Anesthesia & Clinical Research
Open Access

Ryan Rihani

Publications

• Case Report
  Selective Median, Ulnar and Superficial Branch of the Radial Nerve Blockade with Liposomal Bupivacaine for Postoperative Analgesia in a Super-Super Morbidly Obese Patient
  Author(s): Ryan Rihani, Johanna B DeHaan and Nadia HernandezRyan Rihani, Johanna B DeHaan and Nadia Hernandez
  
  Regional anesthesia has become a mainstay for post-surgical pain control, especially in upper extremity surgery. Peripheral nerve blocks have improved quality of recovery by improving pain control, decreasing or eliminating narcotics with associated side effects, and shortening hospital length of stay. Some situations hinder the anesthesiologist’s ability to approach the nerve for blockade using standard techniques, such as poly-trauma hindering positioning due to pain and access due to braces or dressings, infections or wounds at the site of needle entry. Other conditions contribute to the avoidance of brachial plexus blocks such as body habitus and significant pulmonary or cardiovascular disease due to the high likelihood of phrenic nerve paralysis in most brachial plexus blocks. While alternatives to brachial plexus block exist, their use is limited due to the short duration .. View More»
  

  Abstract PDF

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