Anesthesiology and pain medicine
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Predicting the spread of anesthesia after intrathecal injection of plain local anesthetics is challenging owing to both patient and anesthesiologist-related factors. ⋯ Our findings demonstrate that ISSC, primarily based on dermatome, is a significant predictor for spinal anesthesia spread.
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Patients with severe visceral abdominal or pelvic pain are sometimes candidates for celiac or superior hypogastric block. These blocks are performed in the prone position that is usually very painful for these patients. We introduce another position for these blocks that can be better tolerated. ⋯ Superior hypogastric plexus block in the lateral position was safe and effective for a patient with severe abdominal and pelvic pain.