Regional anesthesia
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Regional anesthesia · May 1997
Clinical TrialSingle-injection lumbar epidural morphine for postoperative analgesia in children: a report of 175 cases.
Since the first report of epidural opioid administration to pediatric patients, several studies have described the quality of analgesia, doses, pharmacokinetics, and side effects of this procedure. A pediatric series using an easy and cheap single-injection technique of epidural morphine administration for postoperative analgesia is presented. ⋯ This technique is easy to perform, even for trainees in anesthesiology. With appropriate patient selection and avoidance of the concomitant use of narcotics and sedatives, epidural morphine provides prompt, effective, safe, and prolonged analgesia in children.
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Regional anesthesia · May 1997
Randomized Controlled Trial Comparative Study Clinical TrialPain relief after knee arthroscopy: intra-articular morphine, intra-articular bupivacaine, or subcutaneous morphine?
This investigation was undertaken to compare analgesic effects, side effects, and requirements for supplemental analgesic therapy after knee arthroscopy in patients given intra-articular (IA) or subcutaneous (SC) morphine, intra-articular bupivacaine, or placebo. ⋯ A single 10-mg dose of morphine given either IA or SC provides better and longer-lasting postoperative pain relief after knee arthroscopy than 20 mL IA bupivacaine 0.5% with epinephrine.
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Regional anesthesia · May 1997
Randomized Controlled Trial Comparative Study Clinical TrialUse of preincisional ketorolac in hernia patients: intravenous versus surgical site.
This study was designed to determine whether administration of ketorolac directly in the surgical site results in enhanced analgesia. ⋯ Ketorolac provides enhanced patient comfort when it is administered in the surgical site in patients undergoing inguinal hernia repair. It is recommended that clinicians add ketorolac to the local anesthetic solution in such patients.
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Regional anesthesia · May 1997
Randomized Controlled Trial Comparative Study Clinical TrialThe effect of head-down tilt position on arterial blood pressure after spinal anesthesia for cesarean delivery.
The effect of the head-down tilt position after induction of spinal anesthesia for cesarean delivery on blood pressure and level of sensory block was examined. ⋯ The head-down position is concluded to have no effect on the incidence of hypotension during spinal anesthesia for cesarean delivery.
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Regional anesthesia · May 1997
Case ReportsPhantom pain with probable reflex sympathetic dystrophy: efficacy of fentanyl infiltration of the stellate ganglion.
The stellate ganglion can alleviate phantom pain of the upper extremity, possibly because of the presence in it of enkephalin receptors, as has been suggested by experimental and clinical reports. A case is reported in which fentanyl, instead of local anesthetic, was used for stellate ganglion block. ⋯ Fentanyl infiltration of the stellate ganglion proved to be successful in the management of the pain and temperature sensation changes in the stump and phantom upper extremity.