Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Mar 2002
Randomized Controlled Trial Comparative Study Clinical TrialComparison of racemic bupivacaine, ropivacaine, and levo-bupivacaine for pediatric caudal anesthesia: effects on postoperative analgesia and motor block.
To compare ropivacaine, levo-bupivacaine, and racemic bupivacaine for caudal blockade in children. ⋯ All 3 investigated local anesthetics were found to be clinically comparable despite the slight reduction of early postoperative motor block associated with the use of ropivacaine.
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Reg Anesth Pain Med · Mar 2002
Case ReportsPatient-controlled epidural analgesia for labor and delivery in a parturient with chronic inflammatory demyelinating polyneuropathy.
The anesthetic management of labor and delivery in patients with any form of chronic inflammatory demyelinating polyneuropathy (CIDP) is not well defined. Using patient-controlled epidural analgesia (PCEA), or epidural analgesia, in such a rare clinical situation has not been previously reported. ⋯ PCEA had no apparent detrimental affect on the patient's disease and may be a reasonable option for patients with CIDP presenting for labor and delivery.
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Reg Anesth Pain Med · Mar 2002
A survey of acute pain services in Germany and a discussion of international survey data.
Acute pain services (APS) have been introduced worldwide to improve postoperative pain management. However, data are lacking on organization and quality of these services in Germany. ⋯ As 50% of German APS do not comply with QC, we believe structured policies, as well as quality assurance measures, should be emphasized in the future. A comparison to international survey data showed that APS, in general, often do not consider QC.
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Reg Anesth Pain Med · Mar 2002
Use of a charged lidocaine derivative, tonicaine, for prolonged infiltration anesthesia.
We tested the hypothesis that the duration of cutaneous anesthesia elicited by the permanently charged compound N-phenylethyl lidocaine (tonicaine) would be longer than that elicited by its parent structure, lidocaine, and that it would be less affected by epinephrine (epi), after subcutaneous injection in rats, as a model for infiltration anesthesia. ⋯ Tonicaine is a substantially longer lasting local anesthetic with a delayed onset of action compared with lidocaine and may be useful in situations where long duration of infiltration block is desirable.
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Reg Anesth Pain Med · Mar 2002
Case ReportsForaminal injection of a painful sacral nerve root using an epidural catheter: case report.
Nerve root pain has been treated with steroid injections since the 1970s. We will describe a novel method for nerve root injection using a directed epidural catheter. ⋯ This is a novel approach to treatment of painful nerve roots with a catheter.