Regional anesthesia and pain medicine
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Reg Anesth Pain Med · May 2000
Case ReportsCalciphylaxis treated with neurolytic lumbar sympathetic block: case report and review of the literature.
Calciphylaxis is a painful complication of end-stage renal disease and secondary hyperparathyroidism. Calcification most commonly affects skin and soft tissue of the lower extremities resulting in excruciatingly painful skin ulcers. Treatment involves correction of hypercalcemia and hyperphosphatemia, parathyroidectomy, and supportive measures. ⋯ The neurolytic LSB provided pain relief and is a treatment modality to be considered in managing the pain associated with calciphylaxis.
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Reg Anesth Pain Med · May 2000
Comment Letter Comparative StudyTime and incidence of paresthesia comparing spinocath with microintralong.
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Reg Anesth Pain Med · May 2000
Comment Letter Clinical TrialTreatment of pain from vertebral compression fractures caused by osteoporosis.
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Reg Anesth Pain Med · May 2000
Randomized Controlled Trial Clinical Trial Controlled Clinical TrialEffect of epidural epinephrine infusion with bupivacaine on labor pain and mother-fetus outcome in humans.
Epinephrine is used with local anesthetics to prolong the duration of epidural analgesia and decrease the peak plasma concentrations of local anesthetics. In the practice of obstetric anesthesia, the utero-placental and fetal effects of epinephrine are controversial issues. We designed a prospective, randomized, and double-blind study to examine the effects of epinephrine infusion on the quality of analgesia and uterine or umbilical blood flows with Doppler ultrasound, as well as the duration of the first or the second stage of labor, and fetal outcome. ⋯ A low-dose epidural infusion of epinephrine decreased anesthetic requirements.