Regional anesthesia
-
Regional anesthesia · Jan 1993
Case ReportsContralateral spread of local anesthetic with stellate ganglion block.
BACKGROUND AND OBJECTIVES. Stellate ganglion block is a technically simple procedure but is liable to many complications because of the adjacent structures. We report a contralateral and bilateral Horner's syndrome with stellate ganglion block in the same patient on different occasions. We also report a bilateral recurrent laryngeal nerve block with this procedure.
-
Regional anesthesia · Jan 1993
Case Reports Randomized Controlled Trial Clinical TrialPostdural puncture headache after continuous spinal anesthesia with 18-gauge and 20-gauge needles.
To evaluate the incidence of postdural puncture headache (PDPH) associated with continuous spinal anesthesia, 200 male patients (mean age 65 years) were randomly assigned to receive spinal anesthesia in one of three ways: group 1, 50 patients with an 18-gauge Tuohy-Schliff needle/20-gauge catheter combination; group 2, 50 patients with a newly developed 20-gauge Quincke point needle/24-gauge catheter combination; and group 3, 100 patients (control group, single injection spinal anesthesia) with a 22-gauge Quincke point needle. ⋯ The incidence of PDPH associated with continuous spinal anesthesia is acceptable in appropriate clinical circumstances, but large initial doses of local anesthetic should not be administered.
-
Regional anesthesia · Jan 1993
Comparative Study Clinical TrialPatient acceptance of interscalene block for shoulder surgery.
Regional anesthesia can be applied to shoulder surgery with an expected high success rate. To determine the level of patient satisfaction with regional anesthesia, we studied a group of patients who had undergone shoulder surgery more than once, with general anesthesia on one occasion and regional on another. ⋯ Interscalene brachial plexus block is well accepted by patients for reconstructive shoulder surgery.
-
Regional anesthesia · Jan 1993
Comment Letter Biography Historical ArticleGaston Labat and the American Board of Anesthesiology.