Article: The effect of sacral erector spinae plane block on the quality of recovery after total hip arthroplasty: a prospective, randomized, controlled, multicenter study - Minerva Anestesiologica 2024 Nov 04 - Minerva Medica - Journals

Background and Objectives: Circumcision is the most frequently performed surgery in male pediatric patients. The postoperative period is characterized by significant pain due to the sensitivity of the foreskin and low pain threshold in children. This study aimed to evaluate the effects of sacral erector spinae plane block (S-ESPB) and ring block on postoperative face, legs, activity, cry, and consolability (FLACC) pain scores after circumcision in children. We also assessed the amount of rescue analgesia used, the time to the first administration of rescue analgesia, potential problems, and parental satisfaction. Materials and Methods: This study was a prospective, randomized, multicenter trial conducted at two tertiary healthcare centers in Turkey. The patients were divided into two groups: Group S (patients who received the S-ESPB) and Group R (patients who received the ring block). The primary outcome measure was the FLACC score at 1 h postoperatively. Secondary outcome measures included FLACC scores at 0, 2, 4, and 6 h after surgery, the total dose of rescue analgesia, time to first rescue analgesia, complications, and parental satisfaction. Results: Group S exhibited significantly lower FLACC scores than Group R at all time (0, 1, 2, 4, and 6 h) points (respectively, p = 0.013, p < 0.001, p = 0.004, p = 0.006, and p = 0.002). Group S required significantly less rescue analgesia and exhibited a significantly longer duration of analgesic efficacy compared to Group R (p = 0.001 and p = 0.002, respectively). Conclusions: The S-ESPB is a safe and effective form of analgesia for managing pain following pediatric circumcision surgery.

Article: Effect of pericapsular nerve block on the quality of recovery after shoulder arthroscopy - Minerva Anestesiologica 2024 Nov 12 - Minerva Medica - Journals

Article: Quadro-iliac plane block in inguinal hernia surgery - Minerva Anestesiologica 2025 Feb 18 - Minerva Medica - Journals

Effects of Scalp Block on Postoperative Analgesia in Craniotomy Surgery: A Prospective, Randomized Controlled, Double-Blind Study - Medical Journal of Bakirkoy

Aim: People can learn new skills, explore content related to their interests, and get to know different cultures through YouTube videos. It is important to be conscious when using platforms such as YouTube and to take care to obtain information from verified and reliable sources. Students especially watch medical videos on YouTube, which can improve their medical knowledge. Our aim in this study is to evaluate the educational content and quality of paravertebral block videos on YouTube.Materials and Method: Videos were recorded by typing the term 'paravertebral block ultrasound' into the YouTube search engine. In filtering, sorting was done according to the number of views. 100 videos on the first 5 pages were watched and evaluated. To evaluate the videos on YouTube, we used two different surveys, evaluating the educational content of the videos (Survey 1) and evaluating the quality of the videos (Survey 2).Results: Our study revealed that only a third of paravertebral block education videos met relevant criteria, with just (33) 18.2% demonstrating both good educational quality and preparation. There was a positive correlation between the video educational quality score and all parameters, with significant differences found for “video duration” and “video preparation quality score” (r=0.506, p=0.003, and r=0.84, p<0.001, respectively). Similarly, the video preparation quality score showed a positive correlation with all parameters, with significant differences found for “number of video likes” and “video duration” (r=0.373, p=0.033, and r=0.413, p=0.017, respectively).Conclusions: Paravertebral block videos on YouTube are inadequate in terms of educational and preparation quality. According to our analysis, we do not recommend using YouTube videos for educational purposes.