2025
Response to: “Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (fifth edition)” by Kopp et al
Kopp S, Vandermeulen E, McBane R, Perlas A, Leffert L, Horlocker T. Response to: “Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (fifth edition)” by Kopp et al. Regional Anesthesia & Pain Medicine 2025, rapm-2025-106881. PMID: 40484652, DOI: 10.1136/rapm-2025-106881.Peer-Reviewed Original ResearchSpinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia.
Gonzalez Fiol A, Pawan F, Alian A. Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia. Journal Of Visualized Experiments 2025 PMID: 39960192, DOI: 10.3791/66901.Peer-Reviewed Original ResearchConceptsSpine anatomyNeuraxial anesthesiaEpidural spaceCases of difficult anatomyLumbar spine anatomyNeuraxial ultrasonographyPreprocedural ultrasonographyNeuraxial techniquesSpinal sonographyDifficult anatomyRegular practiceAbnormal anatomyPalpation techniqueTraumatic procedureRegional anesthesiaUltrasonographyNeedle puncturePatientsSuccess rateAnesthesiaUltrasound techniqueAnatomyPractical tipsPalpationSeries of videosRegional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (fifth edition)
Kopp S, Vandermeulen E, McBane R, Perlas A, Leffert L, Horlocker T. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (fifth edition). Regional Anesthesia & Pain Medicine 2025, rapm-2024-105766. PMID: 39880411, DOI: 10.1136/rapm-2024-105766.Peer-Reviewed Original ResearchAmerican Society of Regional AnesthesiaDeep venous thrombosisEvidence-based guidelinesRegional anesthesiaThrombolytic therapyComplications associated with regional anesthesiaRecurrent deep venous thrombosisAmerican SocietyRandomized Controlled TrialsAnticoagulant doseNeural blockadeVenous thrombosisCase seriesCatastrophic complicationPatient characteristicsClinical trialsHigh dosesPatientsPublished guidelinesControlled TrialsPainAnesthesiaPatient safetyTherapyDose
2024
Meta-analysis: The utility of the anterior quadratus lumborum block in abdominal surgery
Evans B, Ihnat J, Zhao K, Kim L, Pierson D, Yu C, Lin H, Li J, Golshan M, Ayyala H. Meta-analysis: The utility of the anterior quadratus lumborum block in abdominal surgery. The American Journal Of Surgery 2024, 239: 116014. PMID: 39454308, DOI: 10.1016/j.amjsurg.2024.116014.Peer-Reviewed Original ResearchAnterior quadratus lumborum blockTransversus abdominis planeTransversus abdominis plane blockQuadratus lumborum blockAbdominal surgeryRandomized Controlled TrialsMorphine equivalentsPost-operativelyMeta-analysisTotal oral morphine equivalentsPost-operative opioid consumptionPost-operative pain scoresOral morphine equivalentsPost-operative recovery timeRandom-effects meta-analysisOpioid consumptionPain scoresOpioid useSurgery typeNon-inferioritySurgeryPresence of confounding variablesRegional anesthesiaQuadratus lumborumSurgery pathwayRegional anesthesia for transplantation surgery ‐ A White Paper Part 2: Abdominal transplantation surgery
Ander M, Mugve N, Crouch C, Kassel C, Fukazawa K, Isaak R, Deshpande R, McLendon C, Huang J. Regional anesthesia for transplantation surgery ‐ A White Paper Part 2: Abdominal transplantation surgery. Clinical Transplantation 2024, 38: e15227. PMID: 38289879, DOI: 10.1111/ctr.15227.Peer-Reviewed Original ResearchConceptsSociety for the Advancement of Transplant AnesthesiaTransplant surgeryRegional anesthesiaPostoperative pain controlRegional anesthetic techniquesDevelopment of enhanced recoveryAvailability of ultrasound machinesAbdominal transplantationOpioid usePain controlAnalgesic effectNeuraxial blockPerioperative culturesPatient's hemodynamicsSurgeryUterus transplantationAnesthetic techniqueTransplantationReview available literatureAdvancement of Transplant AnesthesiaSystemic reviewTransplantation techniquesAnesthesiaLiterature searchUltrasound machine
2023
A Survey Study of Surgeons and Anesthesiologists Regarding Perioperative Multimodal Analgesia for Opioid-Tolerant Patients
Haddad D, Yu V, Chow R, Yanez D, Rajput K. A Survey Study of Surgeons and Anesthesiologists Regarding Perioperative Multimodal Analgesia for Opioid-Tolerant Patients. Journal Of PeriAnesthesia Nursing 2023, 39: 87-92. PMID: 37855765, DOI: 10.1016/j.jopan.2023.07.001.Peer-Reviewed Original ResearchOpioid-tolerant patientsPerioperative pain managementPain managementMultimodal analgesicsPerioperative multimodal analgesiaPatient-centered carePerioperative nursing teamMultimodal analgesiaPerioperative timeRegional anestheticPain consultationsPractice patternsRegional anesthesiaNursing teamMost surgeonsPatientsAnesthesiologistsRegional blocksSurgeonsOptimal outcomesAnalgesicsSurvey studyQualtrics surveyUrgent needAnalgesiaInadvertent Perioperative Hypothermia.
