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Journal articles on the topic 'Peripheral-guided nerve locator'

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1

Jonada, Shashidhar Reddy, Priyadarshini C. Priyanka, Ajith Kumar Thati, and Dilip Kumar Muppidi. "Comparison between Conventional Block andNerve Locator Techniques for Supraclavicular Brachial PlexusBlock in Upper Limb Surgeries." International Journal of Toxicological and Pharmacological Research 14, no. 5 (2024): 47–54. https://doi.org/10.5281/zenodo.12786659.

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<strong>Background:</strong>&nbsp;The supraclavicular block provides effective anesthesia for the brachial plexus for surgical procedures at or below the elbow level. Traditionally, the landmark technique has been used, but this blind method often necessitates multiple needle attempts through trial and error, leading to prolonged procedure times, associated pain, discomfort, and potentially severe complications. Peripheral nerve locator, a newer technique, offers advantages such as reduced procedure time, less pain, and discomfort, and fewer complications. This study aimed to compare two techn
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Kilicaslan, Alper, Ahmet Topal, Atilla Erol, Hale Borazan, Onur Bilge, and Seref Otelcioglu. "Ultrasound-Guided Multiple Peripheral Nerve Blocks in a Superobese Patient." Case Reports in Anesthesiology 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/896914.

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The number of obese patients has increased dramatically worldwide. Morbid obesity is associated with an increased incidence of medical comorbidities and restricts the application choices in anesthesiology. We report a successfully performed combined ultrasound-guided blockade of the femoral, tibial, and common peroneal nerve in a superobese patient. We present a case report of a 31-year-old, ASA-PS II, super obese man (190 kg, 180 cm, BMI: 58 kg/m2) admitted to the emergency department with a type II segmental tibia shaft fracture and ankle dislocation after a vehicle accident. After two faile
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Bigeleisen, Paul E. "Nerve Puncture and Apparent Intraneural Injection during Ultrasound-guided Axillary Block Does Not Invariably Result in Neurologic Injury." Anesthesiology 105, no. 4 (2006): 779–83. http://dx.doi.org/10.1097/00000542-200610000-00024.

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Background Nerve puncture by the block needle and intraneural injection of local anesthetic are thought to be major risk factors leading to neurologic injury after peripheral nerve blocks. In this study, the author sought to determine the needle-nerve relation and location of the injectate during ultrasound-guided axillary plexus block. Methods Using ultrasound-guided axillary plexus block (10-MHz linear transducer, SonoSite, Bothel, WA; 22-gauge B-bevel needle, Becton Dickinson, Franklin Parks, NJ), the incidence of apparent nerve puncture and intraneural injection of local anesthetic was pro
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Gupta, Sahil, Steven Clendenen, Guilherme Ferreira-Dos-Santos, and Mark Friedrich Hurdle. "Ultrasound-Guided Intercostal Peripheral Nerve Stimulator Implantation: Technique Report and Feasibility Study in a Cadaver." Pain Medicine 21, Supplement_1 (2020): S32—S37. http://dx.doi.org/10.1093/pm/pnaa012.

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Abstract Objective This study aimed to describe and validate a novel ultrasound-guided intercostal peripheral nerve stimulator implantation technique. Methods The fifth to tenth ribs on both sides of an unembalmed cadaveric specimen were localized using a 15–6-MHz linear array transducer, counting distally from T-1 bilaterally. A single interventionist then implanted 12 peripheral nerve stimulators on the fifth through tenth ribs, six MicroLeads on the left side and six StimRouters on the right side, using an in-plane lateral to medial approach to the inferior border of the corresponding rib.
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Morris, Sara Elizabeth, Haley McKissack, Leonardo V. M. Moraes, et al. "Landmark Technique vs Ultrasound Guided Approach for Posterior Tibial Nerve Block in Cadaver Models." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0031. http://dx.doi.org/10.1177/2473011419s00314.

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Category: Ankle, Basic Sciences/Biologics Introduction/Purpose: Until recently, many regional anesthetic blocks were performed without the assistance of ultrasound, relying on methods such as anatomical landmarks and nerve stimulation. The use of ultrasound for peripheral nerve blocks has proven extremely useful for improving the efficacy of many regional anesthetic techniques. There remain a few nerve blocks which have lagged in employing the assistance of ultrasound consistently, one of which is the ankle block. This block is commonly utilized for either surgical anesthesia or post-operative
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Lam, Nicholas C. K., Matthew Charles, Deana Mercer, et al. "A Triple-Masked, Randomized Controlled Trial Comparing Ultrasound-Guided Brachial Plexus and Distal Peripheral Nerve Block Anesthesia for Outpatient Hand Surgery." Anesthesiology Research and Practice 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/324083.

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Background. For hand surgery, brachial plexus blocks provide effective anesthesia but produce undesirable numbness. We hypothesized that distal peripheral nerve blocks will better preserve motor function while providing effective anesthesia.Methods. Adult subjects who were scheduled for elective ambulatory hand surgery under regional anesthesia and sedation were recruited and randomly assigned to receive ultrasound-guided supraclavicular brachial plexus block or distal block of the ulnar and median nerves. Each subject received 15 mL of 1.5% mepivacaine at the assigned location with 15 mL of n
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7

Lee, Kevin, Michael J. Herr, and Jerry W. Jones. "Safety and Efficacy of Rescue Nerve Blocks." Journal of Clinical and Biomedical Investigation 2, no. 1 (2022): 9–14. http://dx.doi.org/10.52916/jcbi224012.

