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Your search keyword '"Bahareh Khatibi"' showing total 2 results
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1. Ultrasound-guided percutaneous intercostal cryoanalgesia for multiple weeks of analgesia following mastectomy: a case series

Author

Rodney A. Gabriel, John J. Finneran, Matthew W. Swisher, Engy T. Said, Jacklynn F. Sztain, Bahareh Khatibi, Anne M. Wallace, Ava Hosseini, Andrea M. Trescot, and Brian M. Ilfeld

Subjects
acute pain, cryoanalgesia, cryoneurolysis, mastectomy, regional anesthesia, Anesthesiology, RD78.3-87.3
Abstract

Background Acute post-mastectomy pain is frequently challenging to adequately treat with local anesthetic-based regional anesthesia techniques due to its relatively long duration measured in multiple weeks. Case We report three cases in which preoperative ultrasound-guided percutaneous intercostal nerve cryoneurolysis was performed to treat pain following mastectomy. Across all postoperative days and all three patients, the mean pain score on the numeric rating scale was 0 for each day. Similarly, no patient required any supplemental opioid analgesics during the entire postoperative period; and, no patient reported insomnia or awakenings due to pain at any time point. This was a significant improvement over historic cohorts. Conclusions Ultrasound-guided percutaneous cryoanalgesia is a potential novel analgesic modality for acute pain management which has a duration that better-matches mastectomy than other currently-described techniques. Appropriately powered randomized, controlled clinical trials are required to demonstrate and quantify both potential benefits and risks.

Published
2020
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2. Continuous Adductor Canal Versus Continuous Femoral Nerve Blocks: Relative Effects on Discharge Readiness Following Unicompartment Knee Arthroplasty

Author

Daniel I. Sessler, Francis B. Gonzales, Bahareh Khatibi, Amanda M. Monahan, Sarah J. Madison, Nicholas J. Kormylo, Anthony T. Machi, Jing You, Jacklynn F. Sztain, Wendy B. Abramson, Scott T. Ball, Brian M. Ilfeld, Ken A. Nakanote, and Edward J. Mascha

Subjects
Male, medicine.medical_specialty, Adductor canal, medicine.medical_treatment, Replacement, Clinical Sciences, Pain, Pilot Projects, and over, Discharge readiness, Arthroplasty, Femoral nerve, Anesthesiology, Interquartile range, 80 and over, medicine, Humans, Knee, Prospective Studies, Postoperative, Prospective cohort study, Arthroplasty, Replacement, Knee, Aged, Pain Measurement, Aged, 80 and over, Pain, Postoperative, Ropivacaine, business.industry, General Medicine, Middle Aged, Patient Discharge, Surgery, Catheter, Anesthesiology and Pain Medicine, medicine.anatomical_structure, Treatment Outcome, Anesthesia, Female, business, Femoral Nerve, medicine.drug, Autonomic Nerve Block
Abstract

© 2015 American Society of Regional Anesthesia and Pain Medicine. Background We tested the hypothesis that, following unicompartment knee arthroplasty, a continuous adductor canal block decreases the time to reach 4 discharge criteria compared with a continuous femoral nerve block. Methods Subjects were randomized to either an adductor canal or femoral perineural catheter (2-day ropivacaine 0.2% infusion) in an unmasked fashion. The primary outcome was the time to attain 4 discharge criteria: (1) adequate analgesia; (2) intravenous opioid independence; (3) ability to independently stand, walk 3 m, return, and sit down; and (4) ambulate 30 m. Results Subjects with an adductor canal catheter (n = 15) reached all 4 criteria in a median of 35 hours (interquartile range, 24-43 hours), compared with 40 hours (interquartile range, 27-69 hours) for those with a femoral catheter (n = 15; Wilcoxon rank sum test: P = 0.46; log-rank test: P = 0.16). However, the percentages of subjects (adductor canal: femoral) who reached the 2 mobilization criteria were 27%:0% on postoperative day (POD) 0, 93%:53% on POD 1, and 100%:73% on POD 2. Of adductor canal subjects, 100% were discharge ready by POD 2, compared with only 73% of femoral subjects (P < 0.001). Conclusions Compared with a continuous femoral nerve block, a continuous adductor canal block did not appreciably decrease the median number of hours to overall discharge readiness, yet did decrease the number of discrete days until discharge readiness. These results are applicable to only unicompartment knee arthroplasty and must be considered preliminary because of the limited sample size of this pilot study.

Published
2015

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