CurrentAnesthesia — Regional anaesthesia

Point of care transthoracic echocardiography for the prediction of post – spinal anesthesia hypotension in elderly patients with cardiac diseases and left ventricular dysfunction : Inferior vena cava and post-spinal anesthesia hypotension in elderly patients

2026-10-28T04:08:44.882Z

Diagnostic or prognostic study · J Clin Monit Comput, 2023. Post-spinal anesthesia hypotension: Hypotension occurred in 26 of 61 patients

Ultrasound-guided superficial cervical plexus block combined with clavipectoral fascial plane block or interscalene brachial plexus block in clavicle surgery: a single-centre, double-blind, randomized controlled trial

2026-10-28T04:08:44.882Z

Randomised controlled trial · J Clin Monit Comput, 2023. Duration of analgesia — group I vs group II; P < 0.05; significantly longer in group I

Changing a clinical pathway to increase spinal anesthesia use for elective hip arthroplasty: a single-centre historical cohort study

2026-10-28T03:51:30.684Z

Cohort study · Can J Anaesth, 2022. Rate of spinal anesthesia use: Before 42 (48%) · After 48 (56%)

Comparison of the efficacy of costoclavicular space brachial plexus blockade with 0.5% versus 0.375% ropivacaine: a randomized, double-blind, single-centre, noninferiority clinical trial

2026-10-28T03:51:30.684Z

Randomised controlled trial · Can J Anaesth, 2022. Successful BPB: 0.375% 97% · 0.5% 97%

Efficacy of a TAP block versus an anterior QLB for laparoscopic inguinal hernia repair: A randomised controlled trial

2026-10-28T03:44:37.230Z

Randomised controlled trial · Acta Anaesthesiol Scand, 2022. Oral morphine equivalent (OME) consumption, 4 h postoperatively: TAP mean 10.3 ± 7.85 mg · anterior QLB mean 10.9 ± 10.85 mg

Single injection combined suprascapular and axillary nerve block: A randomised controlled non‐inferiority trial in healthy volunteers

2026-10-28T03:44:37.230Z

Randomised controlled trial · Acta Anaesthesiol Scand, 2022. Successful shoulder block (cutaneous sensory affection of the axillary nerve and motor affection of the suprascapular nerve, >50% reduction in external rotation force by dynamometry): 5 ml 13 (81.3% (95% CI 57.0% to 93.4%)) · 20 ml 15 (93.8% (95% CI 71.7% to 98.9%))

Effect of real-time binaural music on sedation with dexmedetomidine during spinal anesthesia: A triple-arm, assessor-blind, randomized controlled trial

2026-10-28T03:40:44.883Z

Randomised controlled trial · J Clin Anesth, 2022. PBW-adjusted dexmedetomidine loading dose: Binaural 1.15 ± 0.30 μg/kg PBW · Plain music 1.26 ± 0.36 μg/kg PBW · Control 1.33 ± 0.33 μg/kg PBW

Association of patient characteristics with the receipt of regional anesthesia

2026-10-28T03:38:31.027Z

Cohort study · Reg Anesth Pain Med, 2023. Receipt of RA — Black race vs White race: OR 0.73 (95% CI 0.62 to 0.86); p<0.05

Comparing bupivacaine alone to liposomal bupivacaine plus bupivacaine in interscalene blocks for total shoulder arthroplasty: a randomized, non-inferiority trial

2026-10-28T03:38:31.027Z

Randomised controlled trial · Reg Anesth Pain Med, 2022. 72-h cumulative opioid consumption (oral MME), up to 72 hours — Between groups: geometric mean difference 11.9 mg (95% CI -6.9 to 30.8); calculated on the log scale; direction not stated

Migration rate of proximal adductor canal block catheters placed parallel versus perpendicular to the nerve after total knee arthroplasty: a randomized controlled study

2026-10-28T03:38:31.027Z

Randomised controlled trial · Reg Anesth Pain Med, 2023. ACB catheter migration rate (unable to confirm saline around the saphenous nerve at mid-thigh under ultrasound), POD 2: Parallel 5 (14.7%) · Perpendicular 24 (72.7%)

Randomized clinical trial comparing pericapsular nerve group (PENG) block and periarticular local anesthetic infiltration for total hip arthroplasty

2026-10-28T03:38:31.027Z

Randomised controlled trial · Reg Anesth Pain Med, 2023. Quadriceps weakness, 3 hours: PENG 20% · Periarticular infiltration 33%

Residual anti-Xa activity in plasma of patients presenting for electively planned neuraxial regional anesthesia