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Background: The overall incidence of complications following peripheral nerve blocks is very low. Peripheral nerve blocks performed under ultrasound guidance are widely thought to present a lower risk to direct needle trauma than paresthesia and nerve stimulation techniques and have been shown to decrease opioid consumption by providing analgesia directly to the site of injury. Currently, when a nerve block fails altogether or provides inadequate analgesia, pain and opioid consumption increases which in turn decrease patient satisfaction and increases healthcare costs. Concerns remain whether
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8

Lee, Kevin, Michael J. Herr, and Jerry Jones. "Safety and Efficacy of Rescue Nerve Blocks." Research and Practice in Anesthesiology – Open Journal 6, no. 1 (2022): 8–14. http://dx.doi.org/10.17140/rpaoj-6-132.

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Background: The overall incidence of complications following peripheral nerve blocks is very low. Peripheral nerve blocks performed under ultrasound guidance are widely thought to present a lower risk to direct needle trauma than paresthesia and nerve stimulation techniques and have been shown to decrease opioid consumption by providing analgesia directly to the site of injury. Currently, when a nerve block fails altogether or provides inadequate analgesia, pain and opioid consumption increases which in turn decrease patient satisfaction and increases healthcare costs. Concerns remain whether
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9

Hardik, D. Kavar, A. Gajjar Vidhi, A. Shah Vibhuti, and D. Mendapara Aelish. "Clinical Study of Effectiveness of Peripheral Nerve Stimulator Guided Multiple Injection in Axillary Brachial Plexus Block." International Journal of Toxicological and Pharmacological Research 13, no. 8 (2023): 76–81. https://doi.org/10.5281/zenodo.11096516.

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<strong>Background and Aim:&nbsp;</strong>Axillary brachial plexus block is one of the most widely used regional anesthesia technique for surgical procedures involving forearm, wrist, and hand. Peripheral nerve stimulator (PNS) was considered as the gold standard technique for nerve location. Present study was done with an aim to Study Effectiveness of Peripheral nerve stimulator guided multiple injection technique of axillary brachial plexus block.&nbsp;<strong>Material and Methods:</strong>&nbsp;Forty patients with physical status ASA grade I and II aged between 18 &ndash; 60 years, schedule
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10

Choquet, Olivier, Didier Morau, Philippe Biboulet, and Xavier Capdevila. "Where should the tip of the needle be located in ultrasound-guided peripheral nerve blocks?" Current Opinion in Anaesthesiology 25, no. 5 (2012): 596–602. http://dx.doi.org/10.1097/aco.0b013e328356bb40.

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11

Bhat, Shubha P., Harish S. Permi, Rohan Shetty, Jayaram Shenoy, Kishan Prasad, and Panna Hegde. "ANCIENT SCHWANNOMA OF THE CHEST WALL DIAGNOSED BY FINE NEEDLE ASPIRATION CYTOLOGY- A RARE CASE REPORT." Journal of Health and Allied Sciences NU 02, no. 03 (2012): 27–29. http://dx.doi.org/10.1055/s-0040-1703585.

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AbstractSchwannomas are benign peripheral nerve sheath tumors. Ancient schwannoma is an uncommon variant of schwannoma, which is usually located in the retroperitoneum. Those located in the chest wall are extremely rare. We report a case of ancient schwannoma in a 34 yr old male who presented with left sided chest pain, found to have a mass lesion in the chest wall radiologically. CT guided fine needle aspiration cytology showed features of ancient schwannoma which was confirmed on histopathology. Cytological findings in correlation with long standing nature and well defined borders on radiolo
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Xiao, Yuxin, and Huili Tang. "Application of Clinical Practice and Scientific Research in Undergraduate Teaching of Myasthenia Gravis." Journal of Education and Educational Research 3, no. 2 (2023): 237–39. http://dx.doi.org/10.54097/jeer.v3i2.9313.

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Objective: Under theoretical guidance, undergraduates learned the diagnosis, differential diagnosis and treatment of Myasthenia Gravis (MG)through clinical practice and scientific exploration. Methods: Theoretical basis was Chinese guidelines for the diagnosis and treatment of myasthenia gravis (2020 edition). Under the guidance of teachers, undergraduates cooperated with each other and learned step by step. Phase 1 was clinical trainee, determine the location and nature of the lesion through neurological examination and medical history. Phase 2 was classroom learning, simulate nerve conductio
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13

Mannan, Mahamud, Mohammad Faroque Eastiak, Md Shahidul Islam, Azmary Momtaz, Md Shahidul Islam Khan, and Nazmin Ahmed. "A Large Retroperitoneal Neurofibroma with Lumbar Scoliosis and the First Lumbar Vertebral Subluxation: A Rare Case Report." Community Based Medical Journal 14, no. 1 (2025): 177–81. https://doi.org/10.3329/cbmj.v14i1.79360.

