Regional anesthesia
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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.
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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.
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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
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.