Full Text Journal Articles by
Author Paul Bigeleisen

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Stellate Ganglion Blockade Should Be Considered for Patients With Drug-Refractory Electrical Storm on Venoarterial Extracorporeal Membrane Oxygenation.

Christine Moshe, David Kaczorowski, Paul Bigeleisen, Whitney Burrows, Michael Mazzeffi,

Crit Care Med (Critical care medicine)
[2021, 49(3):e333-e334]

Cited: 0 times

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High-Flow Nasal Cannula Oxygen in Patients Having Anesthesia for Advanced Esophagogastroduodenoscopy: HIFLOW-ENDO, a Randomized Clinical Trial.

Michael A Mazzeffi, Kendra M Petrick, Laurence Magder, Bruce D Greenwald, Peter Darwin, Eric M Goldberg, Paul Bigeleisen, Jonathan H Chow, Megan Anders, Cynthia M Boyd, Jeremy S Kaplowitz, Kai Sun, Michael Terrin, Peter Rock,

<h4>Background</h4>Over 6 million esophagogastroduodenoscopy (EGD) procedures are performed in the United States each year. Patients having anesthesia for advanced EGD procedures, such as interventional procedures, are at high risk for hypoxemia.<h4>Methods</h4>Our primary study aim was to evaluate whether high-flow nasal cannula (HFNC) oxygen reduces the incidence of hypoxemia during anesthesia ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2021, 132(3):743-751]

Cited: 0 times

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Extrafasicular and Intraperineural, but No Endoneural, Spread after Deliberate Intraneural Injections in a Cadaveric Study.

Miguel A Reina, Xavier Sala-Blanch, Enrique Monzó, Olga C Nin, Paul E Bigeleisen, André P Boezaart,

<h4>Background</h4>There is confusion regarding the spread of intraneurally injected local anesthetic agents during regional anesthesia. The aim of this research was to deliberately inject a marker that does not leave the neural compartment into which it is injected, and then to study the longitudinal and circumferential spread and possible pathways ... Read more >>

Anesthesiology (Anesthesiology)
[2019, 130(6):1007-1016]

Cited: 1 time

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A novel marker for identifying and studying the membranes, barriers, and compartments surrounding peripheral nerves microscopically.

Miguel A Reina, André P Boezaart, Xavier Sala-Blanch, Enrique Monzó, R Shane Tubbs, Anna Server, Paul Bigeleisen,

Recent anatomical discoveries indicate the importance of identifying membranes and compartments surrounding peripheral nerves into which local anesthetic agents can be injected and continuous nerve block catheters placed during regional anesthetic procedures. However, current markers used in anatomical studies have multiple drawbacks, specifically extravasation into noninjected locations, which can result ... Read more >>

Clin Anat (Clinical anatomy (New York, N.Y.))
[2018, 31(7):1050-1057]

Cited: 3 times

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Nerve Roots, Trunks, and the Vagaries of Ultrasound.

Steven L Orebaugh, Paul E Bigeleisen,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2017, 42(2):268-270]

Cited: 1 time

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Design and Production of an Articulating Needle Guide for Ultrasound-Guided Needle Block Manufactured With a Three-Dimensional Printer: Technical Communication.

Paul E Bigeleisen,

Needle guides may allow the practitioner to align the needle with the probe when ultrasound-guided nerve block is performed. The author's goal was to design and fabricate an inexpensive ($1.90), disposable, needle guide that could articulate over a range from 85 degrees to 0 degrees with a three-dimension printer. Three-dimensional representations of ... Read more >>

A A Case Rep (A & A case reports)
[2017, 8(10):272-275]

Cited: 0 times

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Safety and Subepineural Injections.

Paul E Bigeleisen,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2017, 42(1):126]

Cited: 1 time

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Modeling, Production, and Testing of an Echogenic Needle for Ultrasound-Guided Nerve Blocks.

