Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Nov 2003
Influence of lumbar flexion on the position of the intercrestal line.
This study was performed to ascertain whether the position of the intercrestal line changes as a result of flexion of the lumbar spine. ⋯ When compared with the neutral position, the position of the intercrestal line usually does not change with full flexion of the lumbar spine, and even in cases in which change occurs, it does not move beyond the next level.
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Reg Anesth Pain Med · Nov 2003
Case ReportsPleural effusion and chest pain after continuous interscalene brachial plexus block.
We describe a unique case of a patient who experienced atelectasis of the lower lobe of the left lung and pleural effusion manifested by chest pain after continuous interscalene brachial plexus block for postoperative analgesia. ⋯ If chest pain presents after interscalene brachial plexus block, early postoperative chest x-ray is recommended to rule out pneumothorax, atelectasis, and/or pleural effusion secondary to ipsilateral phrenic block.
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Reg Anesth Pain Med · Nov 2003
Case ReportsEpidural hematoma after thoracic epidural catheter removal in the absence of risk factors.
The purpose of this report is to enhance awareness that an epidural hematoma can occur even in patients devoid of risk factors. ⋯ Catheter removal is a critical period for epidural hematoma formation even if no risk factors are identified. Early recognition and treatment are essential features for good neurologic recovery after an epidural hematoma.
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Reg Anesth Pain Med · Nov 2003
Case ReportsRetroperitoneal abscess after neurolytic celiac plexus block from the anterior approach.
The anterior approach for celiac plexus block has the potential risks of infection, hemorrhage, and fistula formation. We report a case of a patient who developed a retroperitoneal abscess with the formation of a vascular-enteric fistula after a neurolytic celiac plexus block from the anterior approach. ⋯ The posterior approach for neurolytic celiac plexus block should be considered in particular in patients with previous pancreatic surgery.