S M Klein

Summary

Affiliation: Duke University Medical Center
Country: USA

Publications

  1. ncbi request reprint A comparison of 0.5% bupivacaine, 0.5% ropivacaine, and 0.75% ropivacaine for interscalene brachial plexus block
    S M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 87:1316-9. 1998
  2. ncbi request reprint Ambulatory surgery with long acting regional anesthesia
    S M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Minerva Anestesiol 68:833-41; 841-7. 2002
  3. ncbi request reprint Successful resuscitation after ropivacaine-induced ventricular fibrillation
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 97:901-3. 2003
  4. ncbi request reprint Altered perceptions after upper and lower extremity blocks: an initial investigation
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Reg Anesth Pain Med 28:433-8. 2003
  5. ncbi request reprint Anesthetizing the phantom: peripheral nerve stimulation of a nonexistent extremity
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesthesiology 100:736-7. 2004
  6. ncbi request reprint In situ images of the thoracic paravertebral space
    Stephen M Klein
    Department of Anesthesiology, Box 3094, Duke University Medical Center, Durham, NC 27710, USA
    Reg Anesth Pain Med 29:596-9. 2004
  7. ncbi request reprint Peripheral nerve block techniques for ambulatory surgery
    Stephen M Klein
    Division of Ambulatory Anesthesia, Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 101:1663-76. 2005
  8. ncbi request reprint The effect of age on sciatic nerve block duration
    R Kyle Hanks
    School of Medicine, and Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 102:588-92. 2006
  9. ncbi request reprint Piezoelectric vibrating needle and catheter for enhancing ultrasound-guided peripheral nerve blocks
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 105:1858-60, table of contents. 2007
  10. ncbi request reprint Paravertebral somatic nerve block compared with peripheral nerve blocks for outpatient inguinal herniorrhaphy
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Reg Anesth Pain Med 27:476-80. 2002

