Missed congenital glottic web may mimic subglottic stenosis in a child

Tawfic, Qutaiba A.; Mishra, Pushkar; Bhakta, Pradipta; Kausalya, Rajini; Narayanan, Aravind

doi:10.1097/eja.0b013e328331c679

Cited by 2 publications

(3 citation statements)

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“… 1 Key and Grayling published important data on the impact of these guidelines two years later and reported that the PROSPECT recommendations “have not been universally recognized or implemented” in many institutions in South West England. 3 Thirty-two different techniques for analgesia after TKA were used in this region of England after publication of the PROSPECT recommendations. 3 Data from nine hospitals in Israel and other countries revealed that femoral nerve block alone was not a method of choice for supplemental analgesia after TKA.…”

Section: Discussionmentioning

confidence: 99%

“… 3 Thirty-two different techniques for analgesia after TKA were used in this region of England after publication of the PROSPECT recommendations. 3 Data from nine hospitals in Israel and other countries revealed that femoral nerve block alone was not a method of choice for supplemental analgesia after TKA. Many combinations of peripheral nerve blocks with or without infiltrative anesthesia were compared to each other, but different results were observed in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Pain after TKA peaks during the 48 hours after surgery. 2 Thirty-two different techniques for anesthesia and postoperative pain management for TKA were identified in the hospitals of South West England 3 after publication of the PROSPECT guidelines. Many prospective randomized controlled trials, a number of reviews, and a meta-analysis have been published to determine the optimal perioperative analgesia method following TKA.…”

Section: Introductionmentioning

confidence: 99%

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Femoral versus Multiple Nerve Blocks for Analgesia after Total Knee Arthroplasty

Stav¹,

Reytman²,

Sevi³

et al. 2017

Rambam Maimonides Med J

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BackgroundThe PROSPECT (Procedure-Specific Postoperative Pain Management) Group recommended a single injection femoral nerve block in 2008 as a guideline for analgesia after total knee arthroplasty. Other authors have recommended the addition of sciatic and obturator nerve blocks. The lateral femoral cutaneous nerve is also involved in pain syndrome following total knee arthroplasty. We hypothesized that preoperative blocking of all four nerves would offer superior analgesia to femoral nerve block alone.MethodsThis is a prospective, randomized, controlled, and observer-blinded clinical study. A total of 107 patients were randomly assigned to one of three groups: a femoral nerve block group, a multiple nerve block group, and a control group. All patients were treated postoperatively using patient-controlled intravenous analgesia with morphine. Pain intensity at rest, during flexion and extension, and morphine consumption were compared between groups over three days.ResultsA total of 90 patients completed the study protocol. Patients who received multiple nerve blocks experienced superior analgesia and had reduced morphine consumption during the postoperative period compared to the other two groups. Pain intensity during flexion was significantly lower in the “blocks” groups versus the control group. Morphine consumption was significantly higher in the control group.ConclusionsPain relief after total knee arthroplasty immediately after surgery and on the first postoperative day was significantly superior in patients who received multiple blocks preoperatively, with morphine consumption significantly lower during this period. A preoperative femoral nerve block alone produced partial and insufficient analgesia immediately after surgery and on the first postoperative day. (Clinical trial registration number (NIH): NCT01303120)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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