Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Nov 2003
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of a triple-injection axillary brachial plexus block with the humeral approach.
This prospective, randomized, and single-blind study compared effectiveness, performance, onset, and total anesthetic time and complications of the multiple axillary block (median, radial, and musculocutaneous nerves) with the humeral approach. ⋯ The triple-injection axillary block was more effective than the humeral approach as it was associated with more cases of sensory and complete motor block and gave shorter performance and onset times.
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Reg Anesth Pain Med · Nov 2003
Comparative StudySubarachnoid catheter placement after wet tap for analgesia in labor: influence on the risk of headache in obstetric patients.
The incidence of postdural puncture headache (PDPH) after epidural wet tap for obstetric patients may be as high as 75%. We have studied how subsequent placement of a subarachnoid catheter immediately after confirmation of a wet tap, and leaving the catheter in place for 24 hours affects the incidence of PDPH. ⋯ Subarachnoid catheter placement after wet tap in obstetric patients reduces the PDPH rate and does so to a greater extent if left in place for 24 hours after delivery.
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Reg Anesth Pain Med · Nov 2003
Case ReportsEpidural hematoma after thoracic epidural catheter removal in the absence of risk factors.
The purpose of this report is to enhance awareness that an epidural hematoma can occur even in patients devoid of risk factors. ⋯ Catheter removal is a critical period for epidural hematoma formation even if no risk factors are identified. Early recognition and treatment are essential features for good neurologic recovery after an epidural hematoma.