A5043037814- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Spine and Intervertebral Disc Pathology
- Nausea and vomiting management
- Pain Management and Opioid Use
- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Airway Management and Intubation Techniques
- Shoulder Injury and Treatment
- Anesthesia and Sedative Agents
- Enhanced Recovery After Surgery
- Total Knee Arthroplasty Outcomes
- Intraoperative Neuromonitoring and Anesthetic Effects
- Orthopaedic implants and arthroplasty
- Tracheal and airway disorders
- Delphi Technique in Research
- Esophageal and GI Pathology
- Neurosurgical Procedures and Complications
- COVID-19 and healthcare impacts
- Intraocular Surgery and Lenses
- Music Therapy and Health
- Thermal Regulation in Medicine
- Bariatric Surgery and Outcomes
- Soft Robotics and Applications
- Reproductive Health and Contraception
Mayo Clinic in Florida
2021-2025
Jacksonville College
2022-2025
University of Alabama at Birmingham
2017-2024
WinnMed
2021-2024
Saint Francis University
2023
Saint Francis Hospital & Medical Center
2023
University of Connecticut
2023
Artifex University
2021
Edward Via College of Osteopathic Medicine
2021
Cleveland Clinic
2015-2020
Background To provide recommendations on risk mitigation, diagnosis and treatment of infectious complications associated with the practice regional anesthesia, acute chronic pain management. Methods Following board approval, in 2020 American Society Regional Anesthesia Pain Medicine (ASRA Medicine) commissioned evidence-based guidelines for best practices infection control. More than 80 research questions were developed literature searches undertaken by assigned working groups comprising...
Background and objectives Quadratus lumborum (QL) block is a new regional analgesic technique for upper lower abdominal surgeries as part of multimodal regime. It has also been reported to relieve pain after total hip arthroplasty (THA). In this prospective, randomized, double-blind study, we compared QL with control (no block) in patients undergoing primary THA. Methods Eighty THA surgery under spinal anesthesia were randomized into two groups, one without block. The both groups sedation,...
Introduction Postdural puncture headache (PDPH) can follow unintentional dural during epidural techniques or intentional neuraxial procedures such as a lumbar spinal anesthesia. Evidence-based guidance on the prevention, diagnosis management of this condition is, however, currently lacking. This multisociety aims to fill void and provide practitioners with comprehensive information patient-centric recommendations prevent, diagnose manage patients PDPH. Methods Based input from committee...
The pericapsular nerve group (PENG) block is a novel regional anaesthesia technique that has been proposed as an effective motor-sparing for total hip arthroplasty. Recent randomised studies show conflicting results regarding the analgesic efficacy of PENG arthroplasty.We conducted controlled observer-blinded single-centre superiority trial comparing with no patients undergoing primary arthroplasty under spinal anaesthesia. All subjects received multimodal analgesia consisting paracetamol...
Importance Postdural puncture headache (PDPH) can follow unintentional dural during epidural techniques or intentional neuraxial procedures, such as a lumbar spinal anesthesia. Evidence-based guidance on the prevention, diagnosis, and management of this condition is, however, currently lacking. Objective To fill practice guidelines void provide comprehensive information patient-centric recommendations for preventing, diagnosing, managing PDPH. Evidence Review With input from committee...
The innervation of the hip joint is complex and it challenging to provide effective analgesia after surgery utilizing any single regional anesthesia technique. pericapsular nerve group (PENG) block an interfascial plane aiming articular branches supplied by femoral, obturator, accessory obturator nerves. In this case series, we compare efficacy PENG in primary revision total arthroplasty (THA). ultrasound-guided technique described post-operative pain scores opioid requirements are reported....
Inconsistent nomenclature and anatomical descriptions of regional anesthetic techniques hinder scientific communication engender confusion; this in turn has implications for research, education clinical implementation anesthesia. Having produced standardized abdominal wall, paraspinal chest wall techniques, we aimed to similarly do so upper lower limb peripheral nerve blocks.
The erector spinae plane block (ESPB) is an interfascial that has been used to provide perioperative analgesia for a variety of indications. This case report describes the novel use sacral ESPB on transgender patient undergoing male-to-female gender reassignment surgery pain control. technique was described and post-operative score opioid requirements were reported. successfully as alternative neuraxial, caudal, or peripheral nerve blocks surgery.
