Articles: nerve-block.
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Randomized Controlled Trial Comparative Study Clinical Trial
Superficial vs combined cervical plexus block for carotid endarterectomy: a prospective, randomized study.
The present study compares combined and superficial cervical plexus block in patients submitted to carotid endarterectomy (CEA) in terms of anesthetic efficacy, satisfaction of the patient and surgeon, complications resulting from the type of anesthesia, and final outcome. ⋯ Superficial cervical anesthetic block shows the same efficacy as combined block, with the surgical conditions being closely similar. The incidence of complications related to the anesthetic technique is higher for combined block. The type of block does not influence the final outcome of the patients.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2005
Randomized Controlled Trial Comparative Study Clinical Trial[Are peripheral nerve blocks of the leg (femoralis in combination with anterior sciatic blockade) as sole anaesthetic technique an alternative to epidural anaesthesia].
We compared peripheral nerve blocks (PNB, femoral nerve block together with anterior sciatic nerve block) as sole anaesthetic with epidural anaesthesia (EA) in a randomised study in patients undergoing elective arthroscopic knee surgery with respect to patient satisfaction and time required to perform each procedure. ⋯ Patients in the PNB and EA group both were satisfied with their anaesthetic procedure. While there are obviously differences in favour of the EA, PNB is an alternative in the case of contraindication or patient rejection to EA.
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Acta Anaesthesiol Belg · Jan 2005
ReviewContinuous interscalene block using a stimulating catheter: a review of the technique.
The management of postoperative pain after major shoulder surgery can be achieved successfully with a continuous interscalene block. This article reviews the essentials of the stimulating catheter technique for the continuous interscalene block that was described by Boezaart in 1999. The authors also describe their experience and results with the first two hundred catheters they placed.
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There are significant advantages to the practice of bilateral ankle block. However, clinicians are reluctant to employ this technique due to concerns over reliability, local anaesthetic longevity and toxicity, surgical efficiency, and patient comfort. ⋯ The present audit demonstrates that bilateral ankle blocks are a safe and efficient technique. With appropriate doses of sedative drugs both during insertion of the ankle block and surgery, patients remain comfortable.
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Regional anesthesia is increasing in popularity for ambulatory surgical procedures. Concomitantly, the prevalence of obesity in the United States population is increasing. The objective of the present investigation was to assess the impact of body mass index (BMI) on patient outcomes after ambulatory regional anesthesia. ⋯ The present investigation shows that obesity is associated with higher block failure and complication rates in surgical regional anesthesia in the ambulatory setting. Nonetheless, the rate of successful blocks and overall satisfaction remained high in patients with increased BMI. Therefore, overweight and obese patients should not be excluded from regional anesthesia procedures in the ambulatory setting.