Regional anesthesia
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Regional anesthesia · Sep 1994
Case ReportsColonic resection with early discharge after combined subarachnoid-epidural analgesia, preoperative glucocorticoids, and early postoperative mobilization and feeding in a pulmonary high-risk patient.
A pulmonary high-risk patient undergoing right hemicolectomy for cancer was treated with a combination of intense afferent neural block with subarachnoid-epidural local anesthetics followed by continuous epidural analgesia, preoperative high-dose glucocorticoids, and early oral feeding and mobilization. ⋯ The technique of combined neural and humoral mediator block should be evaluated in other high-risk patients undergoing major surgical procedures, where minimal invasive techniques are not possible.
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Regional anesthesia · Sep 1994
Comment Letter Case ReportsCombined spinal-epidural anesthesia in parturient with Harrington rods.
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Regional anesthesia · Sep 1994
Letter Historical ArticleInventors of the pencil-point spinal needle.
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Regional anesthesia · Sep 1994
Randomized Controlled Trial Comparative Study Clinical TrialDifferential epidural block. Does the choice of local anesthetic matter?
It is well established that spinal anesthesia results in a differential block to the sensations of pinprick and cold temperature discrimination. However, the existence of differential block during epidural anesthesia has not always been accepted. Recently, it has been shown that lumbar epidural anesthesia with chloroprocaine and lidocaine produces a differential block to pinprick and cold sensation. The purpose of this study was to determine if the choice of local anesthetic used for epidural anesthesia has any influence on the relative levels of anesthesia, analgesia, and cold sensation. ⋯ This study reaffirms the existence of differential sensory block during epidural anesthesia and establishes that the observed differential block appears to be independent of the local anesthetic used.