Background and objectives Documentation is important for quality improvement, education, research. There currently a lack of recommendations regarding key aspects documentation in regional anesthesia. The aim this study was to establish Methods Following the formation executive committee directed literature review, long list potential components created. A modified Delphi process then employed achieve consensus amongst group international experts This consisted 2 rounds anonymous electronic...
This article aims to review the anatomy relevant ultrasound techniques of transversus abdominis plane (TAP) block and rectus sheath (RSB). We discuss their analgesic efficacy for various surgical procedures, both as single shot a continuous infusion via catheters. RSB provides superior analgesia local infiltration has an opioid-sparing effect umbilical surgery, laparotomy, laparoscopic surgery. There is no high-quality evidence comparing with epidural analgesia. Intermittent bolus through...
Abstract Purpose of Review This article aims to describe the anatomical and technical aspects various regional techniques used for fracture hip surgery. We reviewed commonly nerve blocks, interfascial plane blocks current evidence their utility in patients. Recent Findings Fascia iliaca compartment block (FICB) femoral (FNB) are most providing pain relief Supra-inguinal FICB has more consistent spread all nerves can enable better control. Both FNB have shown analgesic efficacy with reduced...
Gastric point-of-care ultrasound (POCUS) may offer clinical value in assessing aspiration risk among medically complex patients undergoing regional anesthesia and pain procedures. While the American Society of Anesthesiologists (ASA) preoperative fasting guidelines primarily apply to healthy individuals, populations often present with differing gastric emptying risk. This narrative review, conducted by Regional Anesthesia Pain Medicine (ASRA-PM), adhered PRISMA was registered PROSPERO. It...
The clavipectoral fascial plane block (CPB) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgery. While the cutaneous innervation of skin above clavicle well-known to be supplied by supraclavicular nerve superficial cervical plexus (SCP), sensory itself somewhat controversial. Despite this controversy, it hypothesized CPB an effective peri-operative analgesia since terminal branches many nerves like suprascapular, subclavian, lateral pectoral, and...
Abstract Purpose of Review This article describes the anatomy spine, relevant ultrasonographic views, and techniques used to perform neuraxial blocks using ultrasound imaging. Finally, we review available evidence for use imaging blocks. Recent Findings Central blockade traditional landmark palpation is a reliable technique provide surgical anesthesia postoperative analgesia. However, factors like obesity, spinal deformity, previous spine surgery can make procedure challenging. The has been...
Purpose Music therapy is an effective non-pharmacologic intervention that cost-effective, easy to implement, and customize. It has been shown significantly alleviate anxiety improve patient satisfaction. In this study, we aimed compare music a control (no music) group with respect sedation requirements, levels, satisfaction for patients undergoing total knee arthroplasty under spinal anesthesia. Methods randomized controlled compared the effect of in ≥ 18 years old. Patients were screened...
Objective To compare analgesia and opioid consumption for patients undergoing primary total hip arthroplasty with preoperative posterior quadratus lumborum block who did not receive block. Methods The medical records of unilateral between January 1st, 2017 March 31, 2018 were reviewed, 238 included in the study. outcome was postoperative first 24 hours. Secondary outcomes intraoperative, post anesthesia care unit, [...]
Orthopedic procedures involving the hip have remained challenging for regional anesthesia given complex innervation, painful nature contributing to difficulty positioning, and a desire maintain mobility hasten postoperative recovery. The revision total arthroplasty (THA) poses greater challenge an effective analgesia due surgical approach, scarring from previous surgery limited patient mobility. quadratus lumborum (QL) block has demonstrated provide primary in recent studies. pericapsular...
The management of pain in patients undergoing total knee arthroplasty (TKA) for chronic osteoarthritis (OA) has remained a challenge the anesthesiologist regarding regional anesthesia as no single technique is adequate with regard to balancing effective analgesia minimal muscle weakness. Severe postoperative following TKA been shown negatively impact patient outcomes and mortality. genicular nerve block recently demonstrated provide anterior posterior capsule recent studies. In this...