Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Jan 2014
Randomized Controlled TrialThe Effect of Nitrous Oxide Anesthesia on Early Postoperative Opioid Consumption and Pain.
Intraoperative nitrous oxide use does not improve post-operative analgesia or reduce opioid consumption.
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Reg Anesth Pain Med · Jan 2014
Case ReportsAn Epidural Blood Patch Causing Acute Neurologic Dysfunction Necessitating a Decompressive Laminectomy.
One risk with placement of an epidural blood patch (EDBP) is spinal cord or nerve root compression resulting from the epidural blood volume injected, a complication necessitating immediate surgical decompression. We could not find a previous report of this in the literature. Here, we review and discuss one such case. ⋯ A cauda equina syndrome from an epidural hematoma may occur as a rare complication of an EDBP, even with direct fluoroscopic guidance. Early diagnosis of symptoms and prompt surgical evacuation of an epidural hematoma is essential and may result in the resolution of symptoms. This complication remains a rare occurrence and should not deter the performance of an EDBP, when indicated.
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Reg Anesth Pain Med · Jan 2014
Biography Historical ArticleA Tribute to a Brilliant Mind: Jerry Vloka, MD, PhD.