Regional anesthesia
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Regional anesthesia · May 1995
ReviewDoes sympathetic ganglionic block prevent postherpetic neuralgia? Literature review.
To examine specifically the role of sympathetic block in the prevention of postherpetic neuralgia by its application in the treatment of acute herpes zoster. ⋯ Considering the degree of uncertainty, and the seriousness of postherpetic neuralgia, sympathetic block in addition to treatment with acyclovir should be considered early during acute herpes zoster. Large controlled trials are needed to provide the necessary scientific evidence.
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Regional anesthesia · May 1995
Randomized Controlled Trial Comparative Study Clinical TrialEffect of anesthetic technique on acute formalin-induced pain in mice.
The aim of this study was to determine if anesthetic technique influences the degree of acute formalin-induced pain in mice. ⋯ The administration of a pre-emptive subarachnoid lidocaine block in the combined spinal/general anesthesia group did not reduce the degree of formalin-induced paw-licking behavior. Combined spinal/general anesthesia did not decrease acute formalin-induced pain in mice.
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Regional anesthesia · May 1995
Case ReportsLong-term brachial plexus anesthesia using a subcutaneous implantable injection system. Case report.
Continuous brachial plexus anesthesia with local anesthesia has been used since 1946 for prolonged surgical procedures, in postoperative pain relief, and in sympathetic nerve block. The benefit or effectiveness of this technique in the relief of sympathetically maintained pain has yet to be established. ⋯ Controlled studies need to be done to establish the safety and efficacy of this form of therapy.
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Regional anesthesia · May 1995
Biography Historical ArticleRegional anesthesia and chronic pain management in the 1920s and 1930s. The influence of the American Society of Regional Anesthesia.
Physicians in the 1920s and 1930s began to treat patients with chronic pain syndromes using regional anesthetic techniques for both temporary and permanent block of pain pathways. The founding of the American Society of Regional Anesthesia (ASRA) in 1923 provided a unique venue for the dissemination of information concerning regional anesthesia for both surgery and chronic pain management. ⋯ The ASRA was instrumental in bringing together physicians interested in regional anesthesia and pain management. During the 1930s physician anesthetists came to predominate as the organization's officers and members and helped translate the work of the ASRA into a part of the knowledge required to be a specialist physician in anesthesia.
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Regional anesthesia · May 1995
Case ReportsSelective musculocutaneous nerve block and infraclavicular brachial plexus anesthesia. Case report.
Regional anesthesia of the upper extremity may be achieved by the infraclavicular approach to the brachial plexus. ⋯ Stimulation of the musculocutaneous nerve in the infraclavicular region results in biceps muscle contraction. Inadequate anesthesia of the upper extremity may result due to exiting of the musculocutaneous nerve outside the axillary sheath in this region. Evidence of more distal stimulation (finger/wrist flexion) improves the likelihood of successful block of the brachial plexus by the infraclavicular route.