Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series

Various regional anesthetics have been used for postoperative analgesia for pediatric craniotomy. In this case series, we report retrospectively collected data on postoperative pain and analgesic use in 44 patients who received ultrasound-guided occipital nerve blocks in addition to intravenous analgesic agents for posterior craniotomy procedures. In the immediate post-anesthesia care unit, pain was rated as zero or well controlled in 77% of patients, with only 43% requiring intravenous or demand patient-controlled analgesia opioids. There were no block-related complications. Occipital nerve blocks may constitute a safe and effective component of multimodal analgesia in this population

The Missionary Character of Paul's Stay on Malta (Acts 28: 1–10) According to the Early Church

Paul's apparent lack of preaching to the inhabitants of Malta in Acts 28:1-10 and his seeming indifference to being called 'a god' form a stark contrast to his usual missionary pattern in the narrative of Acts, possibly showing a lack of evangelistic concern among the 'barbarian' population of the island. This article investigates the reception of Acts 28:1-10 in the writings of the Greek- and Latin speaking church (up to the end of the fifth century) to determine whether Paul's behaviour in Acts 28:1-10 was considered to be missionary in character. This proves to be the case, although the missionary nature of his actions is substantiated in a variety of ways.http://journals.sabinet.co.za/ej/ejour_patris.htmlam201