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Nerve Block

Nerve Block is a medical procedure involving the temporary interruption of signal transmission along a nerve or group of nerves.
This can be done for pain relief, diagnostic purposes, or to facilitate surgical procedures.
Nerve blocks may be performed using local anesthetics, steroids, or other medications, and can be administered via injection at various anatomical sites.
Identifying the optimal nerve block protocol and products for a patient's needs is crucial for ensuring accurate, reproducible results.
PubCompare.ai utilizes AI-driven analysis to help clinicians easily locate the most relevant research and optimize nerve block procedures.

Most cited protocols related to «Nerve Block»

In this study, we treated protein–ligand interaction prediction as a regression problem by aiming to predict the binding affinity scores. As a prediction model, we adopted a popular deep learning architecture, Convolutional Neural Network (CNN). CNN is an architecture that contains one or more convolutional layers often followed by a pooling layer. A pooling layer down-samples the output of the previous layer and provides a way of generalization of the features that are learned by the filters. On top of the convolutional and pooling layers, the model is completed with one or more fully connected (FC) layers. The most powerful feature of CNN models is their ability to capture the local dependencies with the help of filters. Therefore, the number and size of the filters in a CNN directly affects the type of features the model learns from the input. It is often reported that as the number of filters increases, the model becomes better at recognizing patterns (Kang et al., 2014 ).
We proposed a CNN-based prediction model that comprises two separate CNN blocks, each of which aims to learn representations from SMILES strings and protein sequences. For each CNN block, we used three consecutive 1D-convolutional layers with increasing number of filters. The second layer had double and the third convolutional layer had triple the number of filters in the first one. The convolutional layers were then followed by the max-pooling layer. The final features of the max-pooling layers were concatenated and fed into three FC layers, which we named as DeepDTA. We used 1024 nodes in the first two FC layers, each followed by a dropout layer of rate 0.1. Dropout is a regularization technique that is used to avoid over-fitting by setting the activation of some of the neurons to 0 (Srivastava et al., 2014 ). The third layer consisted of 512 nodes and was followed by the output layer. The proposed model that combines two CNN blocks is illustrated in Figure 2.
As the activation function, we used Rectified Linear Unit (ReLU) (Nair and Hinton, 2010 ), g(x)=max(0,x) , which has been widely used in deep learning studies (LeCun et al., 2015 (link)). A learning model tries to minimize the difference between the expected (real) value and the prediction during training. Since we work on a regression task, we used mean squared error (MSE) as the loss function, in which P is the prediction vector, and Y corresponds to the vector of actual outputs. n indicates the number of samples.
MSE=1ni=1n(PiYi)2
The learning was completed with 100 epochs and mini-batch size of 256 was used to update the weights of the network. Adam was used as the optimization algorithm to train the networks (Kingma and Ba, 2015 ) with the default learning rate of 0.001. We used Keras’ Embedding layer to represent characters with 128-dimensional dense vectors. The input for Davis dataset consisted of (85, 128) and (1200, 128) dimensional matrices for the compounds and proteins, respectively. We represented KIBA dataset with a (100, 128) dimensional matrix for the compounds and a (1000, 128) dimensional matrix for the proteins.
Publication 2018
Amino Acid Sequence Character Cloning Vectors EPOCH protocol Generalization, Psychological Ligands Nerve Block Neurons Proteins Staphylococcal Protein A
All procedures were approved by the UC Irvine Animal Care and Use Committee. Surgical procedures were performed stereotaxically under isofluorane anaesthesia and local nerve block induced by 0.5% bupivacaine. Kainic acid (50–100 nl, 20 mM in saline, Tocris Bioscience) was injected into the left dorsal hippocampus (2.0 mm posterior, 1.25 mm left, and 1.6 mm ventral to bregma) of mice on or after postnatal day 46. After recovery, animals were returned to the vivarium for at least 2 weeks to allow for the emergence of spontaneous recurrent seizures. Bipolar depth electrodes (PlasticsOne) and optical fibres (0.37NA, Low OH, 200 μm diameter, ThorLabs) terminated in 1.25 mm ceramic ferrules (Kientec Systems, Inc.) were implanted ipsilaterally (posterior 2.5 mm, left 1.75 mm, ventral 1.25 mm with respect to bregma) and in some cases, also contralaterally at the same posteroventral position into the hippocampus, targeting the dorsal stratum oriens of the CA1 such that emitted light would illuminate the hippocampal formation. Optical fibres and electrodes were fixed to the skull using screws (McMaster-Carr) and dental cement (Teets Cold Curing) and the animals were allowed to recover for several days before beginning 24-h video and EEG monitoring for seizures and subsequent closed-loop seizure detection and light delivery. On average, animals were implanted 15±2.3 weeks after KA injection and the effect of light on seizures was examined 15.9±1.4 weeks after KA injection (range: 2.4–24.6 weeks). There was no correlation between seizure duration reduction and time since KA for either Cam-HR or PV-ChR2 mice (P=0.39 and P=0.83, respectively, Spearman test; see also Supplementary Fig. S3).
Publication 2013
Anesthesia Animals Bupivacaine Common Cold Cranium Dental Cements Enzyme Multiplied Immunoassay Technique Hippocampal Formation Kainic Acid Light Mice, House Nerve Block Obstetric Delivery Operative Surgical Procedures Saline Solution Seahorses Seizures

