to land mine injury
Abstract: The current problem of land mines is worrying. Large mined territories endanger civilians and military personnel. About 100,000 land mines are scattered today in Colombia, and the mortal victims are growing each day. Land mine injuries result in significant musculoskeletal and abdominal injuries throughout the world. Accurate pain assessment is necessary to effective pain management. However, it is a challenge in polytrauma patients. Although it may be difficult, the initial multimodal analgesic management facilitates early rehabilitation and theoretically may prevent chronic pain progression after a land mine in...
Source: Techniques in Regional Anesthesia and Pain Management - October 1, 2012 Category: Anesthesiology Authors: Juan Felipe Vargas Silva, Carlos Mario Gómez B, Santiago Jaramillo, Lizeth Jazmin Ramirez, Carlos Oliver Valderrama, Carlos Eduardo Restrepo-Garces Source Type: research

Pain management in areas of military conflict
Pain is the oldest medical problem. In the 1800s, pain was related with 3 ongoing issues: the symptomatic relief of acute pain, the palliation of severe pain in those suffering and dying from progressive disease, and the alleviation of pain associated with chronic conditions, such as osteoarthritis and low back pain. (Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - October 1, 2012 Category: Anesthesiology Authors: Carlos Eduardo Restrepo-Garces Source Type: research

Table of Contents
(Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - July 1, 2012 Category: Anesthesiology Tags: Frontmatter Source Type: research

Editorial Board
(Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - July 1, 2012 Category: Anesthesiology Tags: Frontmatter Source Type: research

Ultrasound can guide new regional blocks
Abstract: The use of ultrasound in regional anesthesia techniques has aroused much interest during the past decade. Ultrasound has allowed the development of the classic regional techniques described by landmark references, neurostimulation guide, loss of resistant technique, or “click” and “pop” methods. Ultrasound application to anesthesiology has enabled not only to directly monitor the procedures already described but also to report new techniques. Because some of those techniques are a novelty and the literature on them is sparse, the purpose of this article is to provide information on the most recent ultraso...
Source: Techniques in Regional Anesthesia and Pain Management - July 1, 2012 Category: Anesthesiology Authors: María Martínez-Segovia, Carlos Tornero Tornero, Manuel Montero, Vicente Roqués Escolar Source Type: research

Is ultrasound essential for regional anesthesia in children?
Abstract: According to systematic reviews performed on adults, ultrasound provides moderate advantages in latency time reduction and block quality. Whether it really reduces the number of complications at the expense of less vascular puncturing, less diaphragm paralysis, and less pleural puncturing, together with lower doses of local anesthetic used, is a controversial question. Neither is there evidence that ultrasound achieves a higher rate of success than traditional techniques. Pediatric patients have special characteristics that differentiate them from adult patients, so the existing studies and their results should n...
Source: Techniques in Regional Anesthesia and Pain Management - July 1, 2012 Category: Anesthesiology Authors: Vicente Roqués Escolar, Ana Isabel Sánchez Amador, Mari Carmen Martínez-Segovia Source Type: research

Development of complications in ultrasound-guided regional anesthesia vs neurostimulation
Abstract: The use of peripheral nerve block techniques has significantly increased over the last two decades; as a consequence, development of complications has also increased. Neurostimulation has been the technique of choice for locoregional anesthesia for many years and has even been considered the gold standard. Compared with location by means of paresthesia, this technique reduces the potential risk of postoperative neuropathy, as it limits any direct contact between the needle and the nerve structure. Neurostimulation provides high efficacy with a minimum complication rate; currently, however, as ultrasound provides ...
Source: Techniques in Regional Anesthesia and Pain Management - July 1, 2012 Category: Anesthesiology Authors: Jorge Hernando Sáez, Carlos Tornero Tornero, Vicente Roqués Escolar, Francisco Hernández Méndez, Luis Aliaga Font Source Type: research

Far lower volumes of local anesthetic: What for?
Abstract: One of the advantages attributed to the use of ultrasounds in regional anesthesia is the possibility of applying low volumes of local anesthetic. Some studies report the efficient use of extremely low volumes in certain types of blocks. Those results are not easy to extrapolate to general practice because of, among other reasons, the big differences in technical skills among professionals (which are crucial to the ability to reduce the volume used). However, the term “intraneural injection” is currently being redefined based on histology, anatomy, physiology, and on clinical and experimental results. The poss...
Source: Techniques in Regional Anesthesia and Pain Management - July 1, 2012 Category: Anesthesiology Authors: Josep Lluis Aguilar Sánchez, Javier Carbayo Lázaro, Paula Delgado García, Carlos Castro Arranz, Ma Vega Reyes García, Silvia López Márquez Source Type: research

Can ultrasound-guided regional anesthesia be improved with the combined use of nerve stimulation techniques?
Abstract: Currently, the most commonly used techniques to perform peripheral nerve blockade are ultrasound-guided regional anesthesia (UGRA) and nerve stimulation (NS). Since its introduction in the 1990s, the use of ultrasound has gained popularity. In the beginning, it was used together with NS to confirm identification of nerve structures, once the learning curve has reached its end, there is a trend to use UGRA alone. In this article, we discuss the pros and cons of performing RA procedures with NS, UGRA, or a combination of both, which we call stimulated and ultrasound-guided regional anesthesia (SUGRA). Even though t...
Source: Techniques in Regional Anesthesia and Pain Management - July 1, 2012 Category: Anesthesiology Authors: Luis Fernando Valdés-Vilches, Manuel Jesús Sánchez-del Águila, Manuel Llácer-Pérez, Francisco José Martos-Fernández de Córdoba, Pedro Alonso-Atienza Source Type: research

Is neurostimulation in regional anesthesia still worth knowing?
This article reviews the bases of neurostimulation and proposes new ways of using it, based both on the clinical practice and on the latest research published. (Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - July 1, 2012 Category: Anesthesiology Authors: Josep Masdeu Castellví Source Type: research