Langenbecks Archiv für Chirurgie
-
Langenbecks Arch Chir · Nov 1977
[Indications and contraindications of regional anesthesia (author's transl)].
A short introduction about common techniques of regional anesthesia and statistical data about the percentage of such procedures carried out in our institute are presented. Important techniques and aims of regional anesthesia are clearly pointed out. The results of our study are discussed in detail, as are the advantages, disadvantages, indications, and contraindications of regional anesthesia. Finally the paper concludes with our impression of regional anesthesia, its significance and status in China.
-
Experiences and results of 7212 brachial plexus blocks by the supraclavicular and 404 by the axillary approach are reported. The times of onset and duration of several local anesthetics are compared. The incidence of pneumothorax was 0.42% (30 cases) when the supraclavicular approach was used. Therefore the axillary technique is recommended to avoid this serious complication.
-
Langenbecks Arch Chir · Nov 1977
[New aspects of field blocks and peripheral nerve blocks (author's transl)].
There have been no new developments concerning field blocks. The need for limiting the dosage of local anesthetic agents is stressed. Two methods for perivascular block are described and the use of CO2 containing local anesthetic solutions is discussed as well as the employment of peripheral nerve stimulators.
-
Because of our own experiences with more than 10,000 cases of spinal anesthesia without neurologic complications, it is emphasized that the method has regained clinical importance due to modernized techniques, new local anesthetics (lidocain, mepivacain, bupivacain), and a better understanding of the pathomechanisms involved. Restricting the spinal block to the D 8 dermatome level, thus avoiding side effects, and sticking to a clear-cut range of contraindications renders spinal anesthesia a method that compares favorably with that of general anesthesia in the high-risk patient.