2022
Postdural Puncture Headache—Risks and Current Treatment
Li H, Wang Y, Oprea AD, Li J. Postdural Puncture Headache—Risks and Current Treatment. Current Pain And Headache Reports 2022, 26: 441-452. PMID: 35353358, DOI: 10.1007/s11916-022-01041-x.Peer-Reviewed Original ResearchConceptsPostdural puncture headacheCurrent treatmentDevelopment of PDPHMild postdural puncture headacheSevere postdural puncture headacheSelf-limited headacheEpidural blood patchFirst-line treatmentLong-term complicationsTherapy of choiceDull achingHeadache riskPDPH patientsPharmacological managementConservative treatmentBlood patchConservative managementFrequent complicationNerve blockNeuraxial blockNeuraxial techniquesPuncture headacheBed restChronic headacheFemale sexGlucocorticoid minimizes local anesthetic infusion requirement through adductor canal block and improves perioperative prosthetic joint range of motion in total knee arthroplasty
Baldev K, Dai F, Barrett C, Zhou B, Shah M, Howie B, Boominathan P, Zhao X, Li J. Glucocorticoid minimizes local anesthetic infusion requirement through adductor canal block and improves perioperative prosthetic joint range of motion in total knee arthroplasty. PLOS ONE 2022, 17: e0261949. PMID: 35081134, PMCID: PMC8791457, DOI: 10.1371/journal.pone.0261949.Peer-Reviewed Original ResearchConceptsAdductor canal blockTotal knee arthroplastyContinuous adductor canal blockPain scoresCanal blockTreatment groupsKnee arthroplastyOpioid consumptionOpioid usageGlucocorticoid injectionSingle-injection adductor canal blockControl groupSingle-center retrospective studyUnilateral total knee arthroplastyNumeric pain scoresPerioperative opioid usageCenter retrospective studyPostoperative day 1Use of glucocorticoidsLocal anesthetic adjuvantLength of stayAmount of ropivacaineRopivacaine infusionDischarge dispositionInfusion requirements
2021
Transmuscular Quadratus Lumborum Block in Total Hip Replacement
Li J, Dai F, Schonberger RB. Transmuscular Quadratus Lumborum Block in Total Hip Replacement. The Clinical Journal Of Pain 2021, 37: 940-941. PMID: 34757344, DOI: 10.1097/ajp.0000000000000984.Peer-Reviewed Original ResearchTransmuscular Quadratus Lumborum and Lateral Femoral Cutaneous Nerve Block in Total Hip Arthroplasty
Li J, Dai F, Ayala K, Zhou B, Schonberger RB, Sharma A. Transmuscular Quadratus Lumborum and Lateral Femoral Cutaneous Nerve Block in Total Hip Arthroplasty. The Clinical Journal Of Pain 2021, 37: 366-371. PMID: 33577193, PMCID: PMC8035232, DOI: 10.1097/ajp.0000000000000923.Peer-Reviewed Original ResearchConceptsLateral femoral cutaneous nerve blockCutaneous nerve blockTotal hip arthroplastyOpioid consumptionLength of stayPeriarticular injectionNerve blockTreatment groupsControl groupHip arthroplastySpinal anesthesiaHospitalization costsQuadratus lumborumElective total hip arthroplasty patientsTransmuscular quadratus lumborum blockVisual analog scale painTotal hip arthroplasty patientsAdequate pain controlLower pain scoresPostoperative day 1Quadratus lumborum blockHip arthroplasty patientsMean VASOpioid reductionImproved analgesia
2020
Ultrasound-Guided Neuraxial Anesthesia
Li J, Krishna R, Zhang Y, Lam D, Vadivelu N. Ultrasound-Guided Neuraxial Anesthesia. Current Pain And Headache Reports 2020, 24: 59. PMID: 32812182, DOI: 10.1007/s11916-020-00895-3.Peer-Reviewed Original ResearchConceptsNeuraxial anesthesiaHigher first-attempt success rateFirst-attempt success rateNon-obstetric patientsAcute pain managementAttempt success ratePurpose of ReviewTherePain managementRegional anesthesiaNeuraxial spacePatient safety implicationsVertebral levelAnesthesiaOverall efficacyRecent FindingsUltrasoundNeedle passPatient safetyCatheter visualizationUltrasound utilizationClinical accuracySuccess rateCommon typeClinical applicationUltrasoundPatientsPeriprocedural management of patients on oral anticoagulation: focus on regional anesthesia.
