Hemidiaphragmatic paresis, or HDP, is a condition in which one side of the diaphragm is weakened, resulting in shortness of breath and reduced respiratory function. It can occur when a patient is given regional anesthesia for shoulder surgery, using the supraclavicular nerve block. Researchers are trying to determine the right amount of anesthesia to use in the supraclavicular block so that the block still works but the chances of developing HDP are low.
Interscalene blocks are a type of regional anesthesia used to relieve pain during and after shoulder surgery. This procedure can lead to numbing of the phrenic nerve as well, however, which can lead to pulmonary complications. Researchers at Stanford University are experimenting with different amounts of saline that can help reverse the phrenic nerve blockade while still maintaining analgesic effect.
The sooner hip replacement patients can walk after surgery, the faster they can be discharged, allowing for more comfortable recovery at home, lower overall cost of care, and increased availability of critical hospital resources. Results of a recent study found that patients who received mepivacaine spinal anesthesia were more likely to ambulate early and be discharged on the day of surgery.
Eight trailblazing women in regional anesthesia and pain medicine are being honored for their achievements and contributions to the field as part of the ASRA Trailblazer Awards. Created to acknowledge potential for bias in the past, the program is part of the “Year of Women in ASRA,” so named by ASRA President Dr. Eugene Viscusi. Other components of the campaign include year-round highlights of prominent women in the field on the ASRA website and social media channels, greater recognition of gender disparities at meetings, improved data collection to continue to assess our progress representing the field, and, most importantly, development of an organizational plan to identify and correct disparities across all minority groups.