Regional anesthesia and pain medicine
-
Reg Anesth Pain Med · Nov 2003
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of a triple-injection axillary brachial plexus block with the humeral approach.
This prospective, randomized, and single-blind study compared effectiveness, performance, onset, and total anesthetic time and complications of the multiple axillary block (median, radial, and musculocutaneous nerves) with the humeral approach. ⋯ The triple-injection axillary block was more effective than the humeral approach as it was associated with more cases of sensory and complete motor block and gave shorter performance and onset times.
-
Reg Anesth Pain Med · Nov 2003
Randomized Controlled Trial Comparative Study Clinical TrialA preoperative retrobulbar block in patients undergoing scleral buckling reduces pain, endogenous stress response, and improves vigilance.
This study aims to test postoperative analgesia by using retrobulbar block in patients with retinal detachment surgery. ⋯ Because the analgesic effect of the retrobulbar block was considerably longer than pharmacologically expected, the combined retrobulbar and general anesthesia "protects" against postoperative pain and is recommended for patients undergoing scleral buckling.
-
Reg Anesth Pain Med · Nov 2003
Randomized Controlled Trial Comparative Study Clinical TrialLateral approach to the sciatic nerve in the popliteal fossa: a comparison between 1.5% mepivacaine and 0.75% ropivacaine.
Ropivacaine and mepivacaine are commonly used local anesthetics for peripheral nerve blockade. The purpose of the present study was to compare onset time, quality of anesthesia, and duration of analgesia with ropivacaine 0.75% and mepivacaine 1.5% for lateral popliteal nerve block. ⋯ Both ropivacaine and mepivacaine provided effective sciatic nerve blockade. Mepivacaine 1.5% displayed a significantly shorter onset time than ropivacaine 0.75%. Postoperatively, ropivacaine 0.75% resulted in longer-lasting analgesia and less need for oral pain medication.