Li J, Oprea AD. Periprocedural management of patients on oral anticoagulation: focus on regional anesthesia. Polish Archives Of Internal Medicine 2020, 130: 1081-1092. PMID: 32491305, DOI: 10.20452/pamw.15416.Peer-Reviewed Original ResearchConceptsRegional anesthesia proceduresOral anticoagulantsAnesthesia proceduresPermanent neuronal damageBlood loss volumePeripheral nerve blocksOperating room proceduresNoncompressible areasOral anticoagulationPeriprocedural managementAnticoagulant medicationNeuronal damageNerve blockNeuraxial anesthesiaDeep plexusThrombotic riskCurrent guidelinesRegional anesthesiaLoss volumeRoom proceduresStandardized usePatientsAnesthesiaAnticoagulantsPatient anatomyIntegrated Fragility Hip Fracture Program: A Model for High Quality Care
Morris JC, Moore A, Kahan J, Shapiro M, Li J, Spadaccino B, Baumgaertner M, O'Connor MI. Integrated Fragility Hip Fracture Program: A Model for High Quality Care. Journal Of Hospital Medicine 2020, 15: 461-467. PMID: 32118555, DOI: 10.12788/jhm.3365.Peer-Reviewed Original ResearchConceptsHip fracture programLength of stayEvidence-based protocolsHip fractureClinical outcomesMultidisciplinary careOperating roomFracture programYale-New Haven HospitalAdverse effectsBlood transfusion utilizationVenous thromboembolic complicationsFragility hip fractureHip fracture careHigh-quality careSignificant reductionIndex admissionTransfusion utilizationElderly patientsThromboembolic complicationsBlood transfusionFracture careMyocardial infarctionFixation complicationsMAIN OUTCOME
2019
Perioperative Dextrose Infusion and Postoperative Nausea and Vomiting
Zorrilla-Vaca A, Marmolejo-Posso D, Stone A, Li J, Grant MC. Perioperative Dextrose Infusion and Postoperative Nausea and Vomiting. Anesthesia & Analgesia 2019, Publish Ahead of Print: &na;. PMID: 30649067, DOI: 10.1213/ane.0000000000004019.Peer-Reviewed Original ResearchConceptsPostoperative nauseaDextrose infusionAntiemetic administrationGlucose levelsPlasma glucose monitoringPostoperative antiemetic administrationRescue antiemetic requirementsFurther prospective trialsPostanesthesia care unitSerum glucose levelsPlasma glucose levelsSignificant reductionAntiemetic requirementsPostoperative hyperglycemiaProspective trialSecondary outcomesPostoperative infusionPrimary outcomeCare unitCochrane LibraryUse of dextroseNauseaVomitingInfusionSignificant associationEssential elements of an outpatient total joint replacement programme.