Paul E Bigeleisen, Aaron Hess, Richard Zhu, Annelot Krediet,

We have designed, produced, and tested an echogenic needle based on a sawtooth pattern where the height of the tooth was 1.25 times the wavelength of the ultrasound transducer. A numeric solution to the time-independent wave equation (Helmholtz equation) was used to create a model of backscattering from a needle. ... Read more >>

J Ultrasound Med (Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine)
[2016, 35(6):1319-1323]

Cited: 0 times

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Different Approaches to Ultrasound-guided Thoracic Paravertebral Block: An Illustrated Review.

Annelot C Krediet, Nizar Moayeri, Geert-Jan van Geffen, Jörgen Bruhn, Steven Renes, Paul E Bigeleisen, Gerbrand J Groen,

Given the fast development and increasing clinical relevance of ultrasound guidance for thoracic paravertebral blockade, this review article strives (1) to provide comprehensive information on thoracic paravertebral space anatomy, tailored to the needs of a regional anesthesia practitioner, (2) to interpret ultrasound images of the thoracic paravertebral space using cross-sectional ... Read more >>

Anesthesiology (Anesthesiology)
[2015, 123(2):459-474]

Cited: 62 times

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Novel approaches in pain management in cardiac surgery.

Paul E Bigeleisen, Nicholas Goehner,

<h4>Purpose of review</h4>Open cardiac surgery may cause severe postoperative pain and the activation of a perioperative stress response. If not treated adequately, the patient may suffer increased morbidity, a longer hospital stay, and higher overall costs. This article reviews the literature regarding various modalities for management of postoperative pain after ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2015, 28(1):89-94]

Cited: 16 times

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Airway obstruction mimicking superior vena cava syndrome in a patient undergoing dialysis graft revision after ultrasound-guided supraclavicular nerve block.

Veneet Jassal, Paul E Bigeleisen,

A 25-year-old man presented for revision of a dialysis fistula in his left upper arm. An ultrasound-guided left supraclavicular block was performed, and 4 hours later during wound closure, the patient developed intermittent airway obstruction accompanied by edema of the face and upper airway. Superior vena cava syndrome was suspected, ... Read more >>

A A Case Rep (A & A case reports)
[2014, 2(8):96-98]

Cited: 0 times

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Cervical paravertebral block for forearm and hand anesthesia: the jury is still out.

Patrick Filip, Hariharan Shankar, Paul E Bigeleisen,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2014, 39(1):84-85]

Cited: 1 time

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A new biplane ultrasound probe for real-time visualization and cannulation of the internal jugular vein.

Jeremy Kaplowitz, Paul Bigeleisen,

Ultrasound guidance is recommended for cannulation of the internal jugular vein. Use of ultrasound allows you to identify relevant anatomy and possible anatomical anomalies. The most common approach is performed while visualizing the vein transversely and inserting the needle out of plane to the probe. With this approach needle tip ... Read more >>

Case Rep Anesthesiol (Case reports in anesthesiology)
[2014, 2014:349797]

Cited: 1 time

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Ultrasound-guided approach to the paravertebral space for catheter insertion in infants and children.

Karen Boretsky, Mihaela Visoiu, Paul Bigeleisen,

<h4>Background</h4>Paravertebral perineural blocks are used to prevent pain in the thoracoabdominal dermatomes. Traditionally, a landmark-based technique is used in children, while ultrasound-guided (UG) techniques are being employed in adult patients.<h4>Objective</h4>To describe an UG technique for placement of thoracic paravertebral nerve block (TPVNB) catheters in pediatric patients.<h4>Methods</h4>Retrospective chart review of a ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2013, 23(12):1193-1198]

Cited: 15 times

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Coherence-gated Doppler: a fiber sensor for precise localization of blood flow.

Chia-Pin Liang, Yalun Wu, Joe Schmitt, Paul E Bigeleisen, Justin Slavin, M Samir Jafri, Cha-Min Tang, Yu Chen,

Miniature optical sensors that can detect blood vessels in front of advancing instruments will significantly benefit many interventional procedures. Towards this end, we developed a thin and flexible coherence-gated Doppler (CGD) fiber probe (O.D. = 0.125 mm) that can be integrated with minimally-invasive tools to provide real-time audio feedback of ... Read more >>

Biomed Opt Express (Biomedical optics express)
[2013, 4(5):760-771]

Cited: 3 times

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The impact of local anesthetic distribution on block onset in ultrasound-guided interscalene block.

