Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2004
Randomized Controlled Trial Comparative Study Clinical Trial[Comparison of 4 techniques for internal saphenous nerve block].
To assess the efficacy of 4 techniques for internal saphenous nerve block with 10 mL of 1.5% mepivacaine. ⋯ The femoral nerve approach in the inguinal region, with nerve stimulator, to block the internal saphenous nerve led to a larger number of successful blocks than did the paravenous or transsartorial approaches, or the technique of subcutaneous infiltration between the tibial tuberosity and internal gastrocnemius muscle.
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Rev Esp Anestesiol Reanim · Nov 2004
Case Reports[Convulsions induced by ropivacaine after brachial plexus block].
Ropivacaine is a local anesthetic frequently used to provide regional blocks because its toxicity threshold is favorable and it is highly selective for sensory nerve fibers. Few reports of adverse events and complications related to use of ropivacaine have been published. We report 2 cases of central nervous system toxicity. Each occurred after a brachial plexus block with 0.75% ropivacaine, one performed by an axillary approach and one by an infraclavicular approach with nerve stimulation.
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Rev Esp Anestesiol Reanim · Nov 2004
Case Reports[Epidural spinal cord stimulation for interstitial cystitis].
Interstitial cystitis, a chronic inflammatory disorder of the bladder wall, is highly painful and incapacitating. Urinary frequency and urgency develop, as well as nocturia, dysuria, perineal pain and reduction of bladder capacity. The condition seems to arise from a variety of factors with multiple and diverse pathogenic mechanisms and is refractory to medical and surgical treatment. Because treatments are ineffective and recent studies have implicated an inflammatory neurogenic mechanism in the pathogenesis of interstitial cystitis, neuromodulation by epidural spinal cord stimulation has been suggested for treating patients in whom other measures have failed. ⋯ Results from this and previous reports allow us to state that retrograde epidural spinal cord stimulation seems to be a relatively non-invasive therapeutic approach for treating interstitial cystitis that is refractory to conventional treatments.
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Rev Esp Anestesiol Reanim · Nov 2004
Letter Case Reports[Severe anaphylaxis associated with rocuronium administration].