Regional anesthesia
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Regional anesthesia · Mar 1993
Randomized Controlled Trial Clinical TrialProlonged placement of spinal catheters does not prevent postdural puncture headache.
To determine whether leaving an intrathecal catheter in place in the postoperative period prevents postdural puncture headache (PDPH). ⋯ Leaving the intrathecal catheter in place in the postoperative period for 12 to 24 hours does not prevent PDPH.
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Regional anesthesia · Mar 1993
Randomized Controlled Trial Clinical TrialThe effect of continuous interscalene brachial plexus block with 0.125% bupivacaine plus fentanyl on diaphragmatic motility and ventilatory function.
Continuous interscalene brachial plexus block with 0.25% bupivacaine decreases diaphragmatic motility and ventilatory function. The author studied the effects of 0.125% bupivacaine with and without fentanyl. ⋯ Use of 0.125% bupivacaine for continuous interscalene block did not prevent a deterioration of diaphragmatic motility and ventilatory function. Co-infusion of fentanyl did not significantly potentiate the block.
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Regional anesthesia · Mar 1993
Complications during spinal anesthesia for cesarean delivery: a clinical report of one year's experience.
To evaluate the incidence and causes of complications associated with spinal anesthesia for cesarean delivery. ⋯ Spinal anesthesia proved to be a safe, reliable, and rapid method of anesthesia for cesarean delivery, but, in view of a high incidence of minor complications, careful patient monitoring during spinal anesthesia is necessary to make the outcome optimal for mother and fetus.
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Regional anesthesia · Mar 1993
Are anesthesia residency programs failing regional anesthesia? The past, present, and future.
A survey of anesthesia training programs in 1980 reported the use of a regional anesthetic technique in 21.3% of cases. Since that time, numerous changes have occurred in anesthesia residency programs. This survey was conducted to assess the impact these changes have had on the use and teaching of regional anesthetic techniques in residency training programs. ⋯ Some training programs continue to fail to provide adequate regional anesthesia exposure to train residents fully in these techniques, despite the overall increased use of regional anesthesia.
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Regional anesthesia · Mar 1993
Randomized Controlled Trial Comparative Study Clinical TrialThe characteristics of analgesic requirements following subarachnoid diamorphine in patients undergoing total hip replacement.
The postoperative pain scores and analgesic requirements were assessed in 60 patients who had undergone total hip replacement under bupivacaine spinal anesthesia. ⋯ Pain control after intrathecal diamorphine supplemented by intravenous morphine from a patient controlled analgesia system is superior to intravenous morphine alone.