Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study
Nerve stimulator versus ultrasound guidance for placement of popliteal catheters for foot and ankle surgery.
To determine whether ultrasound guidance improves the quality of continuous popliteal block when compared with a nerve stimulator after major foot and ankle surgery. ⋯ Ultrasound guidance was associated with less local anesthetic consumption than with the nerve stimulator; however, there was little clinical benefit, as all other outcomes were similar between groups.
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To evaluate the relationship between body mass index (BMI) and blood pressure (BP) elevation during electroconvulsive therapy (ECT). ⋯ BMI correlates with BP elevation during ECT.
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Case Reports
Neurolytic transversus abdominis plane block in the palliative treatment of intractable abdominal wall pain.
A 45 year old man with metastatic colon cancer presented with uncontrollable abdominal wall pain. Transversus abdominis plane (TAP) block with ropivacaine and methylprednisolone was performed with excellent pain relief, which allowed a significant weaning of the patient's opioid requirements. A second TAP block was performed with a 33% ethanol solution (ethanol and ropivacaine) with excellent pain relief. The neurolytic block appeared to offer better pain control for more than 5 days after placement until the patient finally succumbed to his illness.