Collaborators

Detail Information

Publications36

  1. ncbi request reprint A comparison of 0.5% bupivacaine, 0.5% ropivacaine, and 0.75% ropivacaine for interscalene brachial plexus block
    S M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 87:1316-9. 1998
    ..We conclude that there is no clinically important difference in times to onset and recovery of interscalene block for bupivacaine 0.5%, ropivacaine 0.5%, and ropivacaine 0.75% when injected in equal volumes...
  2. ncbi request reprint Ambulatory surgery with long acting regional anesthesia
    S M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Minerva Anestesiol 68:833-41; 841-7. 2002
    ..The rewards in reduced postoperative pain, improved patient satisfaction, and anesthesiologist professional development make this endeavor worthy of our attention...
  3. ncbi request reprint Successful resuscitation after ropivacaine-induced ventricular fibrillation
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 97:901-3. 2003
    ..Consequently, regional anesthesia using large amounts of local anesthetic should be done in locations with resuscitation equipment and by individuals trained to recognize these complications and begin early treatment...
  4. ncbi request reprint Altered perceptions after upper and lower extremity blocks: an initial investigation
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Reg Anesth Pain Med 28:433-8. 2003
    ..Nerve blocks frequently produce unusual altered perceptions in the extremities. We examined perceptual changes experienced after peripheral blocks...
  5. ncbi request reprint Anesthetizing the phantom: peripheral nerve stimulation of a nonexistent extremity
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesthesiology 100:736-7. 2004
  6. ncbi request reprint In situ images of the thoracic paravertebral space
    Stephen M Klein
    Department of Anesthesiology, Box 3094, Duke University Medical Center, Durham, NC 27710, USA
    Reg Anesth Pain Med 29:596-9. 2004
    ..We describe an endoscopic technique that permits imaging of the contents and boundaries of the thoracic paravertebral space in cadavers...
  7. ncbi request reprint Peripheral nerve block techniques for ambulatory surgery
    Stephen M Klein
    Division of Ambulatory Anesthesia, Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 101:1663-76. 2005
    ..Ultimately, having larger prospective data with a broader focus on outcome benefits would be more persuasive for anesthesiologists to perform procedures that are still viewed by many as technically challenging...
  8. ncbi request reprint The effect of age on sciatic nerve block duration
    R Kyle Hanks
    School of Medicine, and Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 102:588-92. 2006
    ..We conclude that age may affect peripheral nerve blocks and that more investigation is needed to determine the pharmacologic, physiologic, and chronologic factors behind these findings...
  9. ncbi request reprint Piezoelectric vibrating needle and catheter for enhancing ultrasound-guided peripheral nerve blocks
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 105:1858-60, table of contents. 2007
    ..Vibration technology may be a useful adjunct while performing ultrasound-guided regional anesthesia. Further study evaluating its usefulness and safety in live tissue is warranted...
  10. ncbi request reprint Paravertebral somatic nerve block compared with peripheral nerve blocks for outpatient inguinal herniorrhaphy
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Reg Anesth Pain Med 27:476-80. 2002
    ..Paravertebral somatic nerve blocks (PVB) have the potential to offer unilateral abdominal wall anesthesia and long-lasting pain relief with minimal side effects. We compared PVB with peripheral neural blocks for outpatient IH...
  11. ncbi request reprint Interscalene brachial plexus block with continuous intraarticular infusion of ropivacaine
    S M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 93:601-5. 2001
    ..5% mepivacaine and a continuous intraarticular infusion of 0.5% ropivacaine at 2 mL/h provides improved analgesia for minor surgery at 24 and 48 h versus a single-injection interscalene block with 0.5% ropivacaine...
  12. ncbi request reprint Interscalene brachial plexus block with a continuous catheter insertion system and a disposable infusion pump
    S M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 91:1473-8. 2000
    ..This method of analgesia may offer improved pain relief after outpatient rotator cuff repair...
  13. ncbi request reprint Ambulatory surgery for multi-ligament knee reconstruction with continuous dual catheter peripheral nerve blockade
    S M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Can J Anaesth 48:375-8. 2001
    ..This case illustrates the use of lumbar plexus and sciatic nerve peripheral catheters for major knee surgery using intermittent bolus dosing for outpatient analgesia...
  14. ncbi request reprint Ambulatory discharge after long-acting peripheral nerve blockade: 2382 blocks with ropivacaine
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 94:65-70, table of contents. 2002
    ..This technique is associated with an infrequent incidence of neurologic complications and injuries. Given the frequent incidence of persistent pain at 7 days, prolongation of the analgesia would be beneficial...
  15. ncbi request reprint Peripheral nerve blockade with long-acting local anesthetics: a survey of the Society for Ambulatory Anesthesia
    Stephen M Klein
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesth Analg 94:71-6, table of contents. 2002
    ..Despite the reasoning for the reported practices, randomized data are necessary to confirm the validity of these concerns...
  16. ncbi request reprint Continuous peripheral nerve block for ambulatory surgery
    S A Grant
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA
    Reg Anesth Pain Med 26:209-14. 2001
    ..CONCLUSIONS: CPNB using the insulated Tuohy catheter system offered acceptable anesthesia and prolonged pain relief postsurgery. There were few side effects. Reg Anesth Pain Med 2001;26:209-214...
  17. ncbi request reprint Bilateral continuous paravertebral catheters for reduction mammoplasty
    C C Buckenmaier
    Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Acta Anaesthesiol Scand 46:1042-5. 2002
    ..This case demonstrates a method for extended bilateral thoracic analgesia. The technique may offer an alternative to traditional outpatient analgesics for reduction mammoplasty...
  18. ncbi request reprint Continuous paravertebral catheter and outpatient infusion for breast surgery
    Chester C Buckenmaier
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA
    Anesth Analg 97:715-7. 2003
    ..We describe the successful use of continuous paravertebral anesthesia in two patients undergoing major breast surgery. A novel needle system for paravertebral catheter insertion is also presented...