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Publication 2010
Airway Obstruction Animals Capsaicin Dental Occlusion Hypoxia Neck Nerve Block Operative Surgical Procedures Oximetry, Pulse Phrenic Nerve Pulse Rate Rattus Respiratory Rate Silver
The stimuli consisted of 12 glyphs from the Sabaean alphabet (an ancient Semitic language) and 12 glyphs from the Ndjuka syllabary (a creole from Suriname). Images of glyphs were generated from fonts downloaded at www.omniglot.com. For each observer, the 24 glyphs were randomly assigned without replacement to either the structured set or the random set. The use of two alphabets helped increase shape discriminability, and the fact that structured and random sets randomly contained items from both alphabets helped prevent observers from treating the sets as categorically distinct. Each glyph subtended roughly 6.8°, appearing in black on a medium gray background (Figure 1A). A small blue dot was superimposed on the screen throughout each block to help observers stay fixated.
Similar to previous studies of statistical learning (e.g., Fiser & Aslin, 2002 ; Saffran et al., 1996 (link)), the structured blocks were constructed by assigning without replacement each of the 12 glyphs in the structured set to one of four “triplets”: a subsequence of three glyphs that always appeared in the same order (Figure 1B). Each block consisted of one presentation of each triplet (Figure 1D). The order of triplets in each block was randomized but was not repeated in later blocks.
The use of deterministic triplets adds positional structure to the blocks: For example, the first glyph in a triplet only appeared in positions 1/4/7/10. Indeed, sequence learning can be supported by both item-to-item and item-to-position associations (e.g., Young, 1968 ). To control for this, the (pseudo)random blocks were constructed by assigning without replacement the 12 glyphs in the random set to one of four position sets (Figure 1C). That is, each glyph appeared once per block and only ever in positions 1/4/7/10, 2/5/8/11, or 3/6/9/12 (Figure 1E). In addition, because every glyph appeared once in each structured or random block, items near the end of blocks were more predictable if observers learned the stimulus sets; however, this was equally true for both block types. Thus, other than the lack of triplets, the random blocks were identical to the structured blocks in all respects (including overall novelty of individual glyphs and positional structure)—and because the assignment of glyphs to sets was randomized, any systematic neural differences between block types must therefore reflect sensitivity to the differential transitional probabilities.
Foil stimuli in a behavioral familiarity post-test were constructed from the structured set to mimic prior studies of statistical learning (e.g., Turk-Browne et al., 2005 (link); Fiser & Aslin, 2002 ): Each of the 12 glyphs was assigned without replacement to one of four new “foil” subsequences. Every foil was constructed of one glyph from each position set (e.g., 1/5/9) and thus could only be distinguished from the triplets because the transitional probabilities between foil glyphs were zero based on the familiarization.
Publication 2009
Cardiac Arrest Hypersensitivity Nerve Block Triplets
Using this hemodynamic model for nociceptive responses, we prospectively evaluated the differences in nociceptive responses just after skin incision between laparoscopic surgery (n=10) and open abdominal surgery (n=10). All eligible patients underwent laparoscopic or open gastrectomy (n=5 or 4), otherwise, laparoscopic or open hysterectomy (n=5 or 6) in 2017. General anesthesia was induced with propofol (1.5 mg/kg), fentanyl (2 μg/kg), and 1 MACage of desflurane. Rocuronium (0.9 mg/kg) was injected intravenously to facilitate endotracheal intubation. Mechanical ventilation was performed using an oxygen concentration of 40% to obtain normocapnia (end-tidal carbon dioxide range 35–40 mmHg). After induction, anesthesia was maintained with 0.7 MACage of desflurane. Intravenous remifentanil (0.04–0.05 μg/kg/min) was continuously infused to keep the effect site concentration at 1.0 ng/mL before and after the start of skin incision. Peripheral nerve blocks were not performed. Three variables of HR, SBP, and PI were recorded before, 0.5 min, and 1 min after the skin incision. Nociceptive responses were then calculated from the developed hemodynamic model using computer software (Microsoft Excel, Microsoft, Redmond, WA) to determine whether this model discerns between nociceptive levels during small skin incision for laparoscopic surgery vs. large skin incision for open abdominal surgery. Vasoactive agents were not administered until 1 min after the skin incision. At 1 min after the skin incision, the continuous dose of remifentanil was increased to 0.1–0.5 μg/kg/min with additional intravenous fentanyl to suppress any further increase in nociceptive responses.
To calculate MACage, which is the MAC for a given age normalized to MAC40 [14 (link)], we used MAC40 as 2.0 for sevoflurane and 6.0 for desflurane [15 ] to calculate MACage.
Publication 2018
Abdomen Anesthesia Carbon dioxide Desflurane Fentanyl Gastrectomy General Anesthesia Hemodynamics Hysterectomy Intubation, Intratracheal Laparoscopy Mechanical Ventilation Nerve Block Operative Surgical Procedures Oxygen Patients Propofol Remifentanil Rocuronium Sevoflurane Skin Surgical Wound

