Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

569
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
569
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

29
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
29
Depolarizing Blockers: Pharmocokinetics01:19

Depolarizing Blockers: Pharmocokinetics

383
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
383
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

28
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
28
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

44
 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
44

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Emergency mitral valve transcatheter edge-to-edge repair in cardiogenic shock due to papillary muscle rupture.

Journal of cardiology cases·2026
Same author

Echocardiographic correlates of pressure-volume-derived indices: Advancing intraoperative assessment of right ventricular function.

JTCVS open·2026
Same author

Leveraging Digital Technologies to Establish a Perioperative Ultrasound Program.

Journal of cardiothoracic and vascular anesthesia·2026
Same author

Integrating Virtual Reality into Cricothyrotomy Training: A Pilot Evaluation of Learner Confidence and Perceived Skills Transfer.

Journal of cardiothoracic and vascular anesthesia·2026
Same author

Beyond the 30-day metric: National trends and predictors of 90-day readmission after coronary artery bypass grafting.

American heart journal plus : cardiology research and practice·2026
Same author

Urgent Transcatheter Edge-To-Edge Mitral Valve Repair in Cardiogenic Shock: A Case Series.

A&A practice·2026

Related Experiment Video

Updated: Sep 12, 2025

Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
03:53

Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management

Published on: March 15, 2024

2.0K

Peripheral Nerve Blocks for Enhanced Recovery in Cardiac Surgery: A Retrospective Observational Study.

Aidan Sharkey1, Adnan A Khan1, Shirin Saeed1

  • 1Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States.

Annals of Cardiac Anaesthesia
|August 5, 2025
PubMed
Summary

Peripheral nerve blocks (PNBs) integrated into enhanced recovery after surgery (ERAS) protocols improve patient mobility and reduce intensive care unit (ICU) length of stay. This approach also decreased postoperative atrial fibrillation rates in cardiac surgery patients.

Keywords:
Cardiac surgeryERASPNBperipheral nerve block

More Related Videos

Ethanol-Induced Cervical Sympathetic Ganglion Block Applications for Promoting Canine Inferior Alveolar Nerve Regeneration Using an Artificial Nerve
06:48

Ethanol-Induced Cervical Sympathetic Ganglion Block Applications for Promoting Canine Inferior Alveolar Nerve Regeneration Using an Artificial Nerve

Published on: November 30, 2018

8.9K
Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain
03:26

Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain

Published on: March 8, 2024

2.9K

Related Experiment Videos

Last Updated: Sep 12, 2025

Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
03:53

Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management

Published on: March 15, 2024

2.0K
Ethanol-Induced Cervical Sympathetic Ganglion Block Applications for Promoting Canine Inferior Alveolar Nerve Regeneration Using an Artificial Nerve
06:48

Ethanol-Induced Cervical Sympathetic Ganglion Block Applications for Promoting Canine Inferior Alveolar Nerve Regeneration Using an Artificial Nerve

Published on: November 30, 2018

8.9K
Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain
03:26

Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain

Published on: March 8, 2024

2.9K

Area of Science:

  • Anesthesiology
  • Cardiothoracic Surgery
  • Critical Care Medicine

Background:

  • Enhanced Recovery After Surgery (ERAS) protocols aim to optimize patient outcomes postoperatively.
  • Peripheral Nerve Blocks (PNBs), including pecto-intercostal fascial block (PIFB) and rectus sheath block, utilize long-acting anesthetics like Ropivacaine.
  • This study investigates the impact of integrating PNBs into an existing ERAS protocol for cardiac surgery.

Purpose of the Study:

  • To evaluate the effect of incorporating PNBs into an established ERAS protocol.
  • To assess the impact of PNBs on patient outcomes, including pain management and mobility.
  • To determine the effect of PNBs on process outcomes such as ICU length of stay and complication rates.

Main Methods:

  • Retrospective observational study of adult cardiac surgery patients undergoing midline sternotomy.
  • Patients were divided into two groups: those who received PNBs and those who did not.
  • Outcomes measured included opioid consumption (MME), ICU length of stay (LOS), time to first ambulation, and incidence of postoperative atrial fibrillation (POAF).

Main Results:

  • Patients receiving PNBs showed a significantly shorter time to first ambulation (15.2 vs. 18.5 hours).
  • PNB group demonstrated significantly lower rates of postoperative atrial fibrillation (26.5% vs. 32.9%).
  • PNB use was associated with a shorter ICU length of stay (44.4 vs. 49.7 hours).

Conclusions:

  • Integrating PNBs into multimodal analgesic strategies for cardiac surgery improves patient and process outcomes.
  • The observed reduction in postoperative atrial fibrillation warrants further investigation in larger randomized controlled trials.
  • PNBs represent a valuable addition to ERAS protocols, enhancing recovery after cardiac surgical procedures.