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Retroperitoneal neurofibromas are rare tumors, with an incidence of 3-5% for all neurofibromas. The Schwann cells in the peripheral nerve give rise to these histologically benign tumors. They can be hard to diagnose and treat because of where they are located and their potential to invade the surrounding area and press on nerve roots or other structures. Herein, we report a 17-year-old male patient, who had a complaint of low back pain and pain radiating to the legs, especially on the right side, for one year. MRI and CT scans showed a fairly big (9.7 cm × 4.3 cm) retroperitoneal mass on the r
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14

Witkowski, Grzegorz, Małgorzata Kołos, Anna Nasierowska-Guttmejer, and Marek Durlik. "Neuroma (schwannoma). A rare pancreatic tumor." Polish Journal of Surgery 91, no. 3 (2019): 1–4. http://dx.doi.org/10.5604/01.3001.0012.8558.

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Neuroma (Schwannoma in Latin) is an encapsulated, mesenchymal tumor arising from Schwann cells surrounded by nerves. Hence it can be located in any area in the body with passing peripheral nerves. The most common location is the head, neck, and extremities. The tumor arising from Schwannoma cells was first described by Stout and Carson in 1935. Pancreatic schwannomas are extremely rare tumors. Until 2017, in English literature 68 cases have been described. Surgical treatment is the most common way of treating pancreatic schwannomas, and postoperative prognoses are good. A 63-year-old patient w
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15

Jiarpinitnun, Jittima. "RAMA TAP Block Sheet." Ramathibodi Medical Journal 42, no. 4 (2019): 71–77. http://dx.doi.org/10.33165/rmj.2019.42.4.196360.

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Postoperative analgesia is an important aspect of anesthesia care since pain problems affect both physical and mental derangement, resulting in delayed recovery. Transversus abdominis plane block (TAP block) can be performed in the abdominal wall area using ultrasound-guided technique. The TAP block is a peripheral nerve block designed to anesthetize the nerves supplying the anterior abdominal wall. Nowadays, the TAP block could also be used to reduce the need for postoperative opioid use, to extend the period of first analgesia request, and to provide more effective pain relief while decreasi
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16

Ansón, Agustina, Francisco G. Laredo, Francisco Gil, Marta Soler, Eliseo Belda, and Amalia Agut. "Evaluation of an ultrasound-guided technique for axillary brachial plexus blockade in cats." Journal of Feline Medicine and Surgery 19, no. 2 (2016): 146–52. http://dx.doi.org/10.1177/1098612x15618703.

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Objectives The aim of this study was to evaluate and refine an ultrasound (US)-guided technique to block the brachial plexus (BP) at the level of the axillary space in live cats. Methods Eight adult experimental cats were enrolled into the study. The animals were sedated and positioned in dorsal recumbency with the limb to be blocked abducted 90º. The US transducer was placed in the axillary region and a non-traumatic peripheral nerve block needle was inserted in-plane with respect to the transducer, medial to the BP up to the level of the axillary artery. Lidocaine 1% (0.4 ml/kg) was injected
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17

Ould Hennia, A. "AB1570 MODERN TREATMENT OF ENTRAPMENT NEUROPATHIES, THE HYDROCHEMICAL NEUROLYSIS." Annals of the Rheumatic Diseases 82, Suppl 1 (2023): 2018.1–2018. http://dx.doi.org/10.1136/annrheumdis-2023-eular.17.

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BackgroundEntrapment neuropathies (E.N) are frequent and often underdiagnosed leading to significant chronic pain and functional impairment impede the quality of life. Commonly occur at the fibro-osseous tunnels through which the nerves course with various static and dynamic factors. Imaging particularly ultrasound can identify an anatomical cause, detect signs of nerve injury, assess its severity and also aid in the percutaneous treatment like our technique: “The hydrochemical neurolysis” (HCN).ObjectivesWe present the US-guided hydrochemical neurolysis of E.N to relieve, in most cases, the p
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18

Sharma, Santosh Kumar. "Failed Nerve Blocks: Prevention and Management." Journal of Anaesthesia and Critical Care Reports 4, no. 3 (2018): 3–6. http://dx.doi.org/10.13107/jaccr.2018.v04i03.101.

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“The secret of success is constancy of purpose” – Benjamin Disraeli, British politician Success and failure go side by side in regional anesthesia. No anesthesiologist can claim a 100% success record while giving nerve blocks. Hence, it is always better to focus on how to prevent causes of block failure rather than focusing on managing a failed block. Abdallah and Brull did a comprehensive literature hunt to find out the meaning of block “success” which were used by various authors in their studies and found that it was highly variable and there was lack of consensus regarding its meaning [1].
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Martins, Daniela, Gonçalo Guidi, Clara Leal, Bruno Vieira, Pedro Costa, and João Pinto-de-Sousa. "Seven years surveillance of an incidental schwannoma." International Surgery Journal 10, no. 5 (2023): 932–34. http://dx.doi.org/10.18203/2349-2902.isj20231394.

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Schwannomas are rare benign neoplasms, arising from Schwann cells of the peripheral nerve sheath. Retroperitoneal location is very rare accounting for less than 3% of cases. Schwannomas are usually asymptomatic and incidentally found. A rare case of a retroperitoneal schwannoma incidentally found, in 73 years-old women is herein. The tumour was found on a routine CT-scan and the patient was asymptomatic. CT-guided biopsy was compatible with a benign schwannoma. Since the patient was elderly and had no symptoms, surveillance was decided by oncological multidisciplinary group. At present, the pa
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Berehova, Nataliia, Tessa Buckle, Maarten P. van Meerbeek, Anton Bunschoten, Aldrik H. Velders, and Fijs W. B. van Leeuwen. "Nerve Targeting via Myelin Protein Zero and the Impact of Dimerization on Binding Affinity." Molecules 27, no. 24 (2022): 9015. http://dx.doi.org/10.3390/molecules27249015.

