Regional anesthesia and pain medicine
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Reg Anesth Pain Med · May 2003
Randomized Controlled Trial Clinical TrialPosterior perineal block with ropivacaine 0.75% for pain control during and after hemorrhoidectomy.
As perioperative pain management is a difficult challenge during hemorrhoidectomy, we tested the hypothesis that posterior perineal block (PPB) with local anesthetics alone is able to provide adequate pain control during and after surgery. ⋯ The present study shows that PPB with 40 mL 0.75% ropivacaine (300 mg) was a simple, effective, and safe method to provide better postoperative analgesia than PCA alone following surgical hemorrhoidectomy. In addition, PPB was shown to significantly reduce opioid consumption intraoperatively and during the first postoperative day.
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Reg Anesth Pain Med · May 2003
Clinical TrialFascia iliaca compartment block for femoral bone fractures in prehospital care.
The fascia iliaca compartment block provides a faster and more consistent simultaneous blockade of the lateral cutaneous and femoral nerves than the "3 in 1" block. We studied the effectiveness of this technique for analgesia after a femoral bone fracture in pre-hospital care. ⋯ The fascia iliaca compartment block is a simple, inexpensive, and effective method of prehospital analgesia for femoral shaft fracture. A sensory block of the internal part of the thigh is an early predictive sign of optimal pain relief.
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Reg Anesth Pain Med · May 2003
Randomized Controlled Trial Comparative Study Clinical TrialEfficacy of 1% ropivacaine at sacral segments in lumbar epidural anesthesia.
It is suggested that the potency of 1% ropivacaine is comparable to that of 0.75% bupivacaine and higher than that of 2% lidocaine. Alkalinized lidocaine reportedly enhances the block of sacral segments during lumbar epidural anesthesia. We hypothesized that 1% ropivacaine might also block at the lumbosacral segments adequately during lumbar epidural anesthesia. ⋯ We conclude that 1% ropivacaine does not improve block of sacral segments within 20 minutes following epidural ropivacaine administration.