Relevant bibliographies by topics / LOCOREGIONAL ANAESTHESIA

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  2. Dissertations / Theses
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Academic literature on the topic 'LOCOREGIONAL ANAESTHESIA'

Author: Grafiati
Published: 9 March 2023
Last updated: 10 March 2023

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Journal articles on the topic "LOCOREGIONAL ANAESTHESIA"

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Abbadi, Abdel Karim Al Oweidi Al, Iulian Constantin, Aurelia Romila, Alina Mihaela Calin, Laurian Lucian Frincu, Ciprian Dinu, and Alina Mihaela Elisei. "The Morphological Substrate of the Sensory Pathways - Anatomy, Neurotransmission, Neurochemistry in Intraosseous Anaesthesia." Revista de Chimie 70, no. 6 (July 15, 2019): 2218–21. http://dx.doi.org/10.37358/rc.19.6.7308.

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In order to apply the most accurate and efficient locoregional techniques, the knowledge of the anatomical characteristics of the oro-maxilo-facial territory becomes imperatively necessary, without which the installation and the effect of the locoregional anaesthetics may be poor. Due to the many advantages it presents, locoregional anaesthesia is considered as a current use method during routine dental care. A good local or locoregional anaesthetic must be harmless to the tissues, must have no local or general toxicity, must lead to a high quality and durable anaesthetic, must not cause lesions to nerve endings, to be subject to dental surgery or of oral surgery, can be satisfactorily solved by using locoregional anaesthesia techniques, which are used successfully in patients with balanced psychic, who are calm and cooperative. A good anaesthesia suppresses pain, prevents pain-induced shock, and allows the dentist to work in optimal conditions. Although modern anaesthesia techniques have greatly changed the working environment in dental surgeries or outpatient facilities of oral and maxillo-facial surgery, emotion and anxiety, fears continue to exist in patients who will have to undergo care treatments. In order to apply the most accurate and effective locoregional anaesthetic techniques, the knowledge of the anatomical characteristics of oro-maxilo-facial territory becomes imperatively necessary, without which the location and effect of locoregional anaesthetics may be poor. The study includes 114 patients studied in the period 2015-2017 on which we used Stabident system intraosseous anaesthesia of company Fairfax under two available systems: Stabident Regular and Stabident Alternative. Intraosseous anaesthesia reduces the amount of injected anaesthesia, thus reducing the toxicity of anaesthetic procedures; this technique allows the use of vasoconstrictors for the immediate delivery of anaesthesia to the teeth affected by pulpitis without the risk of necrosis. Intraosseous anaesthesia is an anaesthesia technique similar to the ideal anaesthesia technique.
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Auboyer, C. "Infectious risk and locoregional anaesthesia." Annales Françaises d'Anesthésie et de Réanimation 17, no. 10 (January 1998): 1257–60. http://dx.doi.org/10.1016/s0750-7658(99)80036-7.

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Quesada, Nuria, Dario D'Ovidio, Matt Read, Paolo Monticelli, and Chiara Adami. "An Observational Survey Study on the Use of Locoregional Anaesthesia in Non-Conventional Species: Current Practice and Potential Future Developments." Animals 12, no. 11 (June 3, 2022): 1448. http://dx.doi.org/10.3390/ani12111448.

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The objectives of this study were to investigate the current attitudes of veterinarians towards the use of locoregional anaesthesia in non-conventional animal species and to identify areas for future useful research on this topic. A questionnaire was circulated online. A total of 417 veterinarians, including American and European specialists/specialists-in-training in both zoological medicine and anaesthesia/analgesia (ACZM/ECZM and ACVAA/ECVAA), participated in the study. Fifty-nine percent of respondents performed locoregional anaesthesia in rabbits, with intratesticular injections and local infiltration being the most commonly-reported techniques. ACZM/ECZM specialists reportedly performed dental blocks in rabbits more frequently than ACVAA/ECVAA specialists (p = 0.030). Forty percent of respondents performed locoregional anaesthesia in rodents, with intratesticular injections, topical/splash blocks and local infiltration being the most commonly reported techniques. The proportions of respondents who reportedly used locoregional anaesthesia in ferrets, birds and reptiles were 37.9%, 34.5% and 31.2%, respectively. The use of Tuohy (p < 0.001) and spinal needles (p < 0.001), as well as of ultrasonography (p = 0.009) and nerve-stimulators (p < 0.001), was more common among ACVAA/ECVAA compared to ACZM/ECZM specialists. Major topic areas for future research were identified as dental block techniques for rabbits and rodents and blocks for the wings of birds.
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Vullo, Cecilia, Rosalia Crupi, Rosanna Di Paola, Salvatore Cuzzocrea, Enrico Gugliandolo, Vito Biondi, and Giuseppe Catone. "Intratesticular Versus Intrafunicular Lidocaine to Reduce Perioperative Nociception and Immunological Response in Ponies Undergoing Field Castration." Veterinary Sciences 9, no. 12 (November 28, 2022): 664. http://dx.doi.org/10.3390/vetsci9120664.

