Articles: nerve-block.
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Anaesth Intensive Care · Feb 1979
Case ReportsClinical report: interscalene block for shoulder operations.
Administration of adequate volumes of local anaesthetic through a single injection into the interscalene space produces blockade of both the brachial and cervical plexuses. A report of 2 patients who underwent operative repair of recurrent dislocation of the shoulder under interscalene block is presented. The advantages and disadvantages of the block for surgery around the shoulder region, and the possible complications are discussed.
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The second division of the trigeminal nerve can be easily blocked by the intraoral route. The technique presented involves entering the greater palatine foramen, traversing the pterygopalatine canal with a needle, and depositing the local anesthetic solution into the superior aspect of the pterygopalatine fossa, where the trunk of the second division lies after the nerve exits the foramen rotundum. ⋯ This is followed by a discussion of the possible complications as well as their prevention and remedy should they occur. While this is not a new technique, it as been a forgotten one.