Regional anesthesia and pain medicine
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Pain arising in the lumbar spine can have many etiologies, nearly 80% of which cannot be established with certainty. We present a very rare cause of back pain. ⋯ Hydatid cyst can be included in the differential diagnosis of lumbar back pain, especially in the endemic areas.
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Reg Anesth Pain Med · Jan 2007
Editorial CommentInformed consent for regional anesthesia: what is necessary?
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Reg Anesth Pain Med · Nov 2006
Clinical TrialThe middle interscalene block: cadaver study and clinical assessment.
A variety of brachial plexus block techniques via the interscalene approach have been proposed. We describe here a new middle interscalene perivascular approach to the brachial plexus. To verify its effectiveness, we studied 719 patients scheduled for shoulder arthroscopy. Furthermore, to verify the accuracy of the proposed bony landmarks to use in the case of inability to palpate the subclavian artery pulse, we simulated the block on 10 cadavers. ⋯ Our technique via a middle interscalene approach is easy to perform and provides a high success rate. Even in the absence of a subclavian artery pulse, the easily recognizable bony landmarks reliably guide us in the insertion of the needle. Furthermore, this technique appears to avoid complications that are theoretically possible in other supraclavicular perivascular approaches (pneumothorax) and paravertebral approaches (injection into the vertebral artery and subarachnoidal injection). However, further comparative studies will be required to assess the clinical relevance of the block.
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Reg Anesth Pain Med · Nov 2006
Letter Case ReportsPneumoretroperitoneum as a consequence of fascia iliaca block.