  19. ncbi request reprint Pudendal nerve stimulation evokes reflex bladder contractions in persons with chronic spinal cord injury
    Paul B Yoo
    Department of Biomedical Engineering, Duke University, Durham, NC 27708 0281, USA
    Neurourol Urodyn 26:1020-3. 2007
    ..We present two cases where electrical activation of pudendal nerve afferents was used to evoke excitatory bladder responses...
  20. ncbi request reprint Small-dose intrathecal lidocaine versus ropivacaine for anorectal surgery in an ambulatory setting
    Chester C Buckenmaier
    Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Anesth Analg 95:1253-7, table of contents. 2002
    ..In conclusion, intrathecal hyperbaric small-dose ropivacaine with fentanyl is an acceptable anesthetic for anorectal surgery...
  21. ncbi request reprint Influence of obesity on surgical regional anesthesia in the ambulatory setting: an analysis of 9,038 blocks
    Karen C Nielsen
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Anesthesiology 102:181-7. 2005
    ..The objective of the present investigation was to assess the impact of body mass index (BMI) on patient outcomes after ambulatory regional anesthesia...
  22. ncbi request reprint The difficulties of ambulatory interscalene and intra-articular infusions for rotator cuff surgery: a preliminary report
    Stephen M Klein
    Departments of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA
    Can J Anaesth 50:265-9. 2003
    ..Rotator cuff repair may result in severe postoperative pain. We compared a continuous intra-articular infusion to a continuous interscalene block with ropivacaine for patients undergoing outpatient rotator cuff repair...
  23. doi request reprint Double-blind comparison of granisetron, promethazine, or a combination of both for the prevention of postoperative nausea and vomiting in females undergoing outpatient laparoscopies
    Tong J Gan
    Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Can J Anaesth 56:829-36. 2009
    ..Although promethazine is effective, commonly used doses are associated with sedation. This study investigates the combination of low doses of granisetron and promethazine for the prevention of PONV...
  24. ncbi request reprint Paravertebral somatic nerve blocks for breast surgery in a patient with hypertrophic obstructive cardiomyopathy
    Chester C Buckenmaier
    Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA
    Can J Anaesth 49:571-4. 2002
    ....
  25. ncbi request reprint Continuous interscalene brachial plexus blockade provides good analgesia at home after major shoulder surgery-report of four cases
    Karen C Nielsen
    Department of Anesthesiology, University Medical Center, Durham, North Carolina 27710, USA
    Can J Anaesth 50:57-61. 2003
    ..This is a case report of four patients on the efficacy and advantages of CIBPB for postoperative analgesia at home...
  26. ncbi request reprint Peripheral nerve blocks and continuous catheter techniques
    Holly Evans
    Department of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC 27710, USA
    Anesthesiol Clin North America 23:141-62. 2005
    ..This is of tremendous value in a modern health care system that stresses cost-effective use of resources and a continued shift toward shorter hospital stay as well as outpatient surgery...
  27. ncbi request reprint Combined lumbar-plexus and sciatic-nerve blocks: an analysis of plasma ropivacaine concentrations
    Stephanie Vanterpool
    School of Medicine, Duke University Medical Center, Durham, NC 27710, USA
    Reg Anesth Pain Med 31:417-21. 2006
    ..Limited information is available about the pharmacokinetics of this practice. We analyzed plasma ropivacaine concentrations after single-injection lumbar-plexus blocks with and without sciatic-nerve blocks...
  28. doi request reprint Computer-based finite element modeling of insulated Tuohy needles used in regional anesthesia
    Meredith B Cantrell
    Department of Biomedical Engineering and Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA
    Anesthesiology 110:1229-34. 2009
    ..Differences in needle design may impact nerve localization. This study evaluates the electrical properties of two insulated Tuohy needles using computational finite element modeling...
  29. ncbi request reprint A computer model of electrical stimulation of peripheral nerves in regional anesthesia
    Chad R Johnson
    Department of Anesthesiology, Duke University, Durham, North Carolina 27110, USA
    Anesthesiology 106:323-30. 2007
    ..The authors present a mathematical framework to model the underlying electrophysiology, the development of software to implement that framework, and examples of simulation results...
  30. doi request reprint Processed electroencephalogram during donation after cardiac death
    David B Auyong
    Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA 98101, USA
    Anesth Analg 110:1428-32. 2010
    ..If these changes are not due to artifact, dosing of hypnotic or anesthetic drugs might be warranted. Use of these drugs during DCD based primarily on processed EEG values has never been addressed...
  31. ncbi request reprint Beyond the hospital: continuous peripheral nerve blocks at home
    Stephen M Klein
    Anesthesiology 96:1283-5. 2002
  32. ncbi request reprint 2-octyl cyanoacrylate glue for the fixation of continuous peripheral nerve catheters
    Stephen M Klein
    Anesthesiology 98:590-1. 2003
  33. ncbi request reprint Increased body mass index and ASA physical status IV are risk factors for block failure in ambulatory surgery - an analysis of 9,342 blocks
    Juliann T Cotter
    University of North Carolina School of Medicine, USA
    Can J Anaesth 51:810-6. 2004
    ..We examine the efficacy and factors associated with failure of ambulatory regional anesthesia techniques...
  34. ncbi request reprint Paravertebral block anesthesia for inguinal hernia repair
    Christina R Weltz
    Department of Surgery, Mount Sinai Medical Center, 5 East 98th Street, Box 1259, New York, New York 10029, USA
    World J Surg 27:425-9. 2003
    ..5 (range 3-10 days); patients who were not employed returned to regular activities in 5.8 days (range 1-14 days). Eighty-two percent of patients reported being "very satisfied" with the anesthetic technique...
  35. ncbi request reprint Continuous peripheral nerve block for battlefield anesthesia and evacuation
    Chester C Buckenmaier
    Army Regional Anesthesia and Pain Management Initiative, Walter Reed Army Medical Center, Walter Reed Health Care System, Washington, CD 20307, USA
    Reg Anesth Pain Med 30:202-5. 2005
    ..We describe the first successful application of CPNB in the pain management and surgical management of a combat casualty as he was evacuated from the Iraqi battlefield to the United States...
  36. ncbi request reprint Continuous peripheral nerve blocks: fewer excuses
    Stephen M Klein
    Anesthesiology 103:921-3. 2005