Regional anesthesia
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Regional anesthesia · Sep 1995
Case ReportsThe pregnant patient with an intracranial arteriovenous malformation. Cesarean or vaginal delivery using regional or general anesthesia?
A parturient with large intracranial arteriovenous malformation presented for elective cesarean delivery. ⋯ In this case report the choice of obstetric management (cesarean versus vaginal delivery) of a full-term parturient with an intracranial arteriovenous malformation is discussed, and the rationale for the preference of epidural anesthesia for the cesarean delivery is presented.
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Regional anesthesia · Jul 1995
Case ReportsSuprascapular nerve block by catheter for breakthrough shoulder cancer pain.
Incidental shoulder pain due to movement renders pain control difficult because it requires high basal dosages or additional doses of opioids. Shoulder pain can be alleviated by suprascapular nerve block, and the placement of a catheter can permit the injection of local anesthesia as needed. ⋯ Continuous suprascapular nerve block is safe and simple and has proven to be useful in avoiding extra doses of opioids.
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Regional anesthesia · Jul 1995
Randomized Controlled Trial Comparative Study Clinical TrialEffects of brachial plexus fentanyl on supraclavicular block. A randomized, double-blind study.
The study examined the effects of adding fentanyl to mepivacaine supraclavicular blocks on block characteristics and postoperative analgesia. ⋯ Adding fentanyl 75 micrograms to mepivacaine supraclavicular blocks has no significant effects on block characteristics. It may enhance postoperative analgesia, but the duration of this effect is too brief to be clinically useful.