Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Jan 2005
Randomized Controlled Trial Comparative Study Clinical TrialSpinal hyperbaric ropivacaine-fentanyl for day-surgery.
Adequate intraoperative analgesia combined with faster mobilization might be achieved by replacing hyperbaric ropivacaine partly with fentanyl. ⋯ Faster mobilization but equal onset and duration of analgesia were achieved with intrathecal hyperbaric ropivacaine 10 mg plus fentanyl 20 microg as compared with hyperbaric ropivacaine 15 mg.
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Reg Anesth Pain Med · Jan 2005
Case ReportsUnintentional neuromuscular blocking agent injection during an axillary brachial plexus nerve block.
We describe the consequences of an unintentional injection of atracurium instead of ropivacaine during an axillary brachial plexus nerve block. ⋯ Unintentional injection of atracurium mixed with ropivacaine during axillary brachial plexus block leads to complete body paralysis that requires general anesthesia and mechanical ventilation. Recovery was complete without any neurological sequela. An analysis of the chain of events that led to the error suggests some recommendations to improve our daily practice.
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Reg Anesth Pain Med · Jan 2005
Development of a standardized peripheral nerve block procedure note form.
Despite the tremendous growth of peripheral nerve blocks, no standard format exists to document their performance. Our objective was to create a peripheral nerve block form based on key elements of literature evidence and on our own group consensus. ⋯ A form was developed to help meet the medical, legal, and billing requirements of documentation consistent with the performance of peripheral nerve block.