A5037759074- Anesthesia and Pain Management
- Pain Management and Treatment
- Shoulder Injury and Treatment
- Spine and Intervertebral Disc Pathology
- Nausea and vomiting management
- Pain Management and Opioid Use
- Cardiac, Anesthesia and Surgical Outcomes
- Nerve Injury and Rehabilitation
- Pediatric Pain Management Techniques
- Pain Mechanisms and Treatments
- Vagus Nerve Stimulation Research
- Trauma Management and Diagnosis
- Peripheral Nerve Disorders
- Musculoskeletal pain and rehabilitation
- Shoulder and Clavicle Injuries
- Airway Management and Intubation Techniques
- Orthopedic Surgery and Rehabilitation
- Central Venous Catheters and Hemodialysis
- Laser Applications in Dentistry and Medicine
- Total Knee Arthroplasty Outcomes
- Electromagnetic Fields and Biological Effects
- Vascular Procedures and Complications
- Heart Rate Variability and Autonomic Control
- Ultrasound and Hyperthermia Applications
- Botulinum Toxin and Related Neurological Disorders
University of California, San Diego
2016-2025
Outcomes Research Consortium
2018-2025
Cleveland Clinic
2018-2024
Central Florida Pulmonary Group
2024
University of California System
2023
Chongqing Electromechanical Holdings (China)
2020-2022
Globus Medical (United States)
2022
Kent Hospital
2021
Sprint PNS System (United States)
2021
Barro Colorado Island
2017-2020
Background Paravertebral nerve blocks (PVBs) are frequently used to treat pain during and following breast surgery, but have various undesirable risks such as pneumothorax. The erector spinae plane block (ESPB) also provides perioperative analgesia, is purported be easier administer with a favorable safety profile. However, it remains unknown if the new ESPB comparable analgesia decades-old PVB technique. Methods Subjects undergoing unilateral or bilateral non-mastectomy surgery were...
Background and objectives Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through introducing needle followed by delivery electric current. This has been reported to treat chronic pain as well postoperative following knee foot surgery. However, it remains unknown if this technique may be used in ambulatory patients upper extremity The purpose proof-of-concept study was investigate various implantation locations evaluate feasibility...
<b>Objective:</b> The purpose of this prospective proof concept study was to investigate the feasibility using percutaneous peripheral nerve stimulation femoral treat pain in immediate postoperative period following ambulatory anterior cruciate ligament reconstruction with a patellar autograft. <b>Materials and Methods:</b> Preoperatively, an electrical lead (SPRINT, SPR Therapeutics, Inc., Cleveland, OH, USA) percutaneously implanted ultrasound guidance caudad inguinal crease. Within...
Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through introducing needle followed by delivery electric current. This has been reported to treat chronic pain as well postoperative day following knee surgery. However, it remains unknown if this technique may be used in ambulatory subjects foot procedures beginning within recovery room immediately surgery, and with only short series patients date, available data are derived from...
Background Ultrasound-guided percutaneous cryoneurolysis is an analgesic technique in which a probe used to reversibly ablate peripheral nerve(s) using exceptionally low temperature, and has yet be evaluated with randomized, controlled trials. Pain after mastectomy can difficult treat, the authors hypothesized that severity of surgically related pain would lower on postoperative day 2 addition cryoanalgesia compared patients receiving solely standard-of-care treatment. Methods...
ObjectivesTotal knee arthroplasty (TKA) is an effective surgery for end-stage osteoarthritis, but chronic postoperative pain and reduced function affect up to 20% of patients who undergo such surgery. There are limited treatment options, percutaneous peripheral nerve stimulation (PNS) a promising nonopioid option chronic, persistent pain. The objective the present study was evaluate effect 60-day PNS in multicenter, randomized, double-blind, placebo-controlled trial treating after...
Percutaneous auricular nerve stimulation (neuromodulation) involves implanting electrodes around the ear and administering an electric current. A device is currently available within USA cleared to treat symptoms from opioid withdrawal, multiple reports suggest a possible postoperative analgesic effect. The current randomized controlled pilot study was undertaken (1) determine feasibility optimize protocol for subsequent definitive clinical trial; (2) estimate treatment effect of...
Background Percutaneous auricular nerve stimulation (neuromodulation) is an analgesic technique involving the percutaneous implantation of multiple leads at various points on/around ear followed by delivery electric current using external pulse generator. A device currently available within USA cleared to treat symptoms from opioid withdrawal, and reports suggest a possible postoperative effect. The randomized, controlled pilot study was undertaken (1) determine feasibility optimize protocol...
