Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Mar 2003
Randomized Controlled Trial Clinical TrialLidocaine priming reduces tourniquet pain during intravenous regional anesthesia: A preliminary study.
Tourniquet pain often limits the use of intravenous regional anesthesia (IVRA). Intravenous (IV) lidocaine has been shown to be effective in the management of acute and neuropathic pains. We tested the hypothesis that a priming IV injection of lidocaine might have an analgesic effect on tourniquet pain during IVRA. ⋯ Priming IV lidocaine when compared with isotonic saline is effective in reducing tourniquet pain in IVRA.
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Cervical epidural block is useful in the management of a variety of acute, chronic, and cancer-related pain syndromes involving the head, face, neck, and upper extremities. Knowledge of the depth from the skin to the cervical epidural space (DSES) may be helpful when performing cervical epidural block and may reduce the possibility of complications. We studied DSES in adults and its relationship with patient age, height, weight, and neck circumference. ⋯ DSES varies with cervical intervertebral space. DSES increases as one moves caudally. The greatest DSES was noted at C7-T1 in men, and the least was at C5-6 in women. DSES had a significant relationship with weight, neck circumference, and body mass index in both genders.
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Reg Anesth Pain Med · Mar 2003
Clinical TrialIntervertebral epidural anesthesia in 2,050 infants and children using the drip and tube method.
Pediatric epidural anesthesia has increased in popularity in the last 2 decades, but its success rate and the frequency of complications has not been fully elucidated. We therefore reviewed our experience with 2,050 cases of epidural anesthesia in infants and children. ⋯ Intervertebral epidural anesthesia using the "drip and tube" method is safe and practical in infants and children.