Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Case Reports
[Case report: bilateral femoral and sciatic regional anesthesia in a polytraumatized patient].
To present a case requiring regional anesthesia for both lower limbs, and to highlight the considerations to avoid potential local anesthetic toxicity, as a result of high cumulative doses of local anesthetic in this setting. ⋯ Regional anesthetic techniques for the lower limb may require local anesthetic doses approaching toxic levels, especially when bilateral blocks are required. This case indicates that by considering the pharmacokinetic and pharmacodynamic characteristics of each agent, and by timing the blocks properly to minimize peak plasma concentrations, the potential for local anesthetic toxicity can be reduced.
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Editorial Comment
Post-thoracotomy shoulder pain and gabapentin: a tale of two enigmas.