Regional anesthesia and pain medicine
-
Reg Anesth Pain Med · Mar 2005
Randomized Controlled Trial Clinical TrialDecreased postpartum use of oral pain medication after a single dose of epidural morphine.
Pain after vaginal delivery may result from episiotomy, perineal laceration, or uterine involution. Many women have indwelling epidural catheters in place at delivery. We hypothesized that a small dose of epidural morphine would be an effective strategy for postpartum analgesia. ⋯ These results suggest that epidural morphine decreases the need for oral pain medication in the first 24 hours postpartum. No significant dose-dependent side effects were found.
-
Reg Anesth Pain Med · Mar 2005
Randomized Controlled Trial Comparative Study Clinical TrialAnalgesia after arthroscopic rotator cuff repair: subacromial versus interscalene continuous infusion of ropivacaine.
A continuous infusion of local anesthetic in the subacromial space has been shown to provide superior pain relief compared with placebo. This technique has been considered as an alternative to a continuous interscalene infusion. The aim of our study is to compare these 2 techniques for pain relief after arthroscopic rotator cuff repair. ⋯ After arthroscopic rotator cuff repair, continuous interscalene block provides better analgesia compared with continuous subacromial infusion but with an increased incidence of minor side effects.
-
Reg Anesth Pain Med · Mar 2005
Randomized Controlled Trial Comparative Study Clinical TrialThe value of adding sciatic block to continuous femoral block for analgesia after total knee replacement.
The benefit of adding a sciatic nerve block to the femoral block to improve analgesia after total knee replacement is controversial. The aim of this study is to address this controversy in a prospective, comparative, and randomized study. ⋯ During the 36 hours immediately after total knee replacement, the combination of continuous femoral and sciatic nerve blocks improves analgesia while decreasing morphine consumption and PONV.
-
Reg Anesth Pain Med · Mar 2005
Clinical TrialParasacral approach to block the sciatic nerve: a 400-case survey.
Parasacral sciatic nerve block has been shown to be easy to perform, but studies reported to date involve a total of only 155 patients. The aim of this study was to assess the efficacy of parasacral sciatic nerve block in a larger group of patients. ⋯ In this prospective 400-case study, we confirmed previous findings that the parasacral approach is effective, easy to perform, and easy to teach, even when performed by relatively inexperienced physicians. The parasacral approach is, therefore, an effective alternative to other approaches of sciatic nerve blockade.