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Background: Surgically induced nerve damage is a common but debilitating side effect. By developing tracers that specifically target the most abundant protein in peripheral myelin, namely myelin protein zero (P0), we intend to support fluorescence-guided nerve-sparing surgery. To that end, we aimed to develop a dimeric tracer that shows a superior affinity for P0. Methods: Following truncation of homotypic P0 protein-based peptide sequences and fluorescence labeling, the lead compound Cy5-P0101–125 was selected. Using a bifunctional fluorescent dye, the dimeric Cy5-(P0101–125)2 was created. As
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Park, Hyunsuk, Jinhyun Kim, Sungjae Yoo, Jung-Min Yun, and Kwangchan Song. "Common Peroneal Nerve Entrapment Masked by Acute Lumbar Disc Herniation: Integrated Korean Medicine Treatment with Ultrasound-Guided Pharmacopuncture." Perspectives on Integrative Medicine 3, no. 3 (2024): 177–83. http://dx.doi.org/10.56986/pim.2024.10.008.

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The symptoms of common peroneal nerve (CPN) entrapment are similar to the symptoms of lumbar herniated intervertebral disc. We present the successful treatment of CPN entrapment masked by acute lumbar disc herniation. A 49-year-old man presented with low back pain and numbness in his left leg. Following admission, patient history, physical examination, and radiology findings, the patient received integrated Korean medicine (KM) treatment (acupuncture, pharmacopuncture, ultrasound-guided pharmacopuncture, moxibustion and cupping, herbal medicine, and chuna therapy) for lumbar disc herniation. O
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Mulacharige Madhuwan Sasira Kasun Kumara, Rajashilpa, Udupihille Jeevani, Mathara Arachchige Madusha Prabodini, Wijetunge Sulochana, and Hewavithana Padma Badra. "Metastatic proximal-type epithelioid sarcoma presenting as a chest lesion with a pathological fracture of the humeral neck." International Journal of Case Reports and Images 13, no. 2 (2022): 137–41. http://dx.doi.org/10.5348/101345z01rk2022cr.

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Introduction: Proximal-type epithelioid sarcoma is a rare soft tissue neoplasm which occurs mostly in young males and is much rarer than classic distal sub type. A young male, with a known diagnosis of neurofibromatosis type 1 (NF1) presenting with metastatic proximal-type epithelioid sarcoma is reported. Case Report: A 30-year-old male with known NF1, hypothyroidism, epilepsy, presented with a right shoulder pain of two weeks duration. Plain radiographs revealed an expansile lytic lesion, an aggressive periosteal reaction in right humeral head with an underlying pathological fracture. A well-
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Asaad, Bassem O. "A Survey on Teaching Ultrasound-Guided Chronic Pain Procedures in Pain Medicine Fellowship Programs." Pain Physician 6;17, no. 6;12 (2014): E681—E689. http://dx.doi.org/10.36076/ppj.2014/17/e681.

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Background: Over the last decade ultrasound guidance (USG) has been utilized very successfully in acute pain procedures to confirm nerves’ anatomic location and obtain live images. Not only the utilization, but the teaching, of USG has become an essential part of anesthesiology residency training. Prior to the introduction of USG, chronic pain procedures were always done either under fluoroscopy or blindly. USG offers advantages over fluoroscopy for completion of chronic pain procedures. USG decreases radiation exposure and the expenses associated with operating a fluoroscopy machine and allow
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Ilfeld, Brian M., John J. Finneran, Rodney A. Gabriel, et al. "Ultrasound-guided percutaneous peripheral nerve stimulation: neuromodulation of the suprascapular nerve and brachial plexus for postoperative analgesia following ambulatory rotator cuff repair. A proof-of-concept study." Regional Anesthesia & Pain Medicine 44, no. 3 (2019): 310–18. http://dx.doi.org/10.1136/rapm-2018-100121.

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Background and objectivesPercutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducing needle followed by the delivery of electric current. This modality has been reported to treat chronic pain as well as postoperative pain following knee and foot surgery. However, it remains unknown if this analgesic technique may be used in ambulatory patients following upper extremity surgery. The purpose of this proof-of-concept study was to investigate various lead implantation locations and evaluate the feasibility of using percutaneous
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Akural, Ethem, Voitto Järvimäki, Raija Korhonen, Hannu Kautiainen, and Maija Haanpää. "Pulsed radiofrequency in peripheral posttraumatic neuropathic pain: A double blind sham controlled randomized clinical trial." Scandinavian Journal of Pain 3, no. 3 (2012): 127–31. http://dx.doi.org/10.1016/j.sjpain.2012.04.004.

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AbstractBackground and purposePulsed radiofrequency (PRF) is widely used for the treatment of chronic pain, although its mechanism of action is not known. The evidence of efficacy of PRF for neuropathic pain (NP) conditions is limited. A double-blind, randomized, sham-controlled parallel study was conducted to evaluate the efficacy and safety of PRF in the treatment of peripheral posttraumatic NP.MethodsForty-five patients with peripheral posttraumatic NP in their upper or lower limb were randomly assigned to receive PRF or sham treatment to the injured peripheral nerve (s) causing peripheral
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Alshalan, Asma, Yasser Asiri, Ayed Algarni, and Emad Al-Absi. "Subperiosteal Schwannoma of the Humerus: A Case Report and Review of Literature." Saudi Journal of Radiology 2, no. 1 (2023): 22–30. http://dx.doi.org/10.55038/sjr.v2i1.132.

