Articles: nerve-block.
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Kathmandu Univ Med J (KUMJ) · Apr 2003
Case ReportsThree in one block for unilateral knee arthrotomy in an old lady.
An old lady having septic arthritis of right knee joint underwent arthrotomy under three in one block for femoral, obturator and lateral cutaneous nerve of thigh in inguinal region, with catheter in situ. She was a case of chronic obstructive airway disease with ischaemic heart disease, so operation and postoperative pain management was planned under regional block. Anaesthesia was started by giving regional block with 0.25% bupivacaine at first and maintained with intermittent injection of 0.125% bupivacaine. The patient was pain free and comfortable though out the perioperative period.
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Rev Esp Anestesiol Reanim · Mar 2003
[Lateral popliteal block: a modification of anatomical references].
To study the efficacy of a lateral approach in performing a sciatic nerve block at the popliteal fossa using modified anatomical references: the intersection of the groove between the lateral vastus and biceps femoris muscles and the axis of the femur, which passes through the upper vertex of the popliteal fossa. ⋯ The proposed approach is easy to implement, involves no remarkable complications, and is particularly useful in patients who have difficulty taking a prone decubitus position.
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Randomized Controlled Trial Comparative Study Clinical Trial
Suprascapular nerve block or a piroxicam patch for shoulder tip pain after day case laparoscopic surgery.
The reported incidence of shoulder tip pain following laparoscopic surgery varies from 35 to 63%. This study evaluated the analgesic efficacy of either performing a prophylactic suprascapular nerve block with bupivacaine or applying a piroxicam patch to the skin over both shoulders for the relief of shoulder tip pain after laparoscopy. ⋯ Prophylactic piroxicam patches are effective and safe for the relief of shoulder tip pain after laparoscopy. Bilateral suprascapular nerve block is not effective in this setting.