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
Randomized Controlled Trial Comparative Study Clinical TrialReevaluation of the sciatic nerve block.
Sciatic nerve blocks are perceived as unreliable, technically demanding, and uncomfortable. With strict criteria to define success rates, we designed a study to examine the efficacy of two techniques of sciatic nerve block. ⋯ Patient acceptance was excellent.
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Regional anesthesia · Jan 1993
Randomized Controlled Trial Comparative Study Clinical TrialThoracic epidural bupivacaine plus sufentanil: high concentration/low volume versus low concentration/high volume.
To compare the postoperative analgesic and side effects of a continuous epidural infusion of bupivacaine with sufentanil: high concentration/low volume versus low concentration/high volume. ⋯ With the thoracic epidural administration of bupivacaine and sufentanil for postoperative analgesia, the total dose is more important than the concentration or the volume of the solution.
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Regional anesthesia · Jan 1993
Randomized Controlled Trial Clinical TrialThe effect of cardiac output on intraoperative blood loss during total hip arthroplasty.
It is not clear whether cardiac output affects intraoperative blood loss under epidural hypotensive anesthesia. ⋯ Cardiac output is not a factor influencing blood loss during hypotensive epidural anesthesia in elderly patients undergoing primary total hip arthroplasty.
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Regional anesthesia · Jan 1993
Randomized Controlled Trial Comparative Study Clinical TrialInteradductor approach to obturator nerve blockade for spastic conditions of adductor thigh muscles.
The authors describe a new approach for the management of adductor muscle spasm associated with multiple sclerosis and paraplegia. ⋯ The interadductor approach is a new approach based on the anatomy of the obturator nerve trunk, which, though in the obturator canal, is shielded by its osseous part from the anteroposterior perspective of the traditional approach. The interadductor approach allows needle positioning inside the obturator canal through a mediolateral perspective, thus facilitating the blockade of the obturator nerve trunk before it branches immediately outside the canal. The new approach proved to be successful, reproducible and without complications.