Cahiers d'anesthésiologie
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Cahiers d'anesthésiologie · Jan 1993
[Locoregional anesthesia of the upper limbs. Experience of the Centre de la Main].
The Hand Centre of Angers in France is entirely autonomous. 2,200 patients a year undergo hand or wrist surgery under regional anaesthesia exclusively. Authors insist on the importance of pre-selection among patients. Security rules and postoperative recommendations are mandatory.
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Cahiers d'anesthésiologie · Jan 1993
Biography Historical Article[In memoriam. Jean-Marie Picard (1925-1992)].
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In 1986, Reiestad and Strömskag introduced interpleural postoperative analgesia with local anaesthetic solutions. The aim of this review was to describe the physiological mechanisms, indications and limits of this new mechanisms, indications and limits of this new technic. Interpleural analgesia has been successfully used for pain relief after cholecystectomy by subcostal incision. ⋯ After thoracotomy, if this technic seemed to be simple by visual placement of the catheter tips by the surgeon, most of the studies failed to demonstrate reduction of postoperative pain. Finally, interpleural analgesia has recently been shown to be effective in the management in various chronic pain syndromes of the upper abdomen (pancreatitis...) and thorax (postherpetic neuralgia, upper extremity reflex sympathetic dystrophy). The efficacy of this technic for long-term chronic pain involves the blockade of the sympathetic chain of the injected side.