Regional anesthesia
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Regional anesthesia · May 1997
Case ReportsAnesthesia for cesarean delivery in a patient with Ehlers-Danlos syndrome type II.
Ehlers-Danlos syndrome, an inherited connective tissue disease, is rarely seen in pregnancy. Presentation may be mild or severe, depending on which type of the syndrome the patient possesses. ⋯ In patients with Ehlers-Danlos syndrome, it is important to be aware of which type is present and to be knowledgeable about and prepared for any potential complications.
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Regional anesthesia · May 1997
Case ReportsThermal grill illusion and complex regional pain syndrome type I (reflex sympathetic dystrophy).
In normal humans, placing a hand on a thermal grill containing warm elements separated by cool ones produces a burning sensation. In this case report, responses to a thermal grill in a patient with neuropathic pain were examined. ⋯ The thermal grill may be a useful a tool to help understand the pathophysiology of complex regional pain syndrome type I.
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The clinical utility of a new parasacral approach for conduction block of the sciatic nerve was investigated, with critical examination of onset, extent, and success rates when this block was used for surgical procedures below the knee. ⋯ The parasacral approach to the sciatic nerve exhibits a high success rate, resulting in anesthesia of the entire sacral plexus and generally in motor block of the obturator nerve was an interesting observation.
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Regional anesthesia · May 1997
Biography Historical ArticleEmery