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Medicina
Special Issues
Update on Orthopedic Anesthesia
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Update on Orthopedic Anesthesia

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 31 May 2025 | Viewed by 1864

Special Issue Editors

Dr. Annachiara Marra

E-Mail Website
Guest Editor
Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II”—University of Naples, 80100 Naples, Italy
Interests: invasive mechanical ventilation; non-invasive mechanical ventilation; sedation; regional anesthesia; pain medicine
Special Issues, Collections and Topics in MDPI journals
Dr. Maria Vargas

E-Mail Website
Guest Editor
Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II”—University of Naples, 80100 Naples, Italy
Interests: invasive mechanical ventilation; non-invasive mechanical ventilation; sedation; regional anesthesia; pain medicine
Dr. Antonio Coviello

E-Mail Website
Guest Editor Assistant
Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II”—University of Naples, 80100 Naples, Italy
Interests: locoregional anesthesia; pain medicine; orthopedics; mechanical ventilation

Special Issue Information

Dear Colleagues,

This update on anesthesia for orthopedic surgery will focus on clinical innovations that will influence the future direction of anesthesia for orthopedics, with a special emphasis on interventions that produce meaningful outcomes.

Anesthesia in orthopedic surgery enables a wide range of approaches. Peripheral nerve blocks are particularly important due to their advantages in reducing hemodynamic factors and effectively managing postoperative pain, as well as improving the care of fragile patients.

Authors are welcome to submit original articles, reports on novel treatment strategies and advances in decision making, clinical outcome studies, comparative studies, narrative reviews, scoping reviews, systematic reviews, and meta-analyses.

We look forward to your contributions.

Dr. Annachiara Marra
Dr. Maria Vargas
Guest Editors

Dr. Antonio Coviello
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • loco-regional anesthesia
  • orthopedic surgery
  • postoperative pain
  • peripheral nerve blocks
  • adjuvants
  • neuraxial anesthesia
  • complications

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Published Papers (1 paper)

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12 pages, 2333 KiB  
Technical Note
Technical Report on the New Ultrasound Lateral Mid-Shaft Approach to the Sciatic Nerve: A Never-Ending Story
by Giuseppe Sepolvere, Mario Tedesco, Mario Cibelli, Dario Cirillo, Angelo Sparaco, Giuseppe Gagliardi, Giuseppina Costagliola, Loredana Cristiano, Valeria Rita Scialdone, Maria Rosaria Pasquariello, Fabrizio Di Zazzo, Luigi Merola, Mirco Della Valle, Daniela Arminio, Leonardo Maria Bottazzo, Marco Folliero, Giorgio Ranieri, Domenico Pietro Santonastaso and Antonio Coviello
Medicina 2025, 61(1), 100; https://doi.org/10.3390/medicina61010100 - 10 Jan 2025
Cited by 1 | Viewed by 1503
Abstract
The anatomy of the sciatic nerve allows it to be blocked at different levels using various anesthetic approaches. However, for several reasons, performing these approaches may be challenging or disadvantageous in specific categories of patients, particularly in obese patients. The objective of this [...] Read more.
The anatomy of the sciatic nerve allows it to be blocked at different levels using various anesthetic approaches. However, for several reasons, performing these approaches may be challenging or disadvantageous in specific categories of patients, particularly in obese patients. The objective of this brief technical report is to describe a new technical approach to sciatic nerve block, designed to simplify the procedure for certain categories of patients and less experienced practitioners. Since 2010, more than 5000 procedures have been performed by both experienced anesthesiologists and novice trainees in several hospitals. The ultrasound lateral mid-shaft technique appears to be a safe and effective method for performing a sciatic nerve block, even in obese patients with significant subcutaneous fat and unclear ultrasound images. This approach is particularly beneficial given the various anatomical variations that can occur. By targeting the mid-thigh area, the ultrasound beam accesses anatomical structures that are more superficial, improving the technique’s efficacy. Various hospital groups have been performing this technique as a routine procedure, achieving a success rate of nearly 100%. This impressive success rate exceeds that of other conventional techniques documented in the literature. Additionally, there have been significant improvements in comfort and ease for anesthetists. This method allows the anesthetic to spread around the paraneural sheath, covering the posterior femoral cutaneous nerve. Finally, it is performed in the supine position without the need to mobilize the lower limbs, ensuring patient comfort, especially in cases of fractures or lower limb injuries. Further studies are needed to confirm these results. Full article
(This article belongs to the Special Issue Update on Orthopedic Anesthesia)
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