Regional anesthesia
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Regional anesthesia · Jan 1993
Extensive application of epidural anesthesia and analgesia in a university hospital: incidence of complications related to technique.
The authors report the role of epidural anesthesia and analgesia (EAA) and the incidence of epidural puncture-related complications in a university hospital in Japan. ⋯ The incidence of EAA-related complications was greater with lumbar than with thoracic puncture. Four patients had transient neuropathy related to epidural puncture, but no serious neurologic complications occurred.
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Regional anesthesia · Jan 1993
Comment Letter Biography Historical ArticleGaston Labat and the American Board of Anesthesiology.
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Regional anesthesia · Jan 1993
Randomized Controlled Trial Comparative Study Clinical TrialReevaluation of the sciatic nerve block.
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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.