2026-10-28T03:38:31.027Z

Cohort study · Reg Anesth Pain Med, 2023. Anti-Xa activity >0.2 IU/mL, 24 hours after last therapeutic dose: Patients with elevated anti-Xa activity >0.2 IU/mL 18.0%

Retrodural space of Okada in the posterior ligamentous complex region: clinical and anatomical findings relevant to lumbar interlaminar epidural injection

2026-10-28T03:38:31.027Z

Cohort study · Reg Anesth Pain Med, 2022. Inadvertent spread into the facet joints: Injections with inadvertent spread into the facet joints 36 (5.9%)

Programmed intermittent bolus infusion vs. continuous infusion for erector spinae plane block in video-assisted thoracoscopic surgery: A double-blinded randomised controlled trial

2026-10-28T03:35:32.861Z

Randomised controlled trial · Eur J Anaesthesiol, 2022. Desensitised dermatomes in the midclavicular line, 21 h — Group P vs Group C: mean difference 1.6 (95% CI 1.1 to 2.0); P < 0.001; significantly higher in Group P

Tranexamic acid-associated intrathecal toxicity during spinal anaesthesia: A narrative review of 22 recent reports

2026-10-28T03:35:32.861Z

Meta-analysis · Eur J Anaesthesiol, 2023. Outcome of accidental intrathecal TXA: Death 8 (36%)

Usage of augmented reality for interventional neuraxial procedures: A phantom-based study

2026-10-28T03:35:32.861Z

Randomised controlled trial · Eur J Anaesthesiol, 2022. Success of epidural puncture on the first attempt: Augmented reality 82.5% · Conventional 40%

Complications and Technical Consideration of Ultrasound-Guided Rectus Sheath Blocks: A Retrospective Analysis of 4033 Patients

2026-10-28T03:28:59.708Z

Cohort study · Anesth Analg, 2022. Overall complications of RSB: Complications, n 96

Neuraxial Use Among Total Knee and Hip Arthroplasty Patients With Multiple Sclerosis or Myasthenia Gravis

2026-10-28T03:28:59.708Z

Cohort study · Anesth Analg, 2023. Neuraxial anesthesia use — Multiple sclerosis vs General population: OR 0.61 (CI 0.57-0.65); P < .0001

A randomised controlled trial of the non‐inferiority of erector spinae plane block vs. thoracic paravertebral block for laparoscopic nephro‐ureterectomy

2026-10-28T03:25:23.999Z

Randomised controlled trial · Anaesthesia, 2023. Cumulative sufentanil dose: Erector spinae Median 15 (IQR [range] 5-30 [0-105]) μg · Paravertebral Median 20 (IQR [range] 10-50 [0-145]) μg

A randomised controlled trial of intravenous dexmedetomidine added to dexamethasone for arthroscopic rotator cuff repair and duration of interscalene block

2026-10-28T03:25:23.999Z

Randomised controlled trial · Anaesthesia, 2022. Time to first oral morphine intake — Dexmedetomidine vs Placebo: HR 1.68 (95% CI 1.00-2.82); p = 0.049; shorter after dexmedetomidine

Evaluation of the impact of assistive artificial intelligence on ultrasound scanning for regional anaesthesia

2026-10-28T03:18:44.786Z

Research article · Br J Anaesth, 2022. Correct block view acquired: With device 56 (90.3%); scans with correct view / scans assessed 56/62 · Without device 47 (75.1%); scans with correct view / scans assessed 47/62

Quality of recovery after pericapsular nerve group (PENG) block for primary total hip arthroplasty under spinal anaesthesia: a randomised controlled observer-blinded trial

2026-10-28T03:18:44.786Z

Randomised controlled trial · Br J Anaesth, 2023. Quality of recovery (QoR-15 questionnaire), 24 h: PENG median 132 (IQR 116-138) · No block median 103 (IQR 97-112)

Sensory block duration after spinal anaesthesia supplemented with intravenous dexamethasone: a randomised controlled double-blinded trial

2026-10-28T03:18:44.786Z

Randomised controlled trial · Br J Anaesth, 2023. Duration of sensory block (time from intrathecal injection to regression of sensory block by two dermatomes from the highest dermatome blocked): Dexamethasone median 135 (range 105-225) min · Control median 158 (range 135-240) min

Accidental dural puncture during epidural blood patch: a narrative review

2026-10-27T23:06:15.669Z

Research article · Int J Obstet Anesth, 2023. accidental dural puncture (ADP) during EBP: Estimated incidence of ADP during EBP 0.5-1%

Analgesic efficacy of selective tibial nerve block versus partial local infiltration analgesia for posterior pain after total knee arthroplasty: a randomized, controlled, triple-blinded trial

