The Journal Analgesia & Resuscitation : Current Research (ARCR) promotes a significant contribution in advancing knowledge about acute care medicine and resuscitation. ARCR includes all major themes pertaining to analgesic drugs and mode of action, resuscitation procedures.
Analgesia & Resuscitation : Current Research is a subscription based journal that provides a range of options to purchase our articles and also permits unlimited Internet Access to complete Journal content. It accepts research, review papers, online letters to the editors & brief comments on previously published articles or other relevant findings in SciTechnol. Articles submitted by authors are evaluated by a group of peer review experts in the field and ensures that the published articles are of high quality, reflect solid scholarship in their fields, and that the information they contain is accurate and reliable.
Combined Suprascapular/Supraclavicular versus Interscalene Ultrasound Guided Nerve Blocks for Shoulder Arthroscopy
Shoulder arthroscopy has been performed as a diagnostic tool and also as a therapeutic maneuver. Interscalene approach to the brachial plexus is the most suitable block for shoulder arthroscopy. It has a lot of complications like inadvertent epidural or intrathecal injection, vertebral artery injection, recurrent laryngeal nerve block and phrenic nerve block that may need mechanical ventilation especially in patients with respiratory compromise. Ultrasound-guided supraclavicular block was reported to be safe for shoulder arthroscopy. This approach when used for shoulder surgeries by injecting the usual volumes of local anesthetic solutions; may be unsatisfactory, so this block is augmented by block of the suprascapular nerve by ultrasound guidance.
Dexamethasone Provides Longer Analgesia than Tramadol when Added to Lidocaine after Ultrasound Guided Supraclavicular Brachial Plexus Block. A Randomized,Controlled, Double Blinded Study
During nerve blocks (which can control postoperative pain effectively), various drugs have been proposed in combination with local anesthetics (LA) to help reduce onset time and to prolong the duration of action and postoperative analgesia. Dexmedethomidine, Clonidine and Ketamine are commonly used but they induce several side effects. Tramadol and dexamethasone were proposed as safe adjuvants to LA but there were no studies comparing these two drugs in ultrasound guided (US) peripheral nerve blocks.
Reflex Bradycardia and Cardiac Arrest Following Sigmoidoscopy under General Anesthesia
Reflex bradycardia is a rare but well recognized complication that may occur during anesthesia. Anesthestic drugs, surgical stimuli and hypoxia can be its triggering agents. There are many factors that augment this entity and may result in severe bradycardia or arrest. To the best of our knowledge, this is the first report on the development of asystole during sigmoidoscopy under general anesthesia.
Effects of Fluid Resuscitation when BleedArrest is used for Hemorrhage Control
Trauma is the leading cause of morbidity and mortality in both the civilian and military populations with uncontrolled hemorrhage as the major cause of death. Studies indicate hypotension secondary to hemorrhage usually follows with deleterious consequences. Specifically, trauma patients with isolated systolic hypotension (< 90 mm Hg) have up to 54 % mortality. In Vietnam, an estimated 40% of soldiers who died of exsanguination had a source of hemorrhage that may have been controlled by hemostatic measures. In the recent conflicts of Iraq and Afghanistan, uncontrolled hemorrhage accounted for almost 50% of the battlefield deaths prior to evacuation.