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There are numerous conditions that arise from the surface of bones including both neoplastic and non-neoplastic entities. Schwannoma had been reported to be one of those conditions originating from the bone surface with variable proposed theories on it’s origin. We present a unique case of subperiosteal schwannoma arising from the humerus in a 40 years old female with history of painful swelling for two years. Radiograph showed cortically based lytic lesion located in the lateral distal humeral metaphysis with periosteal reaction and cortical scalloping. MRI showed the same juxtacortical lesio
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Singh, Mahendra, Lovekesh Kumar, Rajkumar Chejara, Om Prakash Prasad, Yuvraj Kolhe, and Ashish Saxena. "Diagnostic Dilemma of a Rare, Giant Retroperitoneal Schwannoma: A Case Report and Review of Literature." Case Reports in Oncological Medicine 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/628538.

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Schwannoma is a benign tumour of peripheral nerve sheath. It usually arises from head, neck, and trunk. Retroperitoneal schwannoma is a rare entity, accounting for only 0.3–3% of total schwannomas. Majority of retroperitoneal schwannomas reported in literature have a diameter of 5 to 15 cm. Preoperative diagnosis is difficult due to low frequency, nonspecific clinical course, and nonspecific imaging features. Histology usually provides definitive diagnosis. Schwannomas are solitary, well-circumscribed, and noninvasive, so complete surgical excision provides good result. We report a case of a 2
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Kamissoko, M., K. Soumano, B. Diouf, et al. "Ultrasound-guided nerve block in clavicle fracture surgery at the Somine Dolo Hospital in Mopti." Journal Africain des Cas Cliniques et Revues 1, no. 1 (2025): 1–6. https://doi.org/10.70065/2511.jaccrsurg.001l013006.

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Introduction: Clavicle fractures are common injuries that occur in all age groups, but are more frequently seen in young, active patients. Locoregional anaesthesia for osteosynthesis was reserved for analgesia because locoregional anaesthesia does not always allow sufficient analgesia to the clavicle due to its proximal location. We report a series of 06 cases of osteosynthesis of clavicular fracture performed under ultrasound-guided nerve block. Methodology: This is a case study including 06 patients operated for clavicle fracture whose management was performed under peripheral nerve block. O
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Himanshu Sharma, Mahesh Verma, Ashok Mittal, and Roopesh Kumar. "Comparative study of Bupivacaine with magnesium sulfate versus bupivacaine with dexmedetomidine in peripheral nerve stimulator-guided transversus abdominis plane block for post-operative analgesia in cesarean section." Asian Journal of Medical Sciences 15, no. 12 (2024): 51–57. https://doi.org/10.71152/ajms.v15i12.4310.

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Background: Magnesium sulfate and dexmedetomidine can be used as an adjuvant to local anesthetic solutions to enhance the quality and duration of peripheral nerve blocks. Aims and Objective: The objective was to compare magnesium sulfate and dexmedetomidine as adjuvants to bupivacaine (0.25%) in a transversus abdominis plane (TAP) block using a peripheral nerve stimulator (PNS) for post-operative pain relief in parturients undergoing caesarean delivery. Materials and Methods: A total of 150 pregnant women of ASA Grade I and II in the age range of 18–40, underwent elective cesarean delivery und
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Hamanshu Sharma, Roopesh Kumar, Ashok Mittal, and Mahesh Verma. "Comparative study of Bupivacaine with magnesium sulfate versus bupivacaine with dexmedetomidine in peripheral nerve stimulator-guided transversus abdominis plane block for post-operative analgesia in cesarean section." Asian Journal of Medical Sciences 15, no. 12 (2024): 51–57. https://doi.org/10.3126/ajms.v15i12.68858.

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Background: Magnesium sulfate and dexmedetomidine can be used as an adjuvant to local anesthetic solutions to enhance the quality and duration of peripheral nerve blocks. Aims and Objective: The objective was to compare magnesium sulfate and dexmedetomidine as adjuvants to bupivacaine (0.25%) in a transversus abdominis plane (TAP) block using a peripheral nerve stimulator (PNS) for post-operative pain relief in parturients undergoing caesarean delivery. Materials and Methods: A total of 150 pregnant women of ASA Grade I and II in the age range of 18–40, underwent elective cesarean delivery und
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Tzaveas, Alexandros, Lazaros Oikonomidis, and Michael Iosifidis. "EP6.109 Arthroscopic removal of benign tumor from the posterior peripheral compartment of the hip without T-capsulotomy." Journal of Hip Preservation Surgery 12, Supplement_1 (2025): i123—i124. https://doi.org/10.1093/jhps/hnaf011.396.

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Abstract A 19-year old football player was presented with a 4-month history of persistent hip pain. On clinical examination he had a positive impingement sign and full range of motion. Radiographic and MRI assessment revealed a well-defined mass, located in the peripheral compartment posteriorly, sized at 28x20x20 mm. A CT-guided biopsy diagnosed myxoid neoplasm. After discussion with department and oncology team, resection of the tumor was decided by arthroscopic means. A hip arthroscopy was done with patient on the lateral position. Anterolateral and posterolateral portals were used for a co
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Filippiadis, Dimitrios K. "Computed Tomography-Guided Radiofrequency Thermocoagulation of the Gasserian Ganglion Using an Alternative to Hartel Anterior Approach: A Bicentral Study." Pain Physician 3;23, no. 6;3 (2020): 293–98. http://dx.doi.org/10.36076/ppj.2020/23/293.