2026-10-27T22:55:35.298Z

Randomised controlled trial · Anaesth Crit Care Pain Med, 2023. Cumulative IV morphine consumption, 24 h: Infiltration median 12 (IQR 4-16) mg · Tibial nerve block median 8 (IQR 2-14) mg

Efficacy of ultrasound-guided bilateral costal margin block in laparoscopy-assisted gastrectomy: A double-blind randomized trial

2026-10-27T22:55:35.298Z

Randomised controlled trial · Anaesth Crit Care Pain Med, 2023. IV morphine equivalents, 24 h after surgery: Block 14.4 ± 7.4 mg · Control 29.9 ± 9.8 mg

Wide Awake Local Anesthesia No Tourniquet (WALANT) technique improves the efficiency of distal nerve blocks for carpal tunnel release

2026-10-27T22:55:35.298Z

Randomised controlled trial · Anaesth Crit Care Pain Med, 2023. Global pain score (sum of pain scores for puncture, local anesthetic injection, pneumatic tourniquet, surgical procedure, tourniquet deflation and residual sensitivity after surgery): Distal + Walant mean 0.5 ± 1.4 · Distal block mean 2.2 ± 2.4

Self‐warming blanket versus forced‐air warming blanket during total knee arthroplasty under spinal anaesthesia: A randomised non‐inferiority trial

2026-10-27T22:48:29.585Z

Randomised controlled trial · Acta Anaesthesiol Scand, 2023. Core temperature on admission to the recovery room: Core temperature did not differ between groups (CI: -0.18-0.06)

The intertransverse process block single‐ or multiple‐injection? A study protocol

2026-10-27T22:48:29.585Z

Trial design · Acta Anaesthesiol Scand, 2023. Number of anaesthetised thoracic dermatomes for each block type

Combined femoral artery block and femoral nerve block reduces thigh tourniquet-induced hypertension

2026-10-27T22:44:42.780Z

Randomised controlled trial · J Clin Anesth, 2022. Incidence of TH: CFNB 71.88% · MFNB 31.25%

Hypotension duration and vasopressor requirements following intrathecal oxytocin for Total hip arthroplasty: Secondary analysis of a randomized controlled trial

2026-10-27T22:44:42.780Z

Secondary analysis · J Clin Anesth, 2023. Duration of hypotension, first 60 min: Oxytocin 12.2 (± 10.7) min · Placebo 14.0 (± 13.0) min

Comparison between ultrasound-guided multi-injection intertransverse process and thoracic paravertebral blocks for major breast cancer surgery: a randomized non-inferiority trial

2026-10-27T22:43:17.715Z

Randomised controlled trial · Reg Anesth Pain Med, 2022. Worst resting pain score (NRS), within 30 min in the recovery room: Intertransverse process block median 0 (IQR 0, 1) · Thoracic paravertebral block median 0.5 (IQR 0, 2)

Contralateral oblique view can prevent dural puncture in fluoroscopy-guided cervical epidural access: a prospective observational study

2026-10-27T22:43:17.715Z

Cohort study · Reg Anesth Pain Med, 2023. Dural puncture: No instances of dural puncture observed

Median effective dose of ropivacaine for prophylactic cervical cerclage in Chinese women: a dose-finding study

2026-10-27T22:43:17.715Z

Research article · Reg Anesth Pain Med, 2022. ED50 of intrathecal isobaric ropivacaine: ED50 (isotonic regression), 95% CI 6.68 to 7.12 mg 6.9 mg

Postoperative neurological symptoms following arthroscopic shoulder surgery with interscalene block: an exploratory secondary analysis of pooled randomized controlled trial data

2026-10-27T22:43:17.715Z

Secondary analysis · Reg Anesth Pain Med, 2023. PONS at 14 days: PONS prevalence (83 of 477 patients) 17.4%

Rate of occurrence of respiratory complications in patients who undergo shoulder arthroplasty with a continuous interscalene brachial plexus block and associated risk factors

2026-10-27T22:43:17.715Z

Cohort study · Reg Anesth Pain Med, 2023. Any respiratory complication: Any respiratory complication 351 (34%)

Comparison between supra-inguinal fascia iliaca and pericapsular nerve group blocks on postoperative pain and functional recovery after total hip arthroplasty: A noninferiority randomised clinical trial

2026-10-27T22:41:13.584Z

Randomised controlled trial · Eur J Anaesthesiol, 2023. Pain score, 6 h after surgery — PENG vs SFIB: difference between medians 0 (95% CI -0.93 to 0.93); noninferior

