Journal of clinical anesthesia
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Clinical Trial
The effect of epidural blood patch on hearing loss in patients with severe postdural puncture headache.
To determine the immediate effect of epidural blood patch (EBP) on the hearing loss that can accompany postdural puncture headache (PDPH). ⋯ Epidural blood patch improves hearing within one hour in the majority of patients with severe PDPH.
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Femoral nerve "sheath" for inguinal paravascular lumbar plexus block is not found in human cadavers.
To determine if a femoral nerve sheath capable of conveying local anesthetic to the lumbar plexus and the obturator nerve exists in human cadavers. ⋯ A femoral nerve sheath capable of conveying a solution to the cadaver lumbar plexus does not exist in human cadavers. Dye injected into the cadaver femoral nerve does not reach either the lumbar plexus or the obturator nerve. When 40 ml of methylene blue dye is injected into the cadaver femoral nerve, some dye usually diffuses under the iliacus muscle fascia to the lateral femoral cutaneous nerve. This study indicates that in patients the "3-in-1 block" always blocks the femoral nerve, it usually blocks the lateral femoral cutaneous nerve, but it probably does not block the lumbar plexus or the obturator nerve.
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Randomized Controlled Trial Comparative Study Clinical Trial
Use of analgesics during propofol sedation: a comparison of ketorolac, dezocine, and fentanyl.
To evaluate the comparative efficacy and side effect profile of ketorolac 60 mg, dezocine 6 mg, and fentanyl 100 micrograms when used as analgesic supplements to a propofol infusion during monitored anesthesia care (MAC). ⋯ Compared with ketorolac 60 mg, fentanyl 100 micrograms and dezocine 6 mg produced a greater decrease in the propofol sedation requirement during MAC. However, the use of ketorolac in combination with propofol for MAC was associated with an improved recovery profile.
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Randomized Controlled Trial Comparative Study Clinical Trial
Doxacurium block is not influenced by age.
To determine the influence of aging on the efficacy and safety of doxacurium. ⋯ The use of doxacurium in elderly patients is possible with no need for dose adjustment. Doxacurium might be a good choice for patients with cardiac disease who are scheduled for long surgical procedures.
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Randomized Controlled Trial Clinical Trial
Epidural scopolamine administration in preventing nausea after epidural morphine.
To determine the effectiveness of epidural scopolamine in preventing nausea and vomiting in patients receiving epidural morphine. ⋯ Epidural scopolamine can be used as an adjunct to epidural morphine in effectively reducing the incidence of postoperative nausea and vomiting.