Articles: nerve-block.
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Knee arthroscopy is one of the most common orthopedic procedures done in the United States. It usually is performed as an outpatient procedure. This retrospective study was designed to assess the level of postoperative analgesia provided by the local knee block. ⋯ The severity of the knee pain was assessed using verbal pain rating scores during the anesthesia recovery period, before patients left the hospital, and again on the first postoperative day. Patients in group 2 had significantly lower pain scores compared with patients in group 1 during these periods. Results suggest that the local knee block provides superior postoperative analgesia for the knee arthroscopy patient.
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Letter Case Reports
Central neural blockade in Charcot-Marie-Tooth disease.
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Ophthal Surg Las Im · Nov 2004
Small-incision manual extracapsular cataract extraction using deep-topical, nerve-block anesthesia.
To determine whether deep-topical anesthesia is suitable for small-incision manual extracapsular cataract extraction (ECCE). ⋯ Deep-topical, nerve-block anesthesia provides anesthesia with sufficient quality for small-incision manual ECCE.
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Reg Anesth Pain Med · Nov 2004
Randomized Controlled Trial Clinical TrialInterscalene brachial plexus anesthesia with ropivacaine 5 mg/mL and bupivacaine 5 mg/mL: effects on electrocardiogram.
Cardiotoxicity is the most severe complication of long-acting local anesthetics. The aim of this trial is to compare early signs of depression of cardiac conduction linked with the administration of either ropivacaine or bupivacaine for interscalene block. ⋯ Electrocardiographic recordings were similar in both groups, except for a significant prolongation of the PQ interval in the bupivacaine group at plasma levels below threshold for cardiotoxicity.
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Anesthesia and analgesia · Nov 2004
Randomized Controlled Trial Comparative Study Clinical TrialA single injection ultrasound-assisted femoral nerve block provides side effect-sparing analgesia when compared with intrathecal morphine in patients undergoing total knee arthroplasty.
Postoperative pain after total knee arthroplasty (TKA) is severe, and achieving adequate analgesia remains a clinical challenge. We tested the hypothesis that, in patients having unilateral TKA under intrathecal (IT) anesthesia, the addition of a femoral nerve block would provide superior analgesia when compared with IT morphine and demonstrate fewer adverse side effects. In a single-blinded and controlled trial, 41 ASA I-III patients undergoing unilateral TKA were randomized into 2 groups. ⋯ However, group FNB had fewer perioperative side effects including nausea, vomiting, and pruritus (P < 0.05 for each event). This corresponded to a decrease in patient satisfaction in group ITM, in which 20% of the patients rated their experience as "unsatisfactory" (P < 0.05). We conclude that, in comparison with IT morphine, a single injection femoral nerve block provides equivalent analgesia but with a significant reduction in side effects for patients having TKA under bupivacaine intrathecal anesthesia.