A&A
A&A: Bacterial Colonization After Tunneling in 402 Perineural Catheters: A Prospective Study.
Short summary: 422 patients, mean catheter duration 48h with a pretty tight range of 47-50.4h. Chlorhexidine-alcohol prep, Contiplex catheter, anesthesiologist wore cap/gown/facemask/sterile gloves. Tunnels were lateral 3cm, and interestingly through an 18Ga PIV cannula. catheters were removed carefully under aseptic conditions.
Colonization rate 6.22%, of which coag-negative staphy was cultures in 72%. No perineural catheter [...]
A&A: Recurrence of Cardiotoxicity After Lipid Rescue from Bupivacaine-Induced Cardiac Arrest.
With good reason, most regional anesthetic rooms and carts now come with a bag of intralipid. But is one bag enough? Perhaps not. Nice case report from Marwick et al.
Ovid: Recurrence of Cardiotoxicity After Lipid Rescue from Bupivacaine-Induced Cardiac Arrest..
A&A: Two Unusual Cases of Urinary Incontinence During Continuous Sciatic Nerve Block with Stimulating Catheters.
Interesting case discussions. These authors report said complication using a Labat approach (rather than the parasacral approach previously reported to have caused similar symptoms), advancing their catheters 6cm proximally. There was no discussion of perineal symptoms at the time of initial bolus.
Ovid: Two Unusual Cases of Urinary Incontinence During Continuous Sciatic Nerve Block with [...]
A&A: Methemoglobinemia Related to Local Anesthetics: A Summary of 242 Episodes.
Yes, the usual subjects are there. And a few that aren’t so expected. Worth a quick review.
Ovid: Methemoglobinemia Related to Local Anesthetics: A Summary of 242 Episodes..
A&A: Ultrasound-Guided Obturator Nerve Block: A Sonoanatomic Study of a New Methodologic Approach.
This article by Akkaya et al in A&A gives a nice sonoanatomical description of the obturator nerve.
Ovid: Ultrasound-Guided Obturator Nerve Block: A Sonoanatomic Study of a New Methodologic Approach..
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