Articles: nerve-block.
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Anaesth Intensive Care · Nov 1979
The incidence and aetiology of phrenic nerve blockade associated with supraclavicular brachial plexus block.
A trial to ascertain the true incidence of inadvertent phrenic nerve block with brachial plexus block via the supraclavicular approach was carried out. Phrenic nerve block was monitored by x-ray screening of the diaphragm. ⋯ The possible causes of phrenic nerve block with brachial block are discussed. It is concluded that the phrenic nerve is blocked peripherally in front of the scalenus anterior.
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Case Reports
Ablation of the brachial plexus. Control of intractable pain, due to a pathological fracture of the humerus.
A case report is presented which illustrates the difficulties in providing control of intractable pain from pathological fractures of the humerus. Relief from large and frequent doses of systemic analgesics was found to be inadequate. Control was achieved using brachial plexus block with bupivacaine combined with absolute alcohol. The decision to partially ablate the plexus is considered to be justified by the improved quality of life which the patient enjoyed.
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The Journal of urology · Oct 1979
Continuous intercostal nerve block for pain relief after lumbar incision.
To relieve postoperative pain along a lumbar incision in 9 patients the intercostal nerves were blocked with catheters for continuous epidural anesthesia. The catheters were inserted near the intercostal nerves, above and beneath the incision, just before the wound was closed and 0.25% bupivacaine hydrochloride solution was infused periodically through the catheters. ⋯ None of the patients had any complications. The technique is simple and can produce an analgesic effect repeatedly without causing pain for the patient.
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A simple safe technique of providing rapid, effective analgesia in children with femoral shaft fractures is described. It is particularly useful in patients who have associated head or abdominal injuries in the presence of which opiates should be withheld. The technique is recommended to all practitioners involved in the early care of femoral shaft fractures.