Garceau C, Cosgrove M, Gonzalez K. Inadvertent Perioperative Hypothermia. AANA Journal 2023, 91: 303-309. PMID: 37527171.Peer-Reviewed Educational MaterialsConceptsInadvertent perioperative hypothermiaPerioperative periodAmbient operating room temperaturePreoperative risk factorsSurgical site infectionOperating room temperatureCore body temperatureWorld Health OrganizationHospital stayReadmission ratesSite infectionPerioperative hypothermiaPreoperative exposureRisk factorsRegional anesthesiaSkin exposurePhysiologic responsesGreater riskWashout solutionSkin preparationHealth OrganizationBody temperatureLonger lengthPatientsHypothermiaRegional anesthesia for transplantation surgery – A white paper part 1: Thoracic transplantation surgery
Ander M, Mugve N, Crouch C, Kassel C, Fukazawa K, Izaak R, Deshpande R, McLendon C, Huang J. Regional anesthesia for transplantation surgery – A white paper part 1: Thoracic transplantation surgery. Clinical Transplantation 2023, 37: e15043. PMID: 37306898, PMCID: PMC10834230, DOI: 10.1111/ctr.15043.Peer-Reviewed Original ResearchConceptsTransplantation surgeryRegional anesthesiaOpioid usePostoperative pain controlRegional anesthetic techniquesAnalgesic modalitiesAnalgesic effectivenessPain controlSurgery protocolNeuraxial blockPatient's hemodynamicsAnesthetic techniqueAbdominal transplantationTransplant anesthesiaSurgeryAnesthesiaSystemic reviewEnhanced recoveryTransplant techniquesPerioperative culturesLiterature searchFormal guidelinesAvailable literatureUltrasound machineTask ForceAddition of dexamethasone to prolong peripheral nerve blocks: a ChatGPT-created narrative review
Wu C, Cho B, Gabriel R, Hurley R, Liu J, Mariano E, Mathur V, Memtsoudis S, Grant M. Addition of dexamethasone to prolong peripheral nerve blocks: a ChatGPT-created narrative review. Regional Anesthesia & Pain Medicine 2023, 49: 777-781. PMID: 37295794, DOI: 10.1136/rapm-2023-104646.Peer-Reviewed Original ResearchPeripheral nerve blocksNerve blockGenerative Pre-trained TransformerAddition of dexamethasonePre-trained transformersPain medicineArtificial intelligence chatbotsRegional anesthesiaIntelligent chatbotHuman expertsChatGPTNarrative reviewDexamethasoneSearch methodologyLack of noveltyLay audiencesReview articleSubspecialtyAudiencePain Control with Regional Anesthesia in Patients at Risk of Acute Compartment Syndrome: Review of the Literature and Editorial View
Lam D, Pierson D, Salaria O, Wardhan R, Li J. Pain Control with Regional Anesthesia in Patients at Risk of Acute Compartment Syndrome: Review of the Literature and Editorial View. Journal Of Pain Research 2023, 16: 635-648. PMID: 36891457, PMCID: PMC9987529, DOI: 10.2147/jpr.s397428.Peer-Reviewed Original ResearchAcute compartment syndromePeripheral nerve blocksPain controlCompartment syndromeNerve blockRegional anesthesiaAdequate pain controlLong bone fracturesPaucity of literatureOpioid analgesiaAnalgesia treatmentDevastating complicationPain managementEpidural anesthesiaSurgical outcomesUnderlying injuryCardinal symptomsBone fracturesDifferential efficacyPatient safetyAnesthesiaPatientsSyndromeVulnerable groupsReview article
2022
Regional analgesia for cardiac surgery
