Regional anesthesia and pain medicine
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Reg Anesth Pain Med · May 2000
Clinical TrialPlasma lidocaine, monoethylglycinexylidide, and glycinexylidide concentrations after epidural administration in geriatric patients.
The purpose of this study was to evaluate the effect of age on the pharmacokinetics of lidocaine after epidural administration. ⋯ The increase in plasma lidocaine concentration after epidural anesthesia in elderly patients was not as high as anticipated. However, the elderly patients showed longer MRTs, lower clearance, and lower ratios of MEGX/lidocaine than did the adult (middle-age) patients.
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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
Clinical Trial Biography Historical ArticleGeorg Perthes--the man behind the technique of nerve-tracer technology.