Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Mar 2003
Case ReportsHypothermia and excessive sweating following intrathecal morphine in a parturient undergoing cesarean delivery.
Intrathecal morphine has been used for the relief of postoperative pain following cesarean delivery. We report a case of postoperative hypothermia down to 33.6 degrees C associated with excessive sweating in patient undergoing elective cesarean delivery under spinal bupivacaine anesthesia who received intrathecal morphine for postoperative pain management. ⋯ Intrathecal morphine may cause disruption of thermoregulation resulting in hypothermia associated with excessive sweating.
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Reg Anesth Pain Med · Mar 2003
Lateral branch blocks as a treatment for sacroiliac joint pain: A pilot study.
Pain arising from the sacroiliac (SI) joint is a common cause of low back pain for which there is no universally accepted, long-term treatment. Previous studies have shown radiofrequency (RF) procedures to be an effective treatment for other types of spinal pain. The purpose of this study was to determine the efficacy of reducing SI joint pain by percutaneous RF lesioning of the nerves innervating the SI joint. ⋯ In patients with SI joint pain who respond to L4-5 dorsal rami and S1-3 LBB, RF denervation of these nerves appears to be an effective treatment. Randomized, controlled trials are needed to further evaluate this procedure.