Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2010
Case Reports[Wrong side iliofascial block in a patient with hip fracture].
We report the case of a patient who received a wrong side iliofascial block immediately before being operated for a femoral neck fracture. This error did not lead to any adverse consequence but this case confirms that wrong side or wrong site error can also occur in anaesthetic practice, especially in emergency procedures, and is not only confined to surgical practice. Anaesthesiologists should be careful when performing unilateral procedures and implement similar strategies than those used by surgeons.
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Ann Fr Anesth Reanim · Nov 2010
[Ultrasound-guided interscalene block: Influence of anatomic variations in clinical practice].
This study aimed to evaluate visibility of interscalenic brachial plexus (IBP) variations with ultrasonography (US). Secondary end-point compared success rate of the interscalene block (IB) in shoulder surgery with or without the presence of variation. ⋯ The high-resolution cervical US highlights the IBP variations. These variations appear not to have any relevant influence on the performance of the single shot IB.
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Ann Fr Anesth Reanim · Nov 2010
Randomized Controlled Trial[Anxiety: an independent factor of axillary brachial plexus block failure?].
To evaluate the impact of the anxiety level using Spielberger test on axillary block success. ⋯ Patient's anxiety level before axillary brachial plexus block is a risk factor of failure, especially in emergency condition. We suggest anesthesiologists to evaluate patient anxiety prior to block performance. A specific anxiolytic treatment may be recommend in some cases.