Articles: nerve-block.
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Acta Anaesthesiol Scand · May 1998
Randomized Controlled Trial Comparative Study Clinical TrialComparison of transarterial and multiple nerve stimulation techniques for an initial axillary block by 45 mL of mepivacaine 1% with adrenaline.
The single-injection axillary block is rapidly performed but gives unpredictable results. Axillary block by multiple nerve stimulation technique (MNS) gives better results, but takes longer to perform. Transarterial (TA) injections of high doses of local anaesthetics are very successful. This double-blind study compared both block effectiveness and anaesthesiologic time consumption in 100 patients, having an axillary block by either TA or MNS techniques. ⋯ In the hands of anaesthetists experienced in nerve electrolocation, the MNS technique of an initial axillary block by four separate injections of 10 mL of mepivacaine produces faster and more extensive block than the TA technique by two separate injections of 20 mL. Hence, the MNS technique requires fewer supplementary blocks and results in faster patient readiness for surgery than the TA technique.
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Acta Anaesthesiol Scand · May 1998
Neurolytic thoracic paravertebral block in cancer pain. A clinical report.
Paravertebral block has successfully been used in the treatment of acute and chronic pain. The duration of paravertebral block could theoretically be prolonged by using neurolytic agents. ⋯ Neurolytic paravertebral block with phenol doses used in our patients appears to have only limited use. Some patients with pain restricted to a small number of thoracic segments may benefit from its use. Because of complication risks, this technique should be limited to intractable pain in cancer patients with poor prognosis.
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Reg Anesth Pain Med · May 1998
The practice of peripheral nerve blocks in the United States: a national survey [p2e comments].
A nationwide survey was conducted in order to describe practice patterns surrounding the use of peripheral nerve blocks (PNBs). ⋯ Although this survey indicates that regional anesthesia is frequently practiced in the United States, PNBs and particularly PNBs of the lower extremities remain underutilized.
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Radiol. Clin. North Am. · May 1998
ReviewPercutaneous epidural and nerve root block and percutaneous lumbar sympatholysis.
Epidural steroid injections and selective nerve root blocks currently are considered standard techniques in the diagnosis and treatment of back pain. The targeted epidural and perineural steroid injection with nerve block is a new technique that combines an epidural steroid injection and a nerve block. Radiologists are best suited for performing these procedures because of their training and skills in fluoroscopy and needle procedures.