Articles: nerve-block.
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Acta Anaesthesiol Scand · Jan 1986
Perivascular axillary block VI: the distribution of gelatine solution injected into the axillary neurovascular sheath of cadavers.
Axillary perivascular injection of 50 ml blue-stained gelatine was made in 20 cadavers, and a total dissection of the axilla was performed. The distribution of injected gelatine and the contact between nerves and gelatine were examined on cross-sections of the neurovascular bundle. The spread of gelatine was characterized by: restriction of gelatine to the neurovascular bundle, an upper border of the gelatine which was constantly found to be proximal to the coracoid process, and bulging of the gelatine towards the medial part of the axillary space. ⋯ The median and the ulnar nerves were in all dissections found to be in direct contact with the gelatine, whereas the radial, the musculocutaneous, and the axillary nerves did not always have direct contact with the gelatine. Abduction of the arm to 90 degrees brings the stretched neurovascular bundle close to the lateral wall of the axilla and this compromises perivascular circumferential spread of the injected gelatine. On the basis of the present investigation, it is hypothesized that insufficient circumferential spread is the cause of incomplete axillary blockades, and the perivascular injection of local anaesthetic should consequently be made with the arm along the side of the body.
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Ann Fr Anesth Reanim · Jan 1986
Case Reports[Recurrent nerve paralysis and Claude Bernard-Horner syndrome following an interscalene block of the brachial plexus].
The association of a recurrent laryngeal block with a Horner's syndrome occurred in one patient after right interscalene brachial plexus block. Hoarseness was the main clinical symptom of recurrent paralysis and lasted 4 h. The subsequent course was totally uneventful and required no specific treatment. But the interscalene route of brachial plexus block may be potentially hazardous in the patient with a full stomach.
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Zh Nevropatol Psikhiatr Im S S Korsakova · Jan 1986
[Intravenous novocaine block in the treatment of vertebrogenic sclerotomic and myotomic pain].
The authors treated 60 patients with vertebrogenic lumbosacral radiculitis and lumboischialgias accompanied by sclerotomic and myotomic pain. Intravenous procaine blockades of the legs were used for this purpose. Improvement was achieved in the majority of patients. The authors present the rationale of blockades and describe the technique of their performance, as well as contraindications for them.
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Femoral and lateral cutaneous nerve of the thigh blocks have been performed in a group of 50 children; the method has not previously been described in paediatric practice. The technique was judged to have been successful in 48 (96%) of the children. There were no early or late complications. It is concluded that these blocks are easy to perform, even in small children and infants, and that they can produce reliable postoperative analgesia for a variety of orthopaedic and plastic procedures.
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Ann Fr Anesth Reanim · Jan 1986
[Femoral nerve block as a postoperative analgesia technic in surgery of the knee].
A femoral nerve block was performed as a postoperative analgesic technique in 50 patients after knee surgery; this surgery is a very painful one. The technique used was the inguinal route, as described in the textbooks. ⋯ The average duration of analgesia was 600 min, the shortest being 300 min, the longest being 1,200 min. This technique can be recommended after surgery of the knee as safe and reliable.