Most recents protocols related to «Nerve Block»

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Publication 2023
Acetaminophen Anesthesia Anesthesia, Conduction Anesthesiologist Antibiotics, Antitubercular Aprepitant Aspirin Bupivacaine Cefazolin Cephalexin Chemoprevention Chlorhexidine chlorhexidine gluconate Clindamycin Deep Vein Thrombosis Dexamethasone Ethanol Famotidine Fentanyl Gabapentin Hypersensitivity Ibuprofen Isopropyl Alcohol Management, Pain Medical Devices Meloxicam Nerve Block Ondansetron Operative Surgical Procedures Oxycodone Pain, Postoperative Patients Penicillins Percocet Postoperative Nausea Powder Ropivacaine Scopolamine Skin Surgery, Day Therapeutics Thigh Treatment Protocols Ultrasonics Vancomycin Wounds
All patients received general anesthesia, either alone or in combined with regional nerve block (including paravertebral nerve block, epidural anesthesia, and intercostal nerve block.) according to the type of surgery. Patients underwent lobectomy or sublobectomy according to surgeon’s comprehensive evaluation based on patient’s condition.
Anesthesia induction used propofol and/or etomidate, sufentanil, and rocuronium or cisatracurium. Anesthesia maintenance used sevoflurane or propofol combined with remifentanil or sufentanil. Rocuronium or cisatracurium was used to maintain muscle relaxation. Supplemental drugs such as flurbiprofen axetil were administered when necessary. The aim was to maintain BIS 40-60, blood pressure within 20% of baseline, and temperature 36-37°C.
Double-lumen endotracheal tube of sizes Ch33-39 was used for lung isolation according to patient height. The ventilation mode was volume control mode with 6-8 ml/kg of tidal volume (TV) during two-lung ventilation and 5-6 ml/kg during one-lung ventilation (OLA), and 0-5 cmH2O of positive end-expiratory pressure (PEEP), and 12-20 breaths/min of respiratory rates. The aim was to maintain PETCO2 35-45 mmHg and SpO2 ≥92%. At the end of anesthesia, neostigmine was used to antagonize muscular relaxant before extubation.
Fluid infusion was administrated with crystalloid at a rate of 4–6 mL/kg-1h-1. Colloids or blood product was used according to anesthesiologist’s comprehensive evaluation based on patient’s condition. Patient-controlled intravenous analgesia was used after surgery for postoperative analgesia to maintain numeric rating scales (NRS) ≤ 3 scores.
Publication 2023
Anesthesia Anesthesiologist BLOOD Blood Pressure cisatracurium Colloids Epidural Anesthesia Etomidate flurbiprofen axetil General Anesthesia isolation Lung Management, Pain Muscle Tissue Neostigmine Nerve Block One-Lung Ventilation Operative Surgical Procedures Patient-Controlled Analgesia Patients Pharmaceutical Preparations Positive End-Expiratory Pressure Propofol Relaxations, Muscle Remifentanil Respiratory Rate Rocuronium Saturation of Peripheral Oxygen Sevoflurane Solutions, Crystalloid Sufentanil Surgeons Tidal Volume Tracheal Extubation
Patients in the PVB and RIB groups were intervened by ultrasound-guided nerve block in the lateral position with local anesthesia. The PVB was performed using the in-plane technique with a linear 4–10 MHz ultrasound probe (LOGIQe, GE Healthcare, Waukesha, WI., U.S.A.). At the parasagittal view, subcutaneous tissues, T5 transverse processes, superior costotransverse ligament (SCTL), and pleura were visualized. An 18 G block needle was inserted vertically or slightly caudally into the paravertebral space (PVS) under the guidance of ultrasound. After the penetration of the SCTL, a slight aspiration was performed to ensure the avoidance of vessels or pleura. Then, 1–2 ml of normal saline was injected into the PVS, the pressure of which pushed down the pleura. The position of the needle tip was confirmed, and 0.4% ropivacaine (Zhejiang Xianju Pharmaceutical Co., Ltd., Zhejiang, China) at 3 mg/kg was injected into the PVS.
A linear 4–10 MHz ultrasound probe (LOGIQe, GE Healthcare, Waukesha, WI, U.S.A.) was placed on the medial border of the scapula between the 4th and 5th rib of the patients in the RIB group. In the ultrasound image, the trapezius muscle, rhomboid muscle, intercostal muscles, pleura, and lung were identified. Under the aseptic condition, an 18 G block needle was inserted laterally in the plane of the T5 level guided by an ultrasound probe with an in-plane technique. The vessel injection should be confirmed negative through aspiration, and 1–3 ml of normal saline was injected to divide the rhomboid and intercostal muscle, and 0.4% ropivacaine at 3 mg/kg was injected into the deep layer of the rhomboid muscle.
Publication 2023
Asepsis Bladder Detrusor Muscle Blood Vessel Intercostal Muscle Ligaments Local Anesthesia Lung Muscle Tissue Needles Nerve Block Normal Saline Patients Pharmaceutical Preparations Pleura Pressure Ropivacaine Scapula Subcutaneous Tissue Transverse Processes Trapezius Muscle Ultrasonics Ultrasonography
Eligible patients were randomly assigned to the three groups: the general anesthesia (GA) group, the RIB group, and the PVB group. A statistician who was not involved in the data analysis prepared a computer-generated list of random numbers and sealed them in separate envelopes. The list of random numbers determines the allocation.
The study coordinators, attending anesthesiologists and postoperative follow-up personnel, and the patients were all blinded to the group assignment. Anesthesia induction and nerve blocks for all patients were performed by a group of independent experienced anesthesiologists in the preanesthesia room according to the random number before the operation (the GA group, only performed induction). Afterwards, the patients were transferred to the operating room to start the operation. In PACU, the block dermatome region is defined before the patients leave the operation room. The postoperative analgesia regimen comprises an infusion of flurbiprofen and patient-controlled intravenous sufentanil. Demographic data and surgical and anesthetic data were recorded. Postoperative VAS scores, consumption of opioids, and QoR15 scores were documented to estimate the analgesic effect. The recruitment of subjects is depicted in Figure 1.
Publication 2023
Analgesics Anesthesia Anesthesiologist Anesthetics Flurbiprofen General Anesthesia Management, Pain Nerve Block Operative Surgical Procedures Opioids Patients Sufentanil Treatment Protocols
The primary outcomes were the visual analogue scale (VAS) scores at rest and cough during 48 h postoperatively and the postoperative consumption of pain rescue. The secondary outcomes include the QoR15 score at 24 h and 48 h postoperatively, data related to the usage of opioids during and after an operation, and nerve block-related complications, such as hypotension, vascular injury, and muscle pain at the injection site. Intraoperative hypotension was defined as a decrease in mean arterial pressure greater than 20% of the baseline. Additionally, the dermatomal distribution of the sensory blockade (area between anterior axillary and middle axillary) was collected.
Publication 2023
Axilla Cough Myalgia Nerve Block Opioids Pain, Postoperative Vascular System Injuries Visual Analog Pain Scale

