Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Jan 2004
Case ReportsRegional anesthesia in a very low-birth-weight neonate for a neurosurgical procedure.
Peripheral nerve blocks can be successfully utilized in infants for neurosurgical procedures. Our objective was utilizing a series of peripheral nerve blocks for a neurosurgical procedure in a very low-birth-weight neonate. ⋯ We were able to successfully utilize peripheral nerve blocks and were able to blunt physiologic responses to surgical stress without compromising hemodynamic stability using high-dose opioids.
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Reg Anesth Pain Med · Jan 2004
Editorial CommentRestricting spinal block to the operative side: why not?
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Reg Anesth Pain Med · Jan 2004
Comparative Study Clinical TrialThigh rotation and the anterior approach to the sciatic nerve: a magnetic resonance imaging study.
The anterior approach to the sciatic nerve block may be associated with a high failure rate because the nerve lies posterior to the lesser trochanter of the femur at the level of needle insertion. However, previous work using cadavers demonstrated that internal rotation of the leg renders the nerve more accessible to the anterior approach. ⋯ The results confirm that, as the thigh is moved from an externally to an internally rotated position, the sciatic nerve becomes more accessible by the anterior approach at the level of the lesser trochanter, and the risk of femoral artery or nerve puncture is reduced but not eliminated.
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Reg Anesth Pain Med · Jan 2004
Clinical TrialLower lobe collapse during continuous interscalene brachial plexus local anesthesia at home.
We report a case of pulmonary left lower lobe collapse following an interscalene local anesthetic infusion administered at home. This case highlights the need for patient education and postoperative communication. ⋯ Good communication must be maintained with the patient at all times. Doctors from other specialties may be unaware of the potential complications of an interscalene block.