Study Design Prospective cohort study. Objectives To determine the effect of rotator cuff tear size on shoulder strength and range motion. Background Patients with pathology typically present weakness motion loss in various motions. The extent to which presence a affect is not well understood. Methods Measures Sixty-one patients scheduled for surgery, diagnosis and/or subacromial impingement, underwent examination pain, function, motion, strength. was documented during subsequent surgery...
Background: Rib fractures are a common injury in trauma patients and account for significant morbidity mortality within this population. Local anesthetic-based nerve blocks have been demonstrated to provide pain relief reduce complications. However, the analgesia provided by these is limited hours single injection or days continuous infusions, while duration of often lasts weeks. Case: This case series describes five with rib whose was successfully treated cryoneurolysis. Conclusions:...
Background Regional anesthetic techniques have become increasingly used for the purpose of pain management following mastectomy. Although a variety beneficial been described, delivery regional anesthesia mastectomy has yet to be examined racial or ethnic disparities. We aimed examine association race and ethnicity on in patients undergoing surgical using large national database. Methods American College Surgeons–National Surgical Quality Improvement Program database identify adult aged ≥18...
Background There is evidence suggesting clinical benefits of regional anesthesia use in the setting hip fracture repair, including reduced risk death, deep vein thrombosis, pulmonary complications and myocardial infarction. Thought literature mixed, surgery has not been studied for racial differences. We examined association race with neuraxial blocks patients undergoing surgery. Methods Using American College Surgeons National Surgical Quality Improvement Program, we identified ≥18 years...
Background Acute post-mastectomy pain is frequently challenging to adequately treat with local anesthetic-based regional anesthesia techniques due its relatively long duration measured in multiple weeks. Case We report three cases which preoperative ultrasound-guided percutaneous intercostal nerve cryoneurolysis was performed following mastectomy. Across all postoperative days and patients, the mean score on numeric rating scale 0 for each day. Similarly, no patient required any supplemental...
A continuous adductor canal block provides analgesia after surgical procedures of the knee. Recent neuroanatomic descriptions thigh and knee led us to speculate that local anesthetic deposited in distal close hiatus would provide superior compared a more proximal catheter location. We therefore tested hypothesis during nerve block, postoperative be improved by placing perineural tip 2-3 cm cephalad where femoral artery descends posteriorly (distal location) location at midpoint between...
Background: Extremity amputations are associated with pain in both the residual limb and phantom limb. This pain, which is often debilitating, may be prevented by excellent perioperative control. Ultrasound-guided percutaneous cryoneurolysis an analgesic modality offering control for weeks or months following surgery. treatment has not been compared to sham procedure large nerves (e.g., femoral sciatic) provide preoperative analgesia. We therefore conducted a randomized, controlled pilot...
Pectoralis-II and paravertebral nerve blocks are both used to treat pain after breast surgery. Most previous studies involving mastectomy identified little difference of significance between the two approaches. Whether this is also accurate for nonmastectomy procedures remains unknown.
Abstract Background Nonthermal, pulsed shortwave (radiofrequency) therapy (PSWT) is a nonpharmacologic, noninvasive modality that limited evidence suggests provides analgesia. Its potential favorable risk–benefit ratio stems from its lack of side effects and significant medical risks, applicability to any anatomic location, long treatment duration, ease application by simply affixing it with tape. Even relatively small effect, PSWT might contribute multimodal analgesic regimen, similar...
Objectives Percutaneous auricular neuromodulation involves implanting electrodes around the ear and administering an electric current. A device is currently available in United States, cleared to treat symptoms from opioid withdrawal, with multiple reports suggesting a possible postoperative analgesic effect. This randomized, controlled pilot study aimed (1) assess feasibility of protocol (2) provide estimate its treatment effects on pain consumption following total hip arthroplasty. Methods...
Pulsed shortwave therapy (PSWT) is a nonpharmacologic/noninvasive modality that may offer analgesic benefits without notable side effects or complications. This pilot study aimed to assess the feasibility of PSWT protocol and provide an estimate its treatment effects. The included adults who underwent cholecystectomy unilateral total hip knee arthroplasty. Participants were randomized eight days either with single functioning device (SofPulse, Endonovo Therapeutics, Woodland Hills, CA) sham...
Introduction Pain following orthopaedic surgical procedures remains undertreated due to inadequate analgesic options. One possible solution is a novel device currently under investigation. The RELAY system (Gate Science, Moultonborough, NH) comprised of basic catheter-over-needle allow ultrasound-guided percutaneous insertion, leaving perineural catheter after simple withdrawal the internal needle. A single-injection bolus local anesthetic may be quickly administered. Following surgery,...