Regional anesthesia
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Regional anesthesia · Sep 1992
Randomized Controlled Trial Clinical TrialPerioperative analgesia with subarachnoid sufentanil administration.
Thirty-seven ASA Physical Status I parturients undergoing elective cesarean delivery were evaluated to determine the effects of subarachnoid sufentanil administration. ⋯ Duration of complete analgesia and duration of effective analgesia were prolonged significantly in all patient groups receiving sufentanil as compared to control groups receiving no narcotic. Pruritus was significantly increased in patient groups receiving subarachnoid sufentanil. Respiratory depression was not observed in any patient studied. One- and five-minute Apgar scores; umbilical, venous, and arterial blood gas results; and Early Neonatal Neurobehavioral Scale results were all within normal limits and were not significantly different among the groups.
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Regional anesthesia · Sep 1992
Randomized Controlled Trial Comparative Study Clinical TrialComparison of Sprotte and Quincke needles with respect to post dural puncture headache and backache.
The objective of this study was to compare 24-gauge Sprotte and 25-gauge Quincke needles with respect to post dural puncture headache and backache. ⋯ Our data indicate that Quincke needles should not be used with the needle bevel inserted perpendicular to the dural fibers. The Sprotte needle does not solve the problem of post dural puncture headache and backache.
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Regional anesthesia · Sep 1992
Case ReportsSelective block of nerves in the axillary approach to the brachial plexus.
Optimal surgical conditions for flexor tendon tenolysis in the hand were achieved by ulnar, radial, and musculocutaneous nerve block at the axilla combined with median nerve block at the wrist. ⋯ Palpation of nerves together with a nerve stimulator were used to localize the nerves accurately.
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Regional anesthesia · Sep 1992
Case ReportsHeadache from intracranial air after a lumbar epidural injection: subarachnoid or subdural?
There is a growing awareness of the possibility of headache resulting from intracranial air secondary to identification of the epidural space by loss of resistance using air (LOR-A). Most reported cases have been attributed to subarachnoid air passage. A case is described of sudden headache following LOR-A. ⋯ Recovery was uneventful.
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Regional anesthesia · Sep 1992
Randomized Controlled Trial Comparative Study Clinical TrialTechnical and light microscopic comparison of four different small-diameter catheters used for continuous spinal anesthesia.
Recently several manufacturers developed ultra-thin catheters for continuous spinal anesthesia. Their use may be associated with technical problems. ⋯ The use of the 32-gauge polyurethane catheter was associated with problems that limit its clinical usefulness. Nylon and polyimide catheters with stainless steel stylets were more resistant to stretching. The nylon catheter was most resistant to adhesion of fibrinous material.