A5011578459- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Nausea and vomiting management
- Spine and Intervertebral Disc Pathology
- Peripheral Nerve Disorders
- Spinal Fractures and Fixation Techniques
- Shoulder Injury and Treatment
- Neurosurgical Procedures and Complications
- Hip and Femur Fractures
- Traumatic Brain Injury and Neurovascular Disturbances
- Pediatric Pain Management Techniques
- Mindfulness and Compassion Interventions
- Medical Malpractice and Liability Issues
- Migraine and Headache Studies
- Elbow and Forearm Trauma Treatment
- GABA and Rice Research
- Nanoplatforms for cancer theranostics
- Opioid Use Disorder Treatment
- Orthopedic Surgery and Rehabilitation
- Cancer, Stress, Anesthesia, and Immune Response
- Pain Management and Opioid Use
- Patient Safety and Medication Errors
- Intramuscular injections and effects
- Sympathectomy and Hyperhidrosis Treatments
- Trigeminal Neuralgia and Treatments
Florida College
2015-2024
University of Florida
2015-2024
University of Florida Health
2023
Universidad San Pablo CEU
2019
Universitat de Barcelona
2019
Committee on Publication Ethics
2019
Abbott (Spain)
2019
Objectives Our primary aim was to evaluate the agreement between subjective and objective methods of measuring sleep quality in a musculoskeletal pain sample. Secondly, we aimed explore relationship (and its impact on function) clinical experimental pain. Methods We assessed using Pittsburgh Sleep Quality Index (PSQI) Oura ring, wearable characterizing stages. Participants had (intensity>4/10 most days past 3 months) poor (PSQI total>5). To enable direct comparisons, via correlations,...
More than one million people each year in the United States are diagnosed with cancer. Surgery is considered curative, but perioperative phase represents a vulnerable period for residual disease to spread. Regional anesthesia has been proposed reduce incidence of recurrence by attenuating sympathetic nervous system's response during surgery, reducing opioid requirements thus diminishing their immunosuppressant effects, and providing antitumor anti-inflammatory effects directly through...
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...
There is confusion regarding the spread of intraneurally injected local anesthetic agents during regional anesthesia. The aim this research was to deliberately inject a marker that does not leave neural compartment into which it injected, and then study longitudinal circumferential possible pathways intraneural spread.After institutional review board approval, we 20 5 ml heparinized blood solution under ultrasound guidance 12 sciatic nerves in popliteal fossa 10 median nerves, respectively,...
Abstract Background and Objectives The ultrasound‐guided proximal infraclavicular costoclavicular block (PICB) appears popular but its results are inconsistent. We sought an accurate demonstration of septae formed between the brachial plexus cords. Methods performed in‐plane, lateral‐to‐medial PICBs on 120 patients recorded images. Once most superficial lateral cord component was entered, a 0.4–0.6 mA current applied to confirm needle placement; 5 ml local anesthetic (LA) solution then...
In 1981, Devoghel achieved an 85.6% success rate in treating patients with treatment-refractory cluster headaches alcoholization of the pterygopalatine ganglion (PPG) via percutaneous suprazygomatic approach. Devoghel’s study led to theory that interrupting parasympathetic pathway by blocking its transduction at PPG could prevent or treat symptoms related primary headache disorders (PHDs). Furthermore, non-invasive vagus nerve stimulation (nVNS) has proven PHDs and been approved national...
To summarize recent evidence that discusses the clinical, financial, and logistical implications of a 23 h stay postsurgical unit in an ambulatory surgical center (ASC).Twenty-three-hour stays surgery centers are safe, but proper patient selection optimization key to maintaining high level safety. The financial overnight ASCs rely heavily on payment structures comparative costs at hospital-based outpatient centers. establishment pathways protocols for clinical care success ASC.A concurrent...
