Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Jan 2010
Randomized Controlled TrialLong-lasting analgesic effects of intraoperative thoracic epidural with bupivacaine for liver resection.
Continuous epidural analgesia may be considered in liver resection but is often avoided because of possible coagulopathies and the risk of epidural hematoma in the postoperative period. On the other hand, there is no coagulation defect during the surgery. Effective prevention of postoperative pain may require continuous sensory ablation throughout the surgery event. ⋯ Intraoperative thoracic epidural infusion of bupivacaine, added to intrathecal morphine, decreased postoperative morphine consumption with better pain relief compared with the placebo.
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Reg Anesth Pain Med · Jan 2010
Randomized Controlled Trial Comparative StudyA prospective, randomized comparison between single- and double-injection ultrasound-guided infraclavicular brachial plexus block.
This prospective, randomized, observer-blinded study compared single- and double-injection ultrasound-guided infraclavicular brachial plexus block for upper extremity surgery. ⋯ The double-injection ultrasound-guided infraclavicular block provides no significant advantages compared with its single-injection counterpart.