Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Jul 2018
The Importance of the Saphenous Nerve Block for Analgesia Following Major Ankle Surgery: A Randomized, Controlled, Double-Blind Study.
Major ankle surgery causes intense postoperative pain, and whereas the importance of a sciatic nerve block is well established, the clinical significance of a supplemental saphenous nerve block has never been determined in a prospective, randomized, double-blind, placebo-controlled trial. We hypothesized that a saphenous nerve block reduces the proportion of patients experiencing significant clinical pain after major ankle surgery. ⋯ This study has been registered at ClinicalTrials.gov, identifier NCT02697955.
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Reg Anesth Pain Med · Jul 2018
Case ReportsSegmental Spinal Myoclonus Complicating Lumbar Transforaminal Epidural Steroid Injection.
Lumbar transforaminal epidural steroid injection is commonly used for treating lumbar radicular pain. We report a case of segmental spinal myoclonus that developed during lumbar transforaminal epidural injection with local anesthetic and steroid. ⋯ Segmental spinal myoclonus is a rare complication after lumbar transforaminal epidural steroid and local anesthetic injection. Pain physicians should be aware of this potential complication.