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The aim of this study was to evaluate the impact of intratesticular or intrafunicular lidocaine to reduce perioperative nociception and cytokine release in ponies undergoing field castration under total intravenous anaesthesia. Before castration, one group was injected with intrafunicular (FL) lidocaine and the other received intratesticular (TL) lidocaine. All ponies were premedicated with acepromazine (0.05 mg/kg) intramuscularly. Twenty minutes after the administration of acepromazine, xylazine (1 mg/kg) and butorphanol (0.02 mg/kg) were administered intravenously. Lidocaine 2% was given 1 ml/100 kg intrafunicularly in the FL groups or 2 ml/100 kg intratesticularly on each testicular side for TL. Surgery was performed by the same team of two experienced surgeons using Serra’s emasculator and an open technique was used for all ponies in order to promote postoperative drainage. In this study, we focused on the plasmatic levels of TNF-a and IL-6. The results from this study showed a significant difference in plasmatic concentrations of TNF-a and IL-6 between the two different locoregional anaesthetic protocols. Taken together, the results suggest that the intrafunicular lidocaine locoregional anaesthesia could be a useful technique in the anaesthesia protocol for field pony castration.
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Dagnall, Clare, Peter Coss, and Alice Bird. "Ultrasound-guided blockade of the dorsal nerve of the penis in a Great Dane." Companion Animal 26, no. 11 (December 2, 2021): 243–47. http://dx.doi.org/10.12968/coan.2021.0021.

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This report describes an approach to regional anaesthesia of the dorsal nerves of the penis in a Great Dane, as part of an anaesthetic protocol for surgical urethral resection and anastomosis. Bupivacaine (0.5%) was infiltrated around the left and right dorsal nerves of the penis, with ultrasound guidance. The locoregional approach was trans-perineal, with the ultrasound probe orientated at a right angle to the anus, at the level of the ischial symphysis. The described technique provided good visualisation of the urethra and dorsal arteries of the penis. No adverse events relating to the nerve blockade were encountered and no additional analgesia, other than the methadone premedication, was required intra-operatively. The locoregional approach was subsequently repeated on a cadaver using the same technique and, on dissection, demonstrated deposition of injectate next to the target neurovascular bundles. The technique described may provide a simple method of distal penile anaesthesia in the dog, where ultrasound is available.
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Onuma, O. C., P. E. Bearn, U. Khan, P. Mallucci, and M. Adiseshiah. "The Influence of Effective Analgesia and General Anaesthesia on Patients' Acceptance of Day Case Varicose Vein Surgery." Phlebology: The Journal of Venous Disease 8, no. 1 (March 1993): 29–31. http://dx.doi.org/10.1177/026835559300800108.

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Objective: To assess the efficacy of locoregional anaesthesia and non-opiate analgesia in controlling pain after varicose vein surgery. To examine patient attitudes to day case surgery for this condition. Design: Prospective single patient group study (22 consecutive patients). Setting: University College Hospital (Teaching Hospital). Intervention: Locoregional and general anaesthesia. Non-opiate analgesia. Surgical treatment for varicose Main outcome measures: Patient interview, pain scores, analgesia requirement. Result: Post operative Pain was absent in 36% during the first 24 hours. Oral analgesia was given to 36% as inpatients but only 18% after discharge. Before surgery, 95% would have preferred DCS but only 24% at six months. The after-effects of general anaesthesia was the main reason for this change in attitude. Conclusions: Patients would like day case surgery for varicose veins but anaesthesia and analgesia must be satisfactory.
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UNGUREANU, Raluca, Ioana GRINŢESCU, and Dan TULBURE. "Ultrasound-guided regional anaesthesia for upper limb surgery." Romanian Journal of Medical Practice 10, no. 1 (March 31, 2015): 26–35. http://dx.doi.org/10.37897/rjmp.2015.1.4.

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Brachial plexus blockade is a cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. The new inovative application of ultrasound imaging may overcome the shortcomings of current techniques and increase the efficacity and safety of locoregional anesthesia. Ultrasound guidence allows the operator to see neural structures, guide the needle under real-time visualization, navigate away from sensitive anatomy, and monitor the spread of local anesthetic. This review article focuses on approaches and techniques used for ultrasound guidance of brachial plexus blocks for upper extremity surgery.
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Ruggiano, P., L. Larucci, R. Deodati, R. Giabbiani, L. Bocchi, and S. Orlandi. "Three-dimensional reconstruction of the spatial distribution of anaesthetic during locoregional anaesthesia." European Journal of Anaesthesiology 30 (June 2013): 120. http://dx.doi.org/10.1097/00003643-201306001-00374.

