Regional anesthesia
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Regional anesthesia · Jul 1996
Clinical TrialExtended unilateral anesthesia. New technique or paravertebral anesthesia?
The authors previously reported a case in which injection of local anesthetic posterior to the endothoracic fascia at the T11 vertebral level gave rise to extended analgesia in thoracic and lumbar dermatomes. They now report a study in which this type of anesthesia was used in patients undergoing herniorrhaphy. ⋯ Injection of local anesthetic posterior to the endothoracic fascia resulted in extended unilateral anesthesia that was adequate for herniorrhaphy in 9 of the 15 patients (60%) studied.
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Regional anesthesia · Jul 1996
Case ReportsEpidural hematoma after epidural anesthesia in a patient with peripheral vascular disease. Case report.
Epidural hematoma is a severe, uncommon complication associated with epidural anesthesia in patients with peripheral vascular disease who require anticoagulant therapy. ⋯ This case highlights the need for careful individual preoperative analysis and postoperative observation to make anesthetic practice safe in patients receiving perioperative anticoagulant therapy.
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Regional anesthesia · Jul 1996
Case ReportsUnexpected neurologic deficit following spinal anesthesia.
A case of unexpected neurologic deficit of the left lower extremity following a successful spinal block is reported. ⋯ Neurologic deficit following spinal or epidural block should be investigated completely and appropriate consultations sought. Psychiatric disorder may be a rare cause of neurologic deficit after successful regional anesthesia and should be made part of a complete workup.
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Regional anesthesia · Jul 1996
Editorial Comment Comparative StudyIs an ounce of preoperative local anesthetic better than a pound of postoperative analgesic?