Articles: nerve-block.
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Reg Anesth Pain Med · Jan 1998
Defining the cross-sectional anatomy important to interscalene brachial plexus block with magnetic resonance imaging.
Interscalene brachial plexus block is a useful technique to provide anesthesia and analgesia for the shoulder and proximal upper extremity. The initial needle direction at the interscalene groove has been described as being "perpendicular to the skin in every plane" (1). A cross-sectional (axial) approach may offer a more easily conceptualized directed needle placement. The purpose of this study is to define the cross-sectional anatomy and idealized needle angles important to interscalene brachial plexus block. ⋯ These findings suggest initial needle placement at the interscalene groove should be angled less perpendicularly relative to the sagittal plane than is often observed. A cross-sectional approach enables more practical visualization of initial needle placement. A more accurate initial needle placement may minimize the number of needle passes necessary to contact the nerve roots, thereby more efficiently obtaining a successful block.
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Ann Fr Anesth Reanim · Jan 1998
Multicenter Study Clinical Trial[1% mepivacaine and axillary block: duration of the sensory and motor blockade].
To assess the duration of both sensory and motor blockade of brachial plexus with 40 mL 1% mepivacaine after axillary or midhumeral approach. ⋯ Mid humeral or axillary block with 40 mL of 1% mepivacaine is highly successful and provides efficient surgical anaesthesia for various surgical procedures of intermediary duration.
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Ann Fr Anesth Reanim · Jan 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Brachial plexus anesthesia via an axillary route for emergency surgery: comparison of three approach methods].
To compare three techniques of brachial plexus blockade for emergency surgery of the upper limb. ⋯ As these three techniques for brachial plexus block in emergency surgery are comparable, no one can be recommended instead of the others.
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The Journal of urology · Jan 1998
Randomized Controlled Trial Clinical TrialBupivacaine infiltration into the neurovascular bundle of the prostatic nerve does not improve postoperative pain or recovery following transvesical prostatectomy.
We assessed the effect of intraoperative bupivacaine infiltration into the neurovascular bundle of the prostatic nerve on postoperative pain and patient outcome. ⋯ Following transvesical prostatectomy, prostatic nerve blockade has no beneficial effects on postoperative pain or patient outcome.