Regional anesthesia
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Regional anesthesia · Jan 1993
Comment Letter Biography Historical ArticleGaston Labat and the American Board of Anesthesiology.
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Regional anesthesia · Jan 1993
Case Reports Randomized Controlled Trial Clinical TrialPostdural puncture headache after continuous spinal anesthesia with 18-gauge and 20-gauge needles.
To evaluate the incidence of postdural puncture headache (PDPH) associated with continuous spinal anesthesia, 200 male patients (mean age 65 years) were randomly assigned to receive spinal anesthesia in one of three ways: group 1, 50 patients with an 18-gauge Tuohy-Schliff needle/20-gauge catheter combination; group 2, 50 patients with a newly developed 20-gauge Quincke point needle/24-gauge catheter combination; and group 3, 100 patients (control group, single injection spinal anesthesia) with a 22-gauge Quincke point needle. ⋯ The incidence of PDPH associated with continuous spinal anesthesia is acceptable in appropriate clinical circumstances, but large initial doses of local anesthetic should not be administered.
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Regional anesthesia · Jan 1993
Randomized Controlled Trial Comparative Study Clinical TrialReevaluation of the sciatic nerve block.
Sciatic nerve blocks are perceived as unreliable, technically demanding, and uncomfortable. With strict criteria to define success rates, we designed a study to examine the efficacy of two techniques of sciatic nerve block. ⋯ Patient acceptance was excellent.