Grant M, Gregory A, Ouanes J. Regional analgesia for cardiac surgery. Current Opinion In Anaesthesiology 2022, 35: 605-612. PMID: 35900740, DOI: 10.1097/aco.0000000000001169.Peer-Reviewed Original ResearchConceptsCardiac surgeryRegional analgesiaRegional techniquesCardiac surgical settingChest wall blocksOpioid-sparing analgesiaOpioid-sparing approachPain management expertsPerioperative patient careOpioid requirementsOpioid administrationPain controlPain managementPerioperative carePatients' qualityRegional anesthesiaAnalgesiaSurgical settingSurgeryPatient careCareAnesthesiaAdministrationAction guidance for addressing pollution from inhalational anaesthetics
Devlin‐Hegedus J, McGain F, Harris R, Sherman J. Action guidance for addressing pollution from inhalational anaesthetics. Anaesthesia 2022, 77: 1023-1029. PMID: 35729804, PMCID: PMC9543086, DOI: 10.1111/anae.15785.Peer-Reviewed Original ResearchConceptsGlobal healthcare communityAction-oriented recommendationsEvidence-based actionsPatient careMedical educationHealth communityHealthcare communityDrug formularyHealthImpact of pollutionUrgent actionNitrous oxide useGreenhouse gas emissionsSustained anesthesiaPollution mitigationPollutionRegional anesthesiaClimate impactsClimate changeMitigation actionsGas emissionsCareOxide useCommunityInterventionRegional anesthesia and analgesia in sickle cell pain episodes: A scoping review
Howie B, Rajput K, Chow R. Regional anesthesia and analgesia in sickle cell pain episodes: A scoping review. Interventional Pain Medicine 2022, 1: 100108. PMID: 39238512, PMCID: PMC11372884, DOI: 10.1016/j.inpm.2022.100108.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsVaso-occlusive crisisSCD pain crisisPatient-controlled analgesiaCase reportRegional anesthesiaPain crisisCase seriesNerve blockSickle cell disease vaso-occlusive crisisSickle cell vaso-occlusive crisisContinuous femoral blockRight thigh painVaso-occlusive painCochrane Central RegisterPediatric case seriesPediatric case reportSickle cell painCommon reason patientsAdult case reportRegional nerve blocksRegional anesthetic blocksCrisis painTotal discontinuationFemoral blockLeg painPerioperative Buprenorphine Management A Multidisciplinary Approach
Hickey T, Abelleira A, Acampora G, Becker WC, Falker CG, Nazario M, Weimer MB. Perioperative Buprenorphine Management A Multidisciplinary Approach. 2022, 106: 169-185. PMID: 34823729, DOI: 10.1016/j.mcna.2021.09.001.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsAcetaminophenAgedAnalgesics, Non-NarcoticAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalArthroplasty, Replacement, HipBuprenorphineCombined Modality TherapyDrug CompoundingFemaleHumansInterdisciplinary CommunicationMaleOpiate Substitution TreatmentOpioid-Related DisordersPainPain ManagementPain, PostoperativePerioperative CareReceptors, Opioid, muConceptsOpioid use disorderBuprenorphine treatmentMu-opioid receptor availabilityAgonist opioid treatmentMultimodal analgesic strategyAnti-inflammatory drugsLong-term buprenorphine treatmentAnalgesic strategiesNonopioid adjunctsOpioid treatmentPerioperative strategiesHospital dischargePerioperative managementBuprenorphine formulationsSimultaneous administrationRegional anesthesiaEffective treatmentUse disordersReceptor availabilityMultidisciplinary approachBuprenorphinePatientsTreatmentPainAnesthesia
2021
Patterns of Use of Opioid Sparing Adjuncts for Perioperative Pain Management of Patients on Chronic Opioids.