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The Stimuplex D is a high-quality nerve stimulator designed for precise nerve location during regional anesthesia procedures. It provides a constant current output with adjustable intensity to elicit muscle contractions, enabling accurate identification of the target nerve.
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More about "Nerve Block"

Nerve blocks are a crucial medical procedure for pain relief, diagnostics, and surgical facilitation.
These temporary interruptions of nerve signal transmission can be performed using local anesthetics, steroids, or other medications, often administered via injection at various anatomical sites.
Identifying the optimal nerve block protocol and products is essential for ensuring accurate and reproducible results.
PubCompare.ai utilizes AI-driven analysis to help clinicians easily locate the most relevant research and optimize nerve block procedures.
This includes analyzing literature, pre-prints, and patents to identify the best protocols and products for a patient's needs.
The platform's intelligent, tyro-free analysis can assist in areas like VT1200S imaging, Neurobasal media for nerve cell culture, LOGIQ e ultrasound guidance, Stimuplex D nerve stimulation, Rompun sedation, M-Turbo portable ultrasound, Metacam pain management, and SonoSite X-Porte guidance.
Integration with Stata 15 statistical software can further enhance data analysis.
Nerve blocks can be performed for a variety of purposes, including pain management, diagnostic testing, and preparation for surgical procedures.
They may target individual nerves or groups of nerves, depending on the specific clinical need.
Accurate identification of the targeted nerve(s) and precise administration of the nerve block are crucial for achieving the desired effects and minimizing the risk of complications.
PubCompare.ai's AI-driven analysis can help clinicians navigate these complexities and optimize their nerve block practices.