Annales françaises d'anesthèsie et de rèanimation
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We report a case of idiopathic brachial nevralgia of the right shoulder in a 30-year-old female, after caesarean section, under spinal anaesthesia. Two days after surgery, intense cervical pain appeared on the second day, associated with rapid collapse of muscular shoulder belt. Full recovery occurred in four months.
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Ann Fr Anesth Reanim · Nov 2002
Meta Analysis[Use of ropivacaine for peridural postoperative analgesia].
To describe pharmacology and toxicology of ropivacaine. To assess the clinical efficacy of ropivacaine when used for postoperative epidural analgesia and to provide recommendations for clinical practice. ⋯ Epidural ropivacaine combined with opioid provide good postoperative pain relief. Reduction in the incidence of motor blockade and safe toxicological profile make this local anaesthetic a suitable alternative of bupivacaine for postoperative epidural analgesia.
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Ann Fr Anesth Reanim · Nov 2002
Randomized Controlled Trial Clinical Trial[Bilateral ilioinguinal nerve block for ambulatory varicocele surgery].
The aim of this study was to evaluate the effectiveness of bilateral ilioinguinal-iliohypogastric nerve blocks for pain relief following ambulatory bilateral varicocelectomy. ⋯ Ilioinguinal nerve block is effective in controlling pain after bilateral varicocelectomy in ambulatory surgery.
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Ann Fr Anesth Reanim · Nov 2002
Comparative Study[Training for adult subclavian venous catheterization: use of real-time echography].
To assess the training in adult subclavian venous catheterization of an inexperienced operator, with two different procedures: ultrasound guidance vs anatomic landmark technique. ⋯ Ultrasound guidance makes the training in adult subclavian venous catheterization easier, and allows inexperimented operator to be rapidly efficient. The use of ultrasound would decrease the incidence of complications by a real time visualization of anatomical structures, and by a more external approach of the vein than in the Aubaniac's technique.
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We report a case of pupilloplasty under peribulbar anaesthesia complicated by a brainstem anaesthesia requiring tracheal intubation and mechanical ventilation. Immediate outcome was good. ⋯ The use of short needles should theoretically decrease the risk. Despite all these precautions, peribulbar anaesthesia should not be considered as an ordinary procedure.