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Background: Trigeminal neuralgia (TN) is associated with multiple mechanisms involving peripheral and central nervous system pathologies. Among percutaneous treatments offered, radiofrequency thermocoagulation (RFT) is associated with longer duration of pain relief. Mostly due to anatomic variation, cannulation of the foramen ovale using the Hartel approach has a failure rate of 5.17%. Objectives: To report safety and efficacy of continuous RFT with an alternative to Hartel anterior approach under computed tomography (CT) guidance in patients with classic TN. Study Design: Retrospective instit
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Brouillette, Mark A., Alfred J. Aidoo, Maria A. Hondras, et al. "Regional anesthesia training model for resource-limited settings: a prospective single-center observational study with pre–post evaluations." Regional Anesthesia & Pain Medicine 45, no. 7 (2020): 528–35. http://dx.doi.org/10.1136/rapm-2020-101550.

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Background and objectivesEducational initiatives are a sustainable means to address provider shortages in resource-limited settings (RLS), yet few regional anesthesia curricula for RLS have been described. We sought to design a reproducible training model for RLS called Global Regional Anesthesia Curricular Engagement (GRACE), implement GRACE at an RLS hospital in Ghana, and measure training and practice-based outcomes associated with GRACE implementation.MethodsFourteen of 15 physician anesthesiologists from the study location and three from an outside orthopedic specialty hospital consented
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Edinoff, Amber N., Brook Girma, Katherine A. Trettin, et al. "Novel Regional Nerve Blocks in Clinical Practice: Evolving Techniques for Pain Management." Anesthesiology and Pain Medicine 11, no. 4 (2021). http://dx.doi.org/10.5812/aapm.118278.

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: This review examines the use of novel US-guided nerve blocks in clinical practice. Erector spinae block is a regional anesthesia technique doing by injecting a local anesthetic among the erector spinae muscle group and transverse processes. The phrenic nerve is a branch of the cervical plexus, arising from the anterior rami of cervical nerves C3, C4, and C5. The quadratus lumborum muscle is located along the posterior abdominal wall. It originates from the transverse process of the L5 vertebral body, the iliolumbar ligament, and the iliac crest. US-guided peripheral nerve procedures have a c
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"Revisiting the Genicular Nerve Block: An Up-to-Date Guide Utilizing Ultrasound Guidance and Peripheral Nerve Stimulation – Anatomy Description and Technique Standardization." Pain Physician, March 19, 2021, E177—E183. http://dx.doi.org/10.36076/ppj.2021.24.e177-e183.

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BACKGROUND: Over the last decade, several authors have reported that percutaneous peripheral nerve stimulation (PNS) can be used to assist in verifying the position of the procedure needle tip in relation to nerve structures, and that the combined technique using both ultrasound (US) guidance and PNS may serve as a reliable method for confirmation of the correct position of the procedure needle tip. It has also been reported that, when combined with US guidance, PNS may increase the success rate of pain management interventions. OBJECTIVES: The aim of this technical report was to standardize a
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Goffin, Pierre, Jorge Mejia, Alberto Prats-Galino, Lorena Morales, Miriam Panzeri, and Xavier Sala-Blanch. "Ultrasound is better than injection pressure monitoring detecting the low-volume intraneural injection." Regional Anesthesia & Pain Medicine, August 9, 2022, rapm—2022–103759. http://dx.doi.org/10.1136/rapm-2022-103759.

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IntroductionInadvertent intraneural injection is not infrequent during peripheral nerve blocks. For this reason, injection pressure monitoring has been suggested as a safeguard method that warns the clinician of a potentially hazardous needle tip location. However, doubts remain whether it is superior to the sonographic nerve swelling in terms of earlier detection of the intraneural injection.MethodsAn observational cadaveric study was designed to assess injection pressures during an ultrasound-guided intraneural injection of the median nerve. We hypothesized that the evidence of nerve swellin
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Pietramaggiori, Giorgio, Gianluca Sapino, Giorgio De Santis, Franco Bassetto, and Saja Scherer. "Chronic Knee and Ankle Pain Treatment through Selective Microsurgical Approaches: A Minimally Invasive Option in the Treatment Algorithm for Refractory Lower Limb Pain." Journal of Reconstructive Microsurgery, October 7, 2020. http://dx.doi.org/10.1055/s-0040-1717100.

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Abstract Background Injury or compression of a sensory nerve is an under-reported source of disabling pain in the lower limb. It is known that peripheral nerve microsurgeons can reconstruct and rewire injured nerves to relieve chronic pain but this option remains not completely understood and ignored by most orthopaedic surgeons, neurologists, and pain therapists. In this paper, we describe our experience with knee and ankle peripheral nerve surgery to improve the condition of patients suffering from chronic, posttraumatic lower limb pain. Patients and Methods Between 2015 and 2018, a retrospe
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Mejia, Jorge, Pierre Goffin, Miguel A. Reina, and Xavier Sala-Blanch. "No evidence of fascicular injury following a low-volume intraneural injection of the median nerve: a cadaveric study." Regional Anesthesia & Pain Medicine, February 28, 2024, rapm—2024–105294. http://dx.doi.org/10.1136/rapm-2024-105294.

