Regional Anesthesia in Trauma Medicine

Wu, Janice J.; Lollo, Loreto; Grabinsky, Andreas

doi:10.1155/2011/713281

Cited by 30 publications

(26 citation statements)

References 26 publications

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“…2009, Wu et al. 2011). Since these incidents, no regional anesthesia has been used in tibial osteotomies—either in children or in adults—at our department.…”

Section: Discussionmentioning

confidence: 99%

Limb lengthening and deformity correction of congenital and acquired deformities in children using the Taylor Spatial Frame

Horn¹,

Steen

Huhnstock³

et al. 2017

Acta Orthopaedica

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Background and purposeHexapod ring fixators such as the Taylor Spatial Frame (TSF) have shown good outcomes. However, there have only been a few studies comparing the use of TSF with various etiologies of the deformity. We compared the use of TSF in congenital and acquired deformities in children.Patients and methodsWe reviewed 213 lower extremity reconstructive procedures with the TSF in 192 patients who were operated between October 2000 and October 2015. 128 procedures (67 proximal tibiae, 51 distal femora, and 10 distal tibiae) in 117 children (median age 14 (4–18) years; 59 girls) fulfilled the inclusion criteria. 89 procedures were done in children with congenital deformities (group C) and 39 were done in children with acquired deformities (group A). Outcome parameters were lengthening and alignment achieved, lengthening index, complications, and analysis of residual deformity in a subgroup of patients.ResultsMean lengthening achieved was 3.9 (1.0–7.0) cm in group C and 3.7 (1.0–8.0) cm in group A (p = 0.5). Deformity parameters were corrected to satisfaction in all but 3 patients, who needed further surgery for complete deformity correction. However, minor residual deformity was common in one-third of the patients. The mean lengthening index was 2.2 (0.8–10) months/cm in group C and 2.0 (0.8–6) months/cm in group A (p = 0.7). Isolated analysis of all tibial and femoral lengthenings showed similar lengthening indices between groups. Complication rates and the need for secondary surgery were much greater in the group with congenital deformities.InterpretationThe TSF is an excellent tool for the correction of complex deformities in children. There were similar lengthening indices in the 2 groups. However, congenital deformities showed a high rate of complications, and should therefore be addressed with care.

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“…2009, Wu et al. 2011). Since these incidents, no regional anesthesia has been used in tibial osteotomies—either in children or in adults—at our department.…”

Section: Discussionmentioning

confidence: 99%

Limb lengthening and deformity correction of congenital and acquired deformities in children using the Taylor Spatial Frame

Horn¹,

Steen

Huhnstock³

et al. 2017

Acta Orthopaedica

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“…It seems that compartment syndrome can be safely detected despite functional regional blockade 55 and pa- ). The French Society of Anaesthesia does not consider the risk of ACS as a contraindication for regional anesthesia 56 and because there is evidence that regional blockade can increase the blood flow through the partial sympathetic blockade without blocking the warning signs of ACS, the implementation of regional anaesthesia also in patients in the risk of ACS should be encouraged.…”

Section: Discussionmentioning

confidence: 99%

Compartment syndrome and regional anaesthesia: Critical review

Klučka¹,

Štourač²,

Štouračová³

et al. 2017

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…One of the primary advantages of preoperative regional anesthesia is the reduction of required intravenous opioid to relieve pain (Wu, Lollo, & Grabinsky, 2011). Recent research has found opioids to have some deleterious effects.…”

Section: Innovations In Pain Managementmentioning

confidence: 99%

Innovations in the En Route Care of Combat Casualties

Hatzfeld¹,

Dukes²,

Bridges³

2014

Annu Rev Nurs Res

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The en route care environment is dynamic and requires constant innovation to ensure appropriate nursing care for combat casualties. Building on experiences in Iraq and Afghanistan, there have been tremendous innovations in the process of transporting patients, including the movement of patients with spinal injuries. Advances have also been made in pain management and noninvasive monitoring, particularly for trauma and surgical patients requiring close monitoring of their hemodynamic and perfusion status. In addition to institutionalizing these innovations, future efforts are needed to eliminate secondary insults to patients with traumatic brain injuries and technologies to provide closed-loop sedation and ventilation.

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Regional Anesthesia in Trauma Medicine

Cited by 30 publications

References 26 publications

Limb lengthening and deformity correction of congenital and acquired deformities in children using the Taylor Spatial Frame

Limb lengthening and deformity correction of congenital and acquired deformities in children using the Taylor Spatial Frame

Compartment syndrome and regional anaesthesia: Critical review

Innovations in the En Route Care of Combat Casualties

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