Rajput K, Reid CB, Yanez D, Shiwlochan D, Ohanyan S, Chow R. Patterns of Use of Opioid Sparing Adjuncts for Perioperative Pain Management of Patients on Chronic Opioids. Pain Physician Journal 2021, 24: 577-586. PMID: 34793645.Peer-Reviewed Original ResearchConceptsChronic opioid useNarcotic scorePostoperative opioid usePerioperative pain managementOpioid useMultimodal analgesicsChronic opioidsRegional anesthesiaSurgical factorsPredictors of usePain managementHigher oddsSingle-center retrospective observational studyTertiary care academic hospitalIntraoperative opioid useOpioid-sparing adjunctsPerioperative pain controlRetrospective observational studyOutcomes of interestMean MMEMore MMEsMorphine equivalentsOpioid doseComorbidity indexIntraoperative opioidsClosing the gap in representation of racial and ethnic minorities in pain medicine: A 2018–2019 status report
Odonkor CA, Tucker-Bartley A, Leitner B, Chude C, Hirani S, Poree L. Closing the gap in representation of racial and ethnic minorities in pain medicine: A 2018–2019 status report. Journal Of The National Medical Association 2021, 113: 612-615. PMID: 34148658, DOI: 10.1016/j.jnma.2021.05.010.Peer-Reviewed Original ResearchConceptsNon-Hispanic blacksNon-Hispanic whitesPain medicineCross-sectional analysisHealth disparities persistPain fellowshipsPain perceptionRegional anesthesiaPatient careHispanic personsDisparities persistSimilar proportionsCOVID-19Resident poolCore specialtiesAnesthesiology residentsMedicinePersistent inequitiesHispanic representationField of medicineWhitesPainAnesthesiaEthnic minoritiesPublic awarenessSpecial Considerations – Indwelling Spinal Cord Stimulators and Intrathecal Pumps
Beals C, Chow R, Vadivelu N, Rajput K. Special Considerations – Indwelling Spinal Cord Stimulators and Intrathecal Pumps. 2021, 335-343. DOI: 10.1007/978-3-030-55262-6_25.ChaptersSpinal cord stimulatorContinuous opioid useChronic pain patientsPaucity of literatureIT clonidineCentral sensitizationMultimodal analgesiaSystemic medicationsOpioid toleranceOpioid usePerioperative managementPain patientsPain physiciansPump dysfunctionIntrathecal pumpNeuraxial anesthesiaAmbulatory surgeryLong actingRegional anesthesiaPatientsSurgeryUnique subsetNormal functionAnesthesiaStimulatorUltrasound Guided Brachial Plexus Block
Li J, Sharma A, Credaroli E, Vadivelu N, Liu H. Ultrasound Guided Brachial Plexus Block. 2021, 121-128. DOI: 10.1007/978-3-030-46839-2_13.ChaptersLocal anesthetic systemic toxicityReal-time ultrasound guidanceFaster block onsetBrachial plexus blockBrachial plexus blockadeUpper extremity blocksEntire upper extremityUpper extremity proceduresOpioid reductionOpioid sparingBlock successExcellent analgesiaPlexus blockPlexus blockadeCervical plexusNerve stimulationGeneral anesthesiaBrachial plexusExtremity proceduresUpper extremityRegional anesthesiaSurgical anesthesiaIntravascular injectionUltrasound guidanceLandmark technique
2020
Regional Anesthesia is Underutilized for Carotid Endarterectomy Despite Improved Perioperative Outcomes Compared with General Anesthesia
Lumas S, Hsiang W, Akhtar S, Ochoa Chaar CI. Regional Anesthesia is Underutilized for Carotid Endarterectomy Despite Improved Perioperative Outcomes Compared with General Anesthesia. Annals Of Vascular Surgery 2020, 73: 336-343. PMID: 33373769, DOI: 10.1016/j.avsg.2020.11.035.Peer-Reviewed Original ResearchConceptsNational Surgical Quality Improvement ProgramCarotid endarterectomyGeneral anesthesiaRegional anesthesiaImproved outcomesSurgeons National Surgical Quality Improvement ProgramChronic obstructive pulmonary diseaseOutcomes of CEASurgical Quality Improvement ProgramCombined end pointObstructive pulmonary diseaseChoice of anestheticQuality Improvement ProgramAnesthesia typeHospital lengthPerioperative outcomesBaseline characteristicsPatient characteristicsCarotid surgeryHeart failurePropensity matchingPulmonary diseaseGA patientsMyocardial infarctionAmerican CollegeAnticoagulation Management in Geriatric Orthopedic Trauma Patients
Morris J, O’Connor M. Anticoagulation Management in Geriatric Orthopedic Trauma Patients. Current Geriatrics Reports 2020, 9: 288-295. DOI: 10.1007/s13670-020-00345-3.Peer-Reviewed Original ResearchDirect oral anticoagulantsOral anticoagulantsAnticoagulation managementGeriatric orthopaedic trauma patientsNon-elective orthopaedic surgeryPerioperative anticoagulation managementRecent FindingsOur understandingHip fracture surgeryVitamin K antagonistsOrthopaedic trauma patientsProthrombin complex concentrateTeam-based approachAnticoagulation interruptionK antagonistsPerioperative anticoagulationPerioperative managementMore patientsTrauma patientsFracture surgeryGeriatric patientsComplex concentrateRegional anesthesiaGeriatric teamReversal agentsOrthopedic surgery
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