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BackgroundThe test dose or hydrolocation technique allows rapid detection of spread location. Though its primary aim is to enhance safety in peripheral nerve blocks, evidence on the potential risks of an intraneural test aliquot is lacking. We conducted a cadaveric study to evaluate the risk of fascicular injury following a low-volume (&lt;1 mL) intraneural injection of the median nerve.MethodsTen upper limbs from fresh unembalmed human cadavers were studied. In-plane ultrasound-guided intraneural injections of the median nerve were performed at mid, proximal, and distal locations using 1 mL o
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Sarmiento M., Eddy, Fernando Espinoza C., Limber López C., Nicole Fuentes-Rocabado, and Bipin Chaurasia. "Giant sciatic nerve schwannoma: A rare case report and literature review." Annals of Medicine & Surgery, June 28, 2024. http://dx.doi.org/10.1097/ms9.0000000000002331.

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Introduction and importance: Schwannomas are benign tumors that arise from Schwann cells commonly located in peripheral nerves. Depending on the size and location of sciatic nerve Schwannoma clinical manifestations can either varies from symptoms simulating radiculopathies such as positive Lasegue sign on the affected side, gait weakness and paresthesia or just present with pain and an associated palpable mass. Case presentation: We present a case of a 34-years-old female patient suffering from pain, gait weakness and a palpable mass since many months. The palpable mass was present in the post
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Taha, Nourhan Abdelmohsen, Mai Fathy, Ahmed Elsadek, et al. "Efficacy and safety of ultrasound-guided peripheral nerve blocks in management of chronic resistant migraine." Journal of Headache and Pain 26, no. 1 (2025). https://doi.org/10.1186/s10194-025-02013-3.

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Abstract Background Migraine is a common primary headache disorder with different treatment modalities emerging as ultrasound guided peripheral nerve blocks. We compared the efficacy and safety of ultrasound guided bilateral sphenopalatine ganglion (SPG) block versus bilateral greater occipital nerve (GON) block, in chronic resistant migraine patients and controls. Methods This study was an interventional randomized controlled trial, including 53 patients, 22 in sphenopalatine ganglion arm, 21 greater occipital nerve arm and 10 in sham group. All patients were assessed initially by headache di
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Puebla, Daniel L., Ilya Luchitsky, Roman Montes De Oca, Michael Shalaby, and Robert A. Farrow II. "Ultrasound-Guided, Mid-Forearm Median Nerve Block for Relief of Carpal Tunnel Syndrome Pain in the Emergency Department: A Case Report." Clinical Practice and Cases in Emergency Medicine, January 23, 2024. http://dx.doi.org/10.5811/cpcem.1265.

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Introduction: Carpal tunnel syndrome (CTS) is a common complaint in the emergency department (ED) and accounts for approximately 90% of all peripheral neuropathies.6 Pain control from injection with corticosteroids into the carpal tunnel space is associated with multiple possible complications including atrophy, iatrogenic median nerve injury, and skin changes. Ultrasound (US)-guided mid-forearm median nerve block is an ED procedure that can be used to avoid direct injection into the carpal tunnel space. Here we present a case report proposing the use of US-guided mid-forearm block as a safe a
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Choudhury, Sunirmal, Shahbaaz Ahmed, Anjana Ghosh Dastidar Bose, and Debasish Ghosh. "Transvesical blockade of the obturator nerve to prevent adductor contraction in transurethral resection of urinary bladder tumor." Urologia Journal, July 26, 2024. http://dx.doi.org/10.1177/03915603241266907.

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Introduction: Urinary bladder tumors are one of the most common urological malignancies. Traditionally, it has been managed with trans-urethral resection of urinary bladder tumor (TURBT) for both diagnostic and therapeutic purposes. During TURBT of lateral wall tumors, there is risk of obturator nerve reflex (ONR), which can lead to serious complications such as inadvertent bleeding and urinary bladder perforation. To prevent this, obturator nerve block is given after spinal anesthesia. In this study, we have used the transvesical approach to block the obturator nerve. Materials and methods: I
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Sun, Jianjun, Xiaodi Zou, Qinyun Fu, et al. "Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment." Frontiers in Neurology 14 (November 9, 2023). http://dx.doi.org/10.3389/fneur.2023.1291702.

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Carpal tunnel syndrome (CTS) is a common peripheral neuropathy of the hand, mainly manifesting as sensory disturbances, motor dysfunctions, and pain in the fingers and hand. The pathogenesis of the disease is associated with fibrosis of the transverse carpal ligament in the carpal tunnel, which compresses median nerve. In our case, we demonstrate an ultrasound-guided needle knife technique to treat CTS. We guided the patient to a supine position on the examination table. The skin of the wrist area was sterilized for the procedure. After the skin was dry, we positioned sterile drapes, located t
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Yang, Ajax, Danielle Nadav, Aron Legler, et al. "An Interventional Pain Algorithm for the Treatment of Postmastectomy Pain Syndrome: A Single-Center Retrospective Review." Pain Medicine, November 6, 2020. http://dx.doi.org/10.1093/pm/pnaa343.

