Regional anesthesia and pain medicine
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Reg Anesth Pain Med · May 2003
Comparative StudyLipid emulsion infusion rescues dogs from bupivacaine-induced cardiac toxicity.
We previously demonstrated in rats that intravenous infusion of a lipid emulsion increases survival in resuscitation from severe bupivacaine cardiac toxicity. The present studies were undertaken to determine if this method is similarly effective in a non-rodent model using a larger animal. ⋯ We found that infusing a lipid emulsion during resuscitation from bupivacaine-induced cardiac toxicity substantially improved hemodynamics, pmO2, and pHm and increased survival in dogs.
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Reg Anesth Pain Med · May 2003
Case ReportsComplex regional pain syndrome type I after myocardial infarction treated with spinal cord stimulation.
A rare case of Complex Regional Pain Syndrome (CRPS) type I after myocardial infarction (MI) and significant comorbid illness with few treatment options for pain control was successfully managed with the placement of a spinal cord stimulator (SCS). ⋯ CRPS type I after MI can be difficult to treat because of other comorbid illnesses. SCS can be a safe and effective mode of therapy for patients facing limited treatment options.
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Reg Anesth Pain Med · May 2003
A paramedian approach for epidural block: an anatomic and radiologic description.
Certain factors, such as intervertebral disc herniation, previous spinal surgery, and osteoarthritis may cause problems during the midline epidural procedure. The purpose of this study was to investigate the placement of the needle tip in an alternative paramedian approach in a cadaver, and radiographically measure the target interlaminar area at different levels (L3/L4; L4/L5; L5/S1) in different age groups. ⋯ This anatomically-based study confirms needle placement through the interlaminar space using an alternative paramedian approach and may explain the difficulties encountered during placement of an epidural needle with increasing age.