Li J, Rubin LE, Mariano ER. Essential elements of an outpatient total joint replacement programme. Current Opinion In Anaesthesiology 2019, 32: 643-648. PMID: 31356361, DOI: 10.1097/aco.0000000000000774.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Surgical ProceduresArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCritical PathwaysFeasibility StudiesHealth Plan ImplementationHumansLength of StayMedicaidMedicarePatient Education as TopicPatient ReadmissionPatient SatisfactionPatient SelectionPostoperative ComplicationsProgram EvaluationTreatment OutcomeUnited StatesConceptsTotal joint arthroplastyOutpatient total joint arthroplastyPatient satisfactionLong-term functional outcomePatient/family educationTotal knee arthroplasty patientsOpioid-sparing analgesiaShort-term complicationsTotal joint replacement programKnee arthroplasty patientsSubset of patientsStandardized clinical pathwayPositive surgical outcomesProper patient selectionJoint replacement programEvidence-based guidanceNew care paradigmPostdischarge planningAdverse eventsArthroplasty patientsPatient selectionSurgical outcomesFunctional outcomeOutpatient surgeryInpatient proceduresNovel Regional Anesthesia for Outpatient Surgery
Li J, Lam D, King H, Credaroli E, Harmon E, Vadivelu N. Novel Regional Anesthesia for Outpatient Surgery. Current Pain And Headache Reports 2019, 23: 69. PMID: 31372836, DOI: 10.1007/s11916-019-0809-6.Peer-Reviewed Original ResearchConceptsNerve blockAdverse eventsOutpatient surgeryLower extremity nerve blocksPeripheral nerve blocksPotential adverse eventsProper patient managementPerioperative analgesiaAmbulatory surgerySafe modalityShoulder surgeryAmbulatory proceduresRegional anesthesiaPatient managementUltrasound guidanceProper patientLower riskSurgeryPatient choiceMultidisciplinary effortAnalgesiaAnesthesiaPatientsNovel utilization of fascial layer blocks in hip and knee procedures
Li J, Tang S, Lam D, Hergrueter A, Dennis J, Liu H. Novel utilization of fascial layer blocks in hip and knee procedures. Best Practice & Research Clinical Anaesthesiology 2019, 33: 539-551. PMID: 31791569, DOI: 10.1016/j.bpa.2019.07.010.Peer-Reviewed Original ResearchConceptsFascial plane blocksPlane blockNerve blockKnee proceduresLateral femoral cutaneous nerve blockObturator nerve blockQuadratus lumborum blockFast-track hipCutaneous nerve blockPeripheral nerve blocksAdditional clinical applicationsHipNovel indicationsClinical performanceClinical applicationUltrasoundAnalgesiaInnervationSurgeryKneeTourniquet-induced tissue hypoxia characterized by near-infrared spectroscopy during ankle surgery: an observational study
Lin L, Li G, Li J, Meng L. Tourniquet-induced tissue hypoxia characterized by near-infrared spectroscopy during ankle surgery: an observational study. BMC Anesthesiology 2019, 19: 70. PMID: 31077128, PMCID: PMC6511202, DOI: 10.1186/s12871-019-0740-8.Peer-Reviewed Original ResearchConceptsTourniquet inflationAnkle surgeryContralateral legTourniquet applicationTissue oxygenationCerebral tissue oxygen saturationTourniquet inflation timeObservational cohort studyTissue oxygen saturationSignificant correlationTissue desaturationTourniquet deflationCohort studyDifferent time pointsExtremity surgeryTissue hypoxiaTissue ischemiaObservational studyDesaturation durationOxygen saturationInflation timeRapid desaturationTissue oximetrySurgeryTourniquetA Practical Analgesia Approach to Fragility Hip Fracture
Li J, Dai F, Chang D, Harmon E, Ibe I, Sukumar N, Halaszynski TM, Rubin LE, OʼConnor M. A Practical Analgesia Approach to Fragility Hip Fracture. Journal Of Orthopaedic Trauma 2019, Publish Ahead of Print: &na;. PMID: 30570615, DOI: 10.1097/bot.0000000000001391.Peer-Reviewed Original ResearchConceptsFemoral nerve blockFragility hip fractureSubcapital femoral neck fracturesPain score reductionFemoral neck fracturesFemoral neck factureHip fracturePain scoresNeck fracturesIntertrochanteric fracturesScore reductionSingle-injection femoral nerve blockVisual analog scale pain scoreAcademic medical center patientsSignificant pain score reductionPain control modalitiesTherapeutic Level IVScale pain scoresHip fracture patientsObservational study SETTINGMedical Center patientsAnalgesic modalitiesFragility hipOpioid consumptionFracture patients