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Cicirelli, Vincenzo, Pasquale Debidda, Nicola Maggio, Michele Caira, Giovanni M. Lacalandra, and Giulio G. Aiudi. "Ultrasound-Guided Funicular Block: Ropivacaine Injection into the Tissue around the Spermatic Cord to Improve Analgesia during Orchiectomy in Dogs." Animals 11, no. 5 (April 28, 2021): 1275. http://dx.doi.org/10.3390/ani11051275.

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Orchiectomy is a common surgical procedure performed on small animals, and it requires postoperative pain management despite its relative simplicity. This study aimed to evaluate the hemodynamic stability, intraoperative administration of additional hypnotic and/or analgesic drugs, and postoperative pain scores following the combination of ultrasound-guided injection of ropivacaine hydrochloride into the spermatic cord and infiltration by the same anaesthetic of the incisional prescrotal line (ROP) or general anaesthesia. Dogs in the ROP group showed greater intraoperative hemodynamic stability and lower pain scores than the control group. The locoregional approach used in this study proved effective in minimising the responses to the surgical stimulus and ensured adequate analgesia intra- and postoperatively. This method, called ultrasound-guided funicular block, allows orchiectomy to be performed under deep sedation without general anaesthesia.
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Thakuria, Kailash K., Naveen Kumar M., and Monmohan Boro. "Outcome of major abdominal surgeries in COVID-19 positive patients with awake anaesthesia: surgeons’ perspective." International Surgery Journal 8, no. 12 (November 26, 2021): 3673. http://dx.doi.org/10.18203/2349-2902.isj20214763.

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In view of the COVID-19 pandemic, the use of locoregional anaesthesia has gained popularity as the greatest number of the major abdominal surgical cases which were usually done under general anaesthesia (GA) is now shifted towards awake anaesthesia due to fear of aerosol generation. In a COVID era, with evolving risk of aerosol generation in surgery under GA and the urge for reserving ICU beds for needy patients, this study was undertaken to assess the adequacy of surgery and other benefits with awake anaesthesia. A retrospective observational study for 8 COVID-19 positive patients, undergoing emergency major abdominal surgeries with locoregional anaesthesia in pre-operatively diagnosed COVID positive from May 2020 to May 2021 was conducted. Low to medium risk patients (ASA 1-2) were considered following assessment by anaesthesiologist. We retrospectively analysed data including perioperative events, post-op follow up. The mean operative time was 103 minutes (minimum 50 minutes; maximum 170 minutes). In one case, conversion to general anaesthesia was necessary. Post-operative pain was always well controlled. None of them required postoperative intensive care support. No perioperative major complications (Clavien Dindo ≥3) occurred. Early readmission after surgery never occurred. In our experience in the COVID-19 era, RA may help to limit the intubation-related risk of contagions inside theatres and could be feasible, safe, and painless alternative to GA in selected cases and this approach could become part of an ICU-preserving strategy.
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Dissertations / Theses on the topic "LOCOREGIONAL ANAESTHESIA"

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Dellagrammaticas, Demosthenes. "Cerebral haemodynamic control and carotid endarterectomy : comparison of general and locoregional anaesthesia." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/cerebral-haemodynamic-control-and-carotid-endarterectomy-comparison-of-general-and-locoregional-anaesthesia(a7b50cfa-d56d-40ff-b8d8-dbc1a2ff105e).html.