The effect of adjuvants added to local anaesthetics for single-injection upper extremity peripheral regional anaesthesia: A systematic review with network meta-analysis of randomised trials

2026-10-27T22:41:13.584Z

Meta-analysis · Eur J Anaesthesiol, 2023. Duration of analgesia (ROM vs saline) — Dexamethasone vs Saline: ROM 1.95 (95% CI 1.79 to 2.13)

The postoperative analgesic efficacy of liposomal bupivacaine versus long-acting local anaesthetics for peripheral nerve and field blocks: A systematic review and meta-analysis, with trial sequential analysis

2026-10-27T22:41:13.584Z

Meta-analysis · Eur J Anaesthesiol, 2023. Rest pain score (analogue scale 0 to 10), 24 h — Liposomal bupivacaine vs Long-acting local anaesthetics: mean difference -0.9 (95% CI -1.4 to -0.4); P < 0.001; I2 = 87%

Design and validation of a virtual reality trainer for ultrasound‐guided regional anaesthesia

2026-10-27T22:33:21.131Z

Diagnostic or prognostic study · Anaesthesia, 2023. Needling performance scores (construct validity) — Experienced vs Novice; p = 0.002; overall; significantly higher in experienced

Perineural and Systemic Dexamethasone and Ulnar Nerve Block Duration: A Randomized, Blinded, Placebo-controlled Trial in Healthy Volunteers

2026-10-27T22:27:33.657Z

Randomised controlled trial · Anesthesiology, 2023. Duration of sensory nerve block (temperature discrimination): Perineural mean 706 ± 94 min · Systemic mean 677 ± 112 min · Placebo mean 640 ± 121 min

Infiltration between the popliteal artery and the capsule of the knee ( IPACK ) vs. selective tibial nerve block for analgesia after anterior cruciate ligament reconstruction: a randomised controlled trial

2026-10-27T19:33:14.835Z

Randomised controlled trial · Anaesthesia, 2026.

Use of smart glasses for ultrasound-guided central venous catheterization in adults: a randomized clinical trial

2026-10-27T19:33:14.835Z

Cohort study · J Clin Anesth, 2026.

Global Incidence and Risk Factors Associated With Postoperative Urinary Retention Following Elective Inguinal Hernia Repair: The Retention of Urine After Inguinal Hernia Elective Repair (RETAINER I) Study

2026-10-27T18:57:44.465Z

Cohort study · JAMA Surg, 2023. Incidence of POUR: Male 224 (5.8%) · Female 8 (2.97%)

Consensus Practice Guidelines on Postdural Puncture Headache From a Multisociety, International Working Group: A Summary Report

2026-10-27T18:52:10.556Z

Guideline or statement · JAMA Netw Open, 2023.

Comparison of the effects of dexmedetomidine and propofol on the cardiovascular autonomic nervous system during spinal anesthesia: preliminary randomized controlled observational study

2026-10-27T18:29:24.333Z

Randomised controlled trial · J Clin Monit Comput, 2023. Hemodynamic changes and HRV over time: Significantly different hemodynamic changes over time between groups (time × group effect) P < 0.001

Confirming identification of the epidural space: a systematic review of electric stimulation, pressure waveform analysis, and ultrasound and a meta-analysis of diagnostic accuracy in acute pain

2026-10-27T18:29:24.333Z

Meta-analysis · J Clin Monit Comput, 2023. Diagnostic accuracy for confirming epidural space identification: Ultrasound (B-mode, M-mode, doppler) may be challenging; data still limited

Neuraxial Anesthesia in Patients With Aortic Stenosis: A Systematic Review

2026-10-27T18:19:38.061Z

Meta-analysis · J Cardiothorac Vasc Anesth, 2023. Hypotension requiring vasopressors (most common intraoperative complication): Noncardiac 16 (9.9%) · Obstetric 6 (13.0%) · Cardiac 1 (7.7%)

Contraindications to use of neuraxial anesthesia for lower limb revascularization surgery in adults: a cross-sectional study

2026-10-27T18:16:24.151Z

Cross-sectional study · Can J Anaesth, 2023. Contraindications to neuraxial anesthesia: Absolute contraindications, n 78 (22.9%; 95% CI, 18.8 to 27.7) (%; 95% CI)

Effectiveness of preoperative thoracic epidural testing strategies: a retrospective comparison of three commonly used testing methods

2026-10-27T18:16:24.151Z

Cohort study · Can J Anaesth, 2023. TEA failure rate: Tested 3.8% (95% CI 1.8 to 6.2) · Untested 11.5% (95% CI 5.2 to 17.1)