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Abstract Objective Breast cancer is the most common female malignancy worldwide. Breast surgery and adjuvant oncological therapies are often required to increase survival. Treatment-related pain may persist and evolve into postmastectomy pain syndrome (PMPS) in a significant subset of breast cancer survivors. In this retrospective investigation, we will present our experience in applying an interventional algorithmic approach to treat PMPS. Design A retrospective study. Setting An academic cancer hospital. Subjects Adult females with PMPS diagnosis. Methods We reviewed 169 records with the dia
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Früh, Anton, Tarik Alp Sargut, Abdelhalim Hussein, et al. "Peripheral nerve stimulation for the treatment of chronic knee pain." Scientific Reports 13, no. 1 (2023). http://dx.doi.org/10.1038/s41598-023-42608-x.

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AbstractThe average age of our population is increasing, resulting in a high incidence of chronic degenerative knee pathologies. Several treatment options, including surgical procedures are available to help mitigate these pathologies. However, the percentage of subjects with chronic post-surgical knee pain is still estimated at 16–20%. Neuromodulation techniques such as spinal cord stimulation and dorsal root ganglion stimulation (DRGS) are treatment options for subjects with chronic knee pain. The evidence for peripheral nerve stimulation (PNS) is minimal due to a limited number of neuromodu
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Singh, Saurabh, Paul Choong, Mohamed Ali, Daniel Lindsay, and Asif Saifuddin. "Hybrid peripheral nerve sheath tumours: MRI features with pathological correlation in 24 cases." British Journal of Radiology, December 12, 2023. http://dx.doi.org/10.1093/bjr/tqad001.

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Abstract Objectives To describe the MRI features of histologically proven hybrid peripheral nerve sheath tumours (HPNST). Methods A retrospective analysis of the MRI features of 24 histologically proven cases of HPNST over 7 years. Demographic data obtained from clinical records included age, gender, and date of diagnosis. Two readers independently assessed MRI studies and assessed the following features: involvement of a major nerve, intramuscular location, lesion morphology, entering nerve sign, exiting nerve sign, target sign, fascicular sign, split fat sign, and ancient change (cystic chan
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Brownbridge, Regan G., Mathew B. Kiberd, Daniel Werry, and Jonathan G. Bailey. "Discriminative Ability of Dye Injected Into a Meat Model to Determine Accuracy of Ultrasound-Guided Injection." Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, June 10, 2024. http://dx.doi.org/10.1097/sih.0000000000000799.

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Introduction The utility of using meat models for ultrasound-guided regional anesthesia simulation training has been well established. Feedback is considered the most important element of successful simulation-based education, and simulation offers an opportunity for evaluation. The objective of this study was to establish the discriminative ability of dye injected into a meat model to determine whether injectate is properly placed in the perineural (PN) space, thus providing an additional tool for learner feedback and evaluation. Methods Meat models containing a beef tendon (simulating a nerv
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Brescia, Fabrizio, Mauro Pittiruti, Timothy R. Spencer, and Robert B. Dawson. "The SIP protocol update: Eight strategies, incorporating Rapid Peripheral Vein Assessment (RaPeVA), to minimize complications associated with peripherally inserted central catheter insertion." Journal of Vascular Access, May 27, 2022, 112972982210998. http://dx.doi.org/10.1177/11297298221099838.

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Insertion of Peripherally Inserted Central Catheters (PICCs) is potentially associated with the risk of immediate/early adverse events, some of them minimal (repeated punctures) and some relevant (accidental arterial puncture or nerve-related injury). Several strategies adopted during the insertion process may minimize the risk of such events, including late complication risks such as infection, venous thrombosis, or catheter dislodgment and/or malposition. This paper describes an update version of the SIP protocol (Safe Insertion of PICCs), an insertion bundle which includes eight effective s
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Surendran, Sarath, Dhanya Rajeev, and Raju Rajan. "Supraclavicular Brachial Plexus Block by Nerve Stimulator or Ultrasound: An Observational Cross-sectional Study." JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2022. http://dx.doi.org/10.7860/jcdr/2022/59153.17173.

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Introduction: Supraclavicular approach to the brachial plexus block is considered to be one of the most effective anaesthetic procedures for upper limb surgeries. Peripheral Nerve Stimulation (PNS) has traditionally been used as the gold standard technique for nerve location. More recently, Ultrasound (USG)-guided single injection supraclavicular block is used which allows direct visualisation of nerve, but its use is limited by cost constraints and the level of expertise needed. Aim: To compare the efficacy of USG and PNS in supraclavicular brachial plexus block especially the onset of motor
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Drake, Reese, Deepti Vissa, Marjorie Johnson, Michele Barbeau, Rakesh Soendekoppam Vijayashanker, and Sugantha Ganapathy. "Subscapularis Plane Block ‐ A Novel Phrenic Nerve Sparing Single Injection Shoulder Block ‐ An Anatomical Study." FASEB Journal 31, S1 (2017). http://dx.doi.org/10.1096/fasebj.31.1_supplement.903.5.

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IntroductionThe interscalene block (ISB) is the gold standard regional anesthetic for shoulder surgery, but invariably results in ipsilateral hemi‐diaphragmatic paralysis due to phrenic nerve involvement. Isolated blocks targeting the suprascapular and axillary nerves separately have been shown to be less effective than the gold standard. The specific aim of this study was to develop a novel peripheral block for shoulder surgeries that would avoid phrenic nerve involvement and associated hemi‐diaphragm paralysis, while still providing adequate anesthesia of the targeted nerves to provide a sui
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