Regional anesthesia and pain medicine
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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.
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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.
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Reg Anesth Pain Med · Mar 2005
Review Historical ArticlePosterior lumbar plexus block: anatomy, approaches, and techniques.
Lumbar plexus is an effective but underused regional technique that was described nearly 3 decades ago. The original description has been modified several times based on advances in technology, localization, and imaging techniques. This review provides an overview of the history, anatomy, and techniques described to perform this block.
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Reg Anesth Pain Med · Mar 2005
Case ReportsContinuous peripheral nerve block for battlefield anesthesia and evacuation.
Peripheral nerve and continuous peripheral nerve block (CPNB) have the potential to be valuable techniques in combat anesthesia. We describe the first successful application of CPNB in the pain management and surgical management of a combat casualty as he was evacuated from the Iraqi battlefield to the United States.
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Reg Anesth Pain Med · Mar 2005
Letter Case ReportsBacterial meningitis ten days after spinal anesthesia.