Anesthesia and analgesia
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Anesthesia and analgesia · Jul 2006
The feasibility and complications of the continuous popliteal nerve block: a 1001-case survey.
Perineural catheters are increasingly used worldwide for the treatment of postoperative pain in orthopedics. Long-term complications associated with the placement of a perineural catheter remain largely unstudied. We investigated the efficacy and the acute and late complications associated with the continuous popliteal nerve block. ⋯ These included two cases of inflammation at the puncture site. No infection or neuropathy was observed. The use of continuous popliteal nerve block for ankle or foot surgery is associated with frequent success and few acute and late complications.
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Anesthesia and analgesia · Jul 2006
Dexmedetomidine for pediatric sedation for computed tomography imaging studies.
Dexmedetomidine is a sedative with limited experience in the pediatric population. This is the first study that prospectively evaluates the sedation profile of a dexmedetomidine pilot program for pediatric sedation for radiological imaging studies. In March 2005, our hospital sedation committee approved the replacement of IV pentobarbital with dexmedetomidine as the standard of care for CT imaging. ⋯ No significant changes were observed in respiratory rate or end-tidal CO2. Mean recovery time was 32 +/- 18 minutes. Based on our pilot results, dexmedetomidine may provide a reliable and effective method of providing sedation.
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Anesthesia and analgesia · Jul 2006
Case ReportsShort duration large dose dexmedetomidine in a pediatric patient during procedural sedation.
We describe an infusion of dexmedetomidine at 1.0 microg.kg(-1).min(-1) for 10 min (total dose, 144 microg) sedation in a 3-yr-old child weighing 14 kg. The large dose of dexmedetomidine produced a hemodynamically stable patient who was deeply sedated for approximately 4 h after discontinuing the infusion.
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Anesthesia and analgesia · Jul 2006
Comment Letter Case ReportsA useful modification of the Bier's block.