Articles: nerve-block.
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Randomized Controlled Trial Clinical Trial
Neostigmine added to lidocaine axillary plexus block for postoperative analgesia.
We have assessed the analgesic efficacy and side-effects of neostigmine when added to lidocaine for axillary brachial plexus block, in a prospective, randomized, double-blind, placebo-controlled study. ⋯ Neostigmine does not seem to be of clinical value for peripheral nerve blocks.
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Acta Anaesthesiol Scand · Apr 2001
Randomized Controlled Trial Comparative Study Clinical TrialTotal knee replacement: a comparison of ropivacaine and bupivacaine in combined femoral and sciatic block.
Femoral and sciatic nerve block may improve post-operative analgesia following total knee replacement. ⋯ Femoral and sciatic blockade following intrathecal bupivacaine/diamorphine provided superior analgesia when compared with intrathecal bupivacaine/diamorphine alone. There were no significant clinical differences between the group receiving bupivacaine 7.5 mg x ml(-1) and the group receiving ropivacaine 7.5 mg x ml(-1).
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Case Reports
Ambulatory surgery for multi-ligament knee reconstruction with continuous dual catheter peripheral nerve blockade.
Major reconstructive surgery of the knee traditionally requires an extended hospital stay for pain management. Continuous peripheral nerve blockade is an alternative method of pain control but is seldom used in the ambulatory setting. This case illustrates the use of lumbar plexus and sciatic nerve peripheral catheters for major knee surgery using intermittent bolus dosing for outpatient analgesia. ⋯ The use of a lumbar plexus and sciatic nerve peripheral catheter offered an alternative to conventional pain control that worked well in the ambulatory setting. By providing prolonged unilateral lower limb analgesia, extensive knee surgery was performed that would normally require a hospital stay for pain control. Using a bolus dosing method the risk of local anesthetic complications occurring outside of the hospital with a continuous infusion was minimized.