Comparison of single-shot neuraxial morphine and erector spinae plane block on quality of recovery after major open gastrointestinal surgeries: A prospective, randomized trial.

Background: It is crucial to assess a patient's quality of recovery after major surgery. This study aims to compare the effect of neuraxial morphine and bilateral erector spinae plane block on quality of recovery in the first 48 postoperative hours in patients undergoing open upper abdominal surgeries.

Methods: This prospective, triple-arm, randomized study was performed to compare the effect of neuraxial morphine (intrathecal morphine, thoracic epidural) and erector spinae plane block on postoperative recovery.

Nano-shields: Exploring the role of antioxidant mimicking nanoparticles as regenerative therapy in spinal cord injury.

Spinal cord injury presents a significant clinical challenge. There are limited treatment options, and the results of regeneration are often disappointing. Secondary injury processes, including oxidative stress and chronic inflammation, worsen nerve damage and slow recovery.

Analgesic efficacy of continuous ultrasound-guided unilateral erector spinae block and thoracic epidural analgesia in patients undergoing antero-lateral thoracotomy.

Background: Chest physiotherapy and incentive spirometry, essential for pulmonary care, can exacerbate acute post-thoracotomy pain. Pain relief is, therefore, essential to facilitate early mobilization. This study evaluated the analgesic efficacy of unilateral continuous erector spinae block (ESB) compared to thoracic epidural analgesia (TEA) in terms of quality of pain relief and perioperative hemodynamic changes.

Precision at the apex: Apexification under magnification: A case report.

Background: Advanced materials and techniques are used to successfully manage the apexification of immature teeth with open apices. The use of mineral trioxide aggregate (MTA), bioceramic sealers, and sodium hypochlorite (NaOCl), combined with internal heating and ultrasonic activation, ensures that canals are cleaned, disinfected, and sealed properly. Magnification devices, such as dental operating microscopes (DOM), provide precise visualization for accurate material placement, while the micro apical placement system ensures void-free MTA delivery.

Cortical Excitability and Heart Rate Variability in Response to Short Duration Transauricular Vagus Nerve Stimulation in Healthy Adults.

Background: Vagus nerve stimulation (VNS) is approved as an adjunctive therapeutic intervention in neurologic conditions, including epilepsy and primary headache disorders. Transauricular VNS (tVNS) is increasingly used as a method for noninvasively activating the vagus nerve. However, the central neurophysiologic effects of tVNS are not well understood.