Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Mar 2000
Case ReportsRepeated subarachnoid catheter displacement as a complication of spinal infusion using an internal infusion pump.
To present and analyze the case of a woman receiving chronic spinal opioid therapy using an implanted infusion pump who experienced repeated displacement of the subarachnoid catheter despite the use of standard techniques for anchoring the catheter. The solution devised to avoid the problem is described. ⋯ The application of fibrin glue (Tissucol; Immuno AG, Vienna, Austria) may be considered as an adjuvant for the fixation of subarachnoid catheters used for intraspinal infusions.
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Reg Anesth Pain Med · Mar 2000
Case ReportsRevision of a spinal column stimulator lead without lead replacement.
The objective of this case report is to describe a technique for percutaneous spinal column stimulator (SCS) revision without lead replacement. ⋯ SCS leads can be revised without placement of a new lead.
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Reg Anesth Pain Med · Mar 2000
Comparative StudyLack of secondary hyperalgesia and central sensitization in an acute sheep model.
We aimed to determine the following in an experimental acute pain model in sheep: (1) whether multimodal analgesia with intravenous fentanyl and ketorolac was more effective than fentanyl alone; (2) whether secondary hyperalgesia (central sensitization) occurred in adjacent (foreleg) dermatomes after thoracic surgery; (3) whether ketorolac used preemptively influenced the development of secondary hyperalgesia after surgery. ⋯ The results obtained in this acute pain model found no significant evidence of a fentanyl-ketorolac interaction, of central sensitization as shown by secondary hyperalgesia, or of a preemptive analgesic effect.
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Reg Anesth Pain Med · Mar 2000
Comparative StudyMicroscopic analysis of three different spinal needle tips after experimental subarachnoid puncture.
Previous studies have shown the vulnerability of the tips of cutting type thin spinal needles and the possibility of foreign material passing into the subarachnoid space during the lumbar puncture. We made a microscopic analysis to compare two commonly used noncutting pencil-point spinal needles with different tip designs. Needles with a cutting tip design were included as reference. ⋯ Tissue coring seems to be a common phenomenon during lumbar puncture. The most prominent attachments appeared with a cutting Quincke-type spinal needle.