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The role of CEA for stroke prevention in the presence of symptomatic carotid artery stenosis is well established. In order to maximize the benefit of surgery, several perioperative processes of care have been under scrutiny, of which one is the choice of anaesthetic method. The differing effects of GA vs. LA on the cerebral circulation after CEA may be of significance, since changes in the cerebral circulation post-CEA may give rise to cerebral hyperperfusion and intracerebral haemorrhage. This work assessed the effect of GA vs. LA on cerebral haemodynamic control after CEA using transcranial Doppler (TCD) techniques, and correlated these changes with serum markers of cerebral injury. Subjects undergoing CEA had perioperative TCD monitoring of middle cerebral artery blood flow velocity (MCAV). Pre- and postoperative (within 48 hours of surgery) testing of cerebral autoregulation [CA] (tilt-testing) and cerebral vasoreactivity to CO2 [CVR] (rebreathing expired air) was conducted. Cerebral haemodynamic parameters and clinical outcome were correlated with changes in jugular venous and peripheral levels of protein S100β and neurone-specific enolase (NSE).The change in CA and CVR was not different between GA (n=16) and LA (n=20). Overall, CA and CVR improved significantly within 48 hours of CEA for patients with preoperative impairment of these parameters, although some patients with normal baseline CA and CVR exhibited postoperative impairment. Increase of MCAV >100% from baseline after restoration of carotid blood flow was observed in patients with impaired CVR, but resolved by the first postoperative day. Transient elevation in jugular venous (but not peripheral) S100β during surgery was seen. Both jugular and peripheral NSE levels dropped during surgery. Neither anaesthetic method nor CA or CVR status had any effect on changes in serum S100β or NSE. Cerebral autoregulatory parameters thus improve rapidly after CEA, but appear unaffected by anaesthetic technique. This supports the concept that cerebral hyperperfusion is dependent on factors in addition to impaired CA or CVR. Changes in serum S100β or NSE do not reflect cerebral haemodynamic changes. However, the variability encountered between patients warrants further investigation. The implications for clinical practice and directions for further research are discussed.
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D'URSO, ELISA SILVIA. "ADVANCEMENTS IN ULTRASOUND-GUIDED, NEUROSTIMULATED AND BLIND APPROACHES TO LOCOREGIONAL ANAESTHESIA IN COMPANION ANIMALS." Doctoral thesis, Università degli Studi di Milano, 2019. http://hdl.handle.net/2434/627008.

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Peripheral nerve blocks (PNB) play nowadays an important role in perioperative pain management, both in human and in veterinary medicine. Several approaches have been described and validated in companion animals undergoing especially orthopaedic surgeries. Thus, considering the state of art in veterinary medicine, studies presented in this dissertation focus on pain management relate to soft tissue surgeries and medical conditions. An ultrasound-guided approach was used to assess cervical plexus block (US-CPB) in dog cadavers and to preliminary assess spermatic cord block (US-SCB) in dogs undergoing orchiectomy. A Neurostimulated approach to mandibular and facial nerves was assessed in dogs and rabbits undergoing total ear canal ablation and lateral bulla osteotomy (TECALBO). Furthermore, a different technique was described as a case report in a rabbit undergoing partial ear canal ablation and lateral bulla osteotomy (PECA-LBO), considering the different surgical technique used and the individual and specie-specific characteristics. Blind celiac plexus block is reported in a dog to manage severe pain related to acute pancreatitis irresponsive to conventional systemic analgesia. All these new techniques resulted to be feasible and those assessed in a clinical setting showed enhancement in anaesthetic stability and pain management, appearing to have promising application in clinical practice.
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Book chapters on the topic "LOCOREGIONAL ANAESTHESIA"

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Holas, Armin. "Sedation for Locoregional Anaesthesia." In Advances in Modelling and Clinical Application of Intravenous Anaesthesia, 149–59. Boston, MA: Springer US, 2003. http://dx.doi.org/10.1007/978-1-4419-9192-8_14.

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Busoni, P., and M. Calamandrei. "Locoregional anaesthesia in paediatrics." In Anaesthesia and Intensive Care in Neonates and Children, 59–64. Milano: Springer Milan, 1999. http://dx.doi.org/10.1007/978-88-470-2282-9_7.

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Sutcliffe, Nick, and Daniel Amutike. "Patient Controlled Sedation During Locoregional Anaesthesia." In On the Study and Practice of Intravenous Anaesthesia, 129–44. Dordrecht: Springer Netherlands, 2000. http://dx.doi.org/10.1007/978-94-015-9604-6_10.

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Ilias, W. K. "Locoregional Anaesthesia in High Risk Patients." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 745–53. Milano: Springer Milan, 1997. http://dx.doi.org/10.1007/978-88-470-2296-6_68.

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Gurbuz, Hande, Hulya Topcu, K. Tolga Saracoglu, and Volker Wenzel. "Locoregional Anaesthesia During Pregnancy and the Post-partum Period." In ENT Diseases: Diagnosis and Treatment during Pregnancy and Lactation, 141–61. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05303-0_13.

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Cofini, Vincenza, Pierpaolo Vittorini, Emiliano Petrucci, Stefano di Carlo, Pierfrancesco Fusco, Franco Marinangeli, and Stefano Necozione. "Technology-Enhanced Learning (TEL) in Anaesthesia: Ultrasound Simulation Training for Innovative Locoregional Anaesthesia." In Methodologies and Intelligent Systems for Technology Enhanced Learning, 10th International Conference, 206–15. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-52538-5_21.

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d’Ovidio, Dario. "Locoregional anaesthesia in exotic pets." In BSAVA Congress Proceedings 2020, 112. British Small Animal Veterinary Association, 2020. http://dx.doi.org/10.22233/9781910443774.12.1.

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Journal articles
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