Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Nov 1998
Randomized Controlled Trial Clinical TrialPre-incision infiltration with lidocaine reduces pain and opioid consumption after reduction mammoplasty.
To determine the analgesic efficacy of preoperative tumescent infiltration with lidocaine for reduction mammoplasty. ⋯ Preoperative tumescent infiltration with lidocaine results in reduced pain and lower postoperative opioid requirements in the initial hours after reduction mammoplasty.
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Reg Anesth Pain Med · Nov 1998
Randomized Controlled Trial Clinical TrialLocal anesthetic effect of tramadol, metoclopramide, and lidocaine following intradermal injection.
We observed clinically that tramadol and metoclopramide appear to have local anesthetic action. Tramadol is a central-acting analgesic. Metoclopramide is a commonly used antiemetic. The local anesthetic effect of tramadol in reducing propofol injection pain has never been mentioned, although it was speculated with metoclopramide. ⋯ Intradermal tramadol or metoclopramide can produce local anesthetic effect.
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Reg Anesth Pain Med · Nov 1998
Randomized Controlled Trial Comparative Study Clinical TrialClonidine added to bupivacaine-epinephrine-sufentanil improves epidural analgesia during childbirth.
A double-blind study was conducted to assess the efficacy and the side effects of a low dose of clonidine added to an epidural injection of bupivacaine and epinephrine, with or without sufentanil. ⋯ The addition of a low dose of clonidine to an epidural injection of bupivacaine with epinephrine and sufentanil provides better analgesia during labor, while keeping the side effects minimal and of minor clinical importance.
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Reg Anesth Pain Med · Nov 1998
ReviewCommentary: neurotoxicity of local anesthetics--an issue or a scapegoat?
To evaluate the etiologies of cauda equina syndrome (CES) and transient radicular irritation (TRI) or transient neurologic symptoms (TNSs) following hyperbaric spinal anesthesia. ⋯ Cauda equina syndrome is, in all probability, explainable. Further investigation to pinpoint the etiology of TRI (TNSs) is needed.
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Reg Anesth Pain Med · Nov 1998
Letter Case Reports Randomized Controlled Trial Clinical TrialIntrathecal ropivacaine in cancer pain.