Articles: nerve-block.
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The adverse effects of pain on acutely ill or traumatized patients are well documented. A variety of pain-relieving techniques are now available to meet the varied requirements for pain relief. ⋯ The block proved quick and simple to perform, with excellent clinical results of long duration and virtually no complications. Although not previously described, this single, large-volume injection approach to achieving an extensive thoracic paravertebral block may well become an important pain management technique in appropriate patients.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of continuous paravertebral and extradural infusions of bupivacaine for pain relief after thoracotomy.
Pain was controlled in 20 post-thoracotomy patients using a continuous infusion of 0.25% bupivacaine through an extradural or para-vertebral catheter. Both techniques provided good analgesia. Hypotension and urine retention occurred significantly less frequently in the paravertebral than in the extradural group.
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Anaesthesiol Reanim · Jan 1989
[Experiences with a combined sciatic and femoral block in surgery of injuries of the lower leg].
Besides various methods of general anaesthesia, regional anaesthetic procedures are well suited for the surgical care of traumatological patients. For operations on patients with lesions of the lower leg, we have been using for 3 years a combination of dorsolateral blockade of the sciatic nerve according to Winnie with a "3 in 1-block". ⋯ Partial or complete failures were registered in 12% of the cases. Severe complications did not occur.
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Success rates and complications were studied in 178 patients scheduled for brachial block. METHODS. Patients of both sexes aged 9 to 79 years received axillary blocks in order to permit typical surgical procedures of the hand an forearm. ⋯ The 90% rate of successful blocks is comparable to the range of 86-98% presented in the literature. The success rate depends on the definition of successful block, the experience of the anesthetist, and the volume and concentration of the anesthetic solution administered. The incidence of systemic cardiovascular complications was similar to that in the literature, but we observed fewer symptoms of cerebral toxicity.(ABSTRACT TRUNCATED AT 250 WORDS)
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Plasma lidocaine concentrations, latency of onset, and duration of anaesthesia, were determined after interscalene brachial plexus block in 16 patients presenting for elective upper limb surgery. Eight patients had normal renal function and eight had chronic renal failure, as determined by creatinine clearance. ⋯ The latency of onset and duration of anaesthesia were similar in both groups. One per cent lidocaine solution may be administered to patients with normal and impaired renal function to provide effective brachial plexus blockade for short surgical procedures.