Acute compartment syndrome (ACS) is an infrequent but true medical emergency caused by increase in pressure noncompliant tissue compartments resulting decreased blood flow, ischemia, and necrosis. At present, it mainly a clinical diagnosis of pain “out proportion” to the scenario. Other signs such as paresthesia, paralysis, lack peripheral pulses are, usually, late symptoms. Early treatment can be difference between preserving function affected extremity, permanent functional loss, or even...
Introduction Tourniquet pain may have cutaneous and ischemic components. It is questionable whether blockade of a sensory nerve will help reduce pain. In addition, complete anesthesia the axilla in intercostobrachial (ICBN) distribution challenging to execute, ICBN has an inherently higher failure rate because its variable anatomic location source innervation. We sought determine utility block for prevention tourniquet Methods conducted single-center randomized controlled trial at major...
Our aim was to study the posterior lumbar epidural space with 3D reconstructions of magnetic resonance images (MRIs) and compare validate findings targeted anatomic microdissections.We performed high-resolution MRIs from seven patients normal-resolution commonly used in clinical practice 196 other random patients. We then dissected photographed spine areas four fresh cadavers.From MRIs, we verified that distribution fat pad had an irregular shape resembled a truncated pyramid. It spanned...
Many advances and innovations highlight the last 2 decades of orthopedic surgery. Improved pain management accelerated rehabilitation programs stand out among these innovations. Procedures that were exclusively inpatient have transitioned or are transitioning to outpatient, patients spend much less time in hospital than 20, even 10 5 years ago. Two ago United States, total joint replacement spent ≥4 nights (and some other countries, longer); often not walking for 24 48 hours, but now they...
In the setting of an expanding prevalence acute pain medicine services and aggressive use multimodal analgesia, overview systems-based safety gaps concerns in analgesia is provided below.Expert commentary.Recent evidence focused on discussed. A literature review was conducted to assess related commonly used pharmacologic agents (opioids, nonsteroidal anti-inflammatory drugs, gabapentanoids, ketamine, acetaminophen) inpatient management.Optimization will increase probability accurate...
Background and objectives We assume that intrafascicular spread of a solution can only occur if large enough portion the distal needle orifice is placed inside fascicle. Our aim to present evaluate mathematical model calculate theoretical vulnerability fascicles, analyzing degree occupancy in fascicular tissue by performing simulations multiple positions take cross-sectional nerve area. Methods superimposed microscopic images two routinely used block needles (22-gauge, 15° 22-gauge, 30°...
Abstract Objective To better understand the unexpected spread of contrast medium observed by conventional fluoroscopic X‐ray images during standard neuraxial techniques used in treatment pain. The support 3D reconstruction MRI structures within lumbar spine was to space Okada. Methods Lumbar facet joint and epidural corticosteroid injections five patients under guidance with loss resistance air or saline identify joints space. Next, a retrospective study, authors examined retrodural Okada...
Objective An unwanted side effect associated with epidural analgesia is the reduction in blood pressure (BP) due to sympathetic blockade. This study evaluated hemodynamic effects of adding different epinephrine concentrations epidurally injected local anesthetic solution counteract sympathectomy. We hypothesized that could mitigate decrease BP possibly caused by anesthetic, specifically decreasing incidence hypotension. Methods Sixty-six patients were enrolled a randomized, controlled,...
Approximately 1.71 billion people globally live with musculoskeletal pain conditions, including low back pain, knee and neck Cieza et al. (2020). In the US, an estimated 20.4% of U.S. adult had chronic 8.0% adults high-impact higher prevalence associated advancing age Dahlhamer (2018). On other hand, between 50 70 million US have a sleep disorder (American Sleep Association). Although link is widely established, neurobiological mechanisms underlying this relationship yet to be fully...
<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Yes: I'm uploading the Ethics Committee Approval as a PDF file with this abstract submission <b>Application ESRA Abstract Prizes:</b> I don't wish to apply Prizes <h3>Background and Aims</h3> Epidural analgesia is widely used perioperative pain management(1,2). An unwanted side effect reduction in blood pressure due sympathetic blockade. The aim of study was evaluate hemodynamic effect(s)...