Regional anesthesia
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Regional anesthesia · Jul 1993
Randomized Controlled Trial Clinical TrialEffects of intraarticular morphine on analgesic requirements after anterior cruciate ligament repair.
Intraarticular morphine has been shown to provide postoperative pain relief after knee arthroscopy. The analgesia results from local action within the knee joint. This study was conducted to assess the efficacy of intraarticular morphine as a treatment for postoperative pain after anterior cruciate ligament repair. ⋯ Intraarticular morphine reduces analgesic requirements after anterior cruciate ligament repair and is an effective method of providing postoperative analgesia.
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Regional anesthesia · Jul 1993
Randomized Controlled Trial Clinical TrialLack of peripheral analgesic effect of low-dose morphine during intravenous regional anesthesia.
To determine whether 1 mg morphine injected intravenously in conjunction with prilocaine has any effect on postoperative pain and analgesic requirement during intravenous regional anesthesia. ⋯ The authors conclude that 1 mg morphine showed no effect on postoperative pain or analgesic requirements when given in conjunction with prilocaine during intravenous regional anesthesia.
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Regional anesthesia · Jul 1993
Case ReportsSupraventricular tachycardia in a parturient under spinal anesthesia.
A 30-year-old woman with a history of palpitations was admitted for a repeat cesarean delivery at 41 weeks' gestation. Spinal anesthesia was administered. ⋯ Phenylephrine may be used successfully for the treatment of SVT that results in hypotension under spinal anesthesia, and it may have advantages over ephedrine.
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Regional anesthesia · Jul 1993
Case Reports Comparative StudyRectus block for postoperative pain relief.
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Regional anesthesia · Jul 1993
Randomized Controlled Trial Clinical TrialPulmonary function changes during interscalene brachial plexus block: effects of decreasing local anesthetic injection volume.
During interscalene block, ipsilateral hemidiaphragmatic paresis occurred in all patients who received > 34 ml of local anesthetic in the authors' previous studies. This study was done to determine whether diaphragmatic function could be spared by a smaller local anesthetic volume. ⋯ Reducing the volume of local anesthetic to 20 ml did not prevent the 100% incidence of diaphragmatic paresis or significantly lessen the compromise in pulmonary function that had been reported to occur during interscalene brachial plexus anesthesia.