Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Jul 1998
Clinical TrialNerve blocks with 5% butamben suspension for the treatment of chronic pain syndromes.
Butamben is a non-water-soluble local anesthetic that can be prepared as an aqueous suspension for nerve blocks. This report describes the use of 5% butamben suspension for the treatment of chronic pain of cancer and noncancer origin. ⋯ When used as described in this report, 5% butamben suspension appears to be effective for treatment of chronic pain of both cancer and noncancer origin and has a low incidence of adverse sequelae.
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Reg Anesth Pain Med · Jul 1998
Editorial CommentProblems with combined spinal and epidural anesthesia.
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Reg Anesth Pain Med · May 1998
Case ReportsPatient-controlled analgesia using ropivacaine via an intrathecal catheter.
A 38-year-old woman presented with severe intractable pain in the sacral and perirectal areas secondary to metastatic stage I.B. squamous cell carcinoma of the cervix. ⋯ The use of ropivacaine in combination with other analgesics, via an intrathecal catheter for patient-controlled analgesia, was an effective treatment for this patient. In the future, ropivacaine administered epidurally or intrathecally alone, or in combination with other analgesics, may become the local anesthetic of choice due to its preservation of motor function. Certainly, further scientific studies are indicated in the cancer patient population.