2018
The role of sciatic nerve block to complement femoral nerve block in total knee arthroplasty: a meta-analysis of randomized controlled trials
Zorrilla-Vaca A, Li J. The role of sciatic nerve block to complement femoral nerve block in total knee arthroplasty: a meta-analysis of randomized controlled trials. Journal Of Anesthesia 2018, 32: 341-350. PMID: 29520522, DOI: 10.1007/s00540-018-2480-1.Peer-Reviewed Original ResearchConceptsSciatic nerve blockTotal knee arthroplastyContinuous sciatic nerve blockPatient-controlled analgesiaNerve blockPain scoresStandardized mean differenceOpioid consumptionKnee arthroplastySingle-injection sciatic nerve blockControl groupSciatic-femoral nerve blockIntravenous opioid consumptionPostoperative analgesic benefitsPostoperative opioid consumptionIncidence of nauseaFemoral nerve blockLess pain scoresRandom-effects modelSystematic literature searchEvidence-based supportAnalgesic benefitHospital stayAcute painRandomized trialsDexamethasone Injected Perineurally is More Effective than Administered Intravenously for Peripheral Nerve Blocks
Zorrilla-Vaca A, Li J. Dexamethasone Injected Perineurally is More Effective than Administered Intravenously for Peripheral Nerve Blocks. The Clinical Journal Of Pain 2018, 34: 276-284. PMID: 28591086, DOI: 10.1097/ajp.0000000000000519.Peer-Reviewed Original ResearchConceptsPeripheral nerve blocksDuration of analgesiaPerineural dexamethasoneOpioid consumptionPain scoresPostoperative nauseaSensory blockNerve blockMotor block durationPain modulation mechanismsPerioperative pain controlPreservative-free dexamethasoneBetter analgesic effectDose of dexamethasoneTerms of prolongationSubgroup of studiesRandom-effects modelIntravenous dexamethasonePain controlAnalgesic effectMotor blockPostoperative outcomesAdministered IntravenouslyIntraoperative eventsSystemic absorptionIncidental lumbar epidural catheter migration through a sacral foramen and its subsequent direct visualization during surgery
Chang D, Legler A, Jolly S, Li J. Incidental lumbar epidural catheter migration through a sacral foramen and its subsequent direct visualization during surgery. Journal Of Clinical Anesthesia 2018, 46: 52-53. PMID: 29414617, DOI: 10.1016/j.jclinane.2018.01.017.Peer-Reviewed Original Research
2016
Dexmedetomidine Added to Local Anesthetic Mixture of Lidocaine and Ropivacaine Enhances Onset and Prolongs Duration of a Popliteal Approach to Sciatic Nerve Blockade
Hu X, Li J, Zhou R, Wang Q, Xia F, Halaszynski T, Xu X. Dexmedetomidine Added to Local Anesthetic Mixture of Lidocaine and Ropivacaine Enhances Onset and Prolongs Duration of a Popliteal Approach to Sciatic Nerve Blockade. Clinical Therapeutics 2016, 39: 89-97.e1. PMID: 27955918, DOI: 10.1016/j.clinthera.2016.11.011.Peer-Reviewed Original ResearchConceptsPopliteal sciatic nerve blockadeSciatic nerve blockadeLateral sural cutaneous nerveObturator nerve blockLateral plantar nerveMedial plantar nerveCommon peroneal nerveDeep peroneal nerveSuperficial peroneal nervePeroneal nervePlantar nerveNerve blockadeSensory onsetDL groupCutaneous nerveSural nerveSL groupTibial nerveNerve blockPopliteal approachMotor onsetML of dexmedetomidinePeripheral nerve blockadeLocal anesthetic mixtureMixture of lidocaineThe Impact of Neuraxial Versus General Anesthesia on the Incidence of Postoperative Surgical Site Infections Following Knee or Hip Arthroplasty
Zorrilla-Vaca A, Grant MC, Mathur V, Li J, Wu CL. The Impact of Neuraxial Versus General Anesthesia on the Incidence of Postoperative Surgical Site Infections Following Knee or Hip Arthroplasty. Regional Anesthesia & Pain Medicine 2016, 41: 555-563. PMID: 27380106, DOI: 10.1097/aap.0000000000000437.Peer-Reviewed Original ResearchConceptsPostoperative surgical site infectionSurgical site infectionKnee arthroplastyHip arthroplastySite infectionNeuraxial anesthesiaGeneral anesthesiaSubgroup analysisOdds ratioDevelopment of SSIPooled unadjusted odds ratioUnadjusted odds ratioLarge observational trialsRandom-effects modelOverall beneficial effectObservational trialAnesthetic techniqueAnesthesia techniquesJoint arthroplastyInclusion criteriaTrial designArthroplastyMeta-AnalysisAnesthesiaPotential association