Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Jan 2003
Case ReportsSuperior sagittal sinus thrombosis in a patient with postdural puncture headache.
The occurrence of concomitant intracranial pathology in a patient with postdural puncture headache (PDPH) is rare. We present a patient who had a superior sagittal sinus thrombosis in addition to his PDPH. The signs and symptoms of intracranial pathology in patients with dural puncture headache, in addition to their postural headache, are discussed. ⋯ Patients with PDPH have classic postural headache. The occurrence of additional signs and symptoms should alert the clinician to the presence of intracranial pathology. Patients with lymphoblastic lymphoma who had treatment with L-asparaginase and steroid are predisposed to the development of cortical venous thrombosis and may have this syndrome in addition to a dural puncture headache.
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Reg Anesth Pain Med · Jan 2003
Case ReportsSplanchnic neurolysis using carbon dioxide as the contrast agent.
Iodinated contrast agents are usually used to verify correct spread of injectate during splanchnic neurolysis. We performed a splanchnic neurolysis by using carbon dioxide as the contrast agent in a patient who was allergic to iodinated contrast agents. ⋯ Carbon dioxide was useful as the contrast agent to perform splanchnic neurolysis.
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Reg Anesth Pain Med · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialFemoral block provides superior analgesia compared with intra-articular ropivacaine after anterior cruciate ligament reconstruction.
Arthroscopic anterior cruciate ligament (ACL) reconstruction of the knee is a painful procedure requiring intensive postoperative pain management. This prospective study investigates analgesic quality after a femoral block as compared with intra-articular injection of local anesthetic. ⋯ Compared with intra-articular injection of local anesthetic, femoral nerve block (FNB) provides better analgesia and allows a significant morphine-sparing effect after ACL repair.
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Reg Anesth Pain Med · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialUsefulness of pre-emptive peribulbar block in pediatric vitreoretinal surgery: a prospective study.
Vitreoretinal (VR) surgery with or without scleral buckling is associated with significant postoperative pain and emesis in adults, and recent studies have addressed the effect of retro or peribulbar block on these parameters. VR surgery in children has received little attention regarding the incidence of pain and emesis, and the role of regional anesthesia in modifying these parameters. In this study, we compared peribulbar block with conventional opioid analgesia in children undergoing VR surgery. ⋯ Peribulbar block appears to be a safe and clinically superior alternative to intravenous opioid for pediatric VR surgery.