R S Lang, M L Kentor, M Vallejo, P Bigeleisen, S R Wisniewski, S L Orebaugh,

<h4>Background</h4>Recent investigations of local anesthetic distribution in the lower extremity have revealed that completely surrounding the sciatic nerve with local anesthetic provides the advantage of more rapid and complete anesthesia in the territory served by the nerve. We hypothesized that a pattern of distribution that entirely envelops the targeted nerve ... Read more >>

Acta Anaesthesiol Scand (Acta anaesthesiologica Scandinavica)
[2012, 56(9):1146-1151]

Cited: 6 times

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Connective tissue and peripheral nerves.

Steven L Orebaugh, Paul E Bigeleisen, Kathryn McFadden,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2013, 38(1):70-71]

Cited: 2 times

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Subepineurial catheters.

Paul Bigeleisen, Patrick Filip,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2012, 37(2):235-236]

Cited: 0 times

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Brachial plexus root injection in a human cadaver model: injectate distribution and effects on the neuraxis.

Steven L Orebaugh, Jessen J Mukalel, Annalot C Krediet, Jonathan Weimer, Patrick Filip, Kathryn McFadden, Paul E Bigeleisen,

<h4>Background</h4>The potential for injection into the brachial plexus root at cervical levels must be considered during interscalene block or chronic pain interventions in the neck, but this phenomenon has not been well studied. In this investigation, we performed injections into the brachial plexus roots of unembalmed cadavers, with real-time ultrasound ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2012, 37(5):525-529]

Cited: 17 times

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An unsubstantiated condemnation of intraneural injection.

Paul E Bigeleisen, Jacques Chelly,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2011, 36(1):95; author reply 95-7, 98-9]

Cited: 2 times

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The up-down methodology and practical peripheral nerve blockade.

Steven L Orebaugh, Brian A Williams, Paul E Bigeleisen,

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2010, 35(5):480-1; author reply 481-2]

Cited: 1 time

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Subepineurial injection in ultrasound-guided interscalene needle tip placement.

Steven L Orebaugh, Kathryn McFadden, Havyn Skorupan, Paul E Bigeleisen,

<h4>Introduction</h4>The neural elements of the brachial plexus between the anterior and middle scalene muscles are readily visible by ultrasound. However, the epineurium of these nerve structures is difficult to discern on ultrasound imaging because of the proximity of the scalene muscles to the nerve elements, and this may lead to ... Read more >>

Reg Anesth Pain Med (Regional anesthesia and pain medicine)
[2010, 35(5):450-454]

Cited: 34 times

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Extraneural versus intraneural stimulation thresholds during ultrasound-guided supraclavicular block.

Paul E Bigeleisen, Nizar Moayeri, Gerbrand J Groen,

<h4>Background</h4>A stimulation current of no more than 0.5 mA is regarded as safe in avoiding nerve injury and delivering adequate stimulus to provoke a motor response. However, there is no consistent level of stimulating threshold that reliably indicates intraneural placement of the needle. The authors determined the minimally required stimulation ... Read more >>

Anesthesiology (Anesthesiology)
[2009, 110(6):1235-1243]

Cited: 95 times

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Ultrasound-guided paravertebral block using an intercostal approach.

Alon Ben-Ari, Milena Moreno, Jacques E Chelly, Paul E Bigeleisen,

We describe an ultrasound-guided technique of continuous bilateral paravertebral block using an intercostal approach in 12 patients undergoing elective abdominal surgery. Postoperatively, each of the patient's paravertebral catheters was bolused with 10 mL lidocaine (15 mg/mL), and each of the patient's catheters was infused with 0.2% ropivacaine at 10 mL/h. ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2009, 109(5):1691-1694]

Cited: 31 times

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To be or not to be.

Jacques E Chelly, Paul Bigeleisen, Mario Montoya,

Anesthesiology (Anesthesiology)
[2008, 109(4):750; author reply 753]

Cited: 0 times

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