Articles: nerve-block.
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Case Reports
Cardiac arrhythmias in acute central nervous system disease. Successful management with stellate ganglion block.
Cardiac rhythm disturbances and ECG wave-form abnormalities have been described with CNS disease or injury in experimental animals and in man. Unilateral sympathetic stimulation has been shown to produce similar changes in ventricular repolarization and reduce the fibrillation threshold. A patient with a ruptured congenital aneurysm of the basilar artery developed an accelerating ventricular tachycardia associated with an episode of active intracranial bleeding. ⋯ By 15 minutes, the rhythm disturbance was abolished. The repolarization abnormalities improved over a period of hours. Successful management with left stellate ganglion block suggests that this form of therapy may have clinical application in arrhythmias associated with CNS disease.
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Randomized Controlled Trial Comparative Study Clinical Trial
[Axillary plexus block with long-acting local anaesthetics (a comparative study of etidocaine and bupivacaine) (author's transl)].
Brachial and axillary plexus blockade was carried out on volunteers using a mixture of etidocaine 1% with adrenaline, and bupivacine 0,5% with adrenaline. Both drugs are long-acting local anaesthetics. ⋯ With the latter motor blockade seems to be more strongly influenced and significantly outlasts sensory sympathetic nerve block. The results and findings of other authors are discussed, and whether the different behaviour of the 2 long acting local anaesthetics in this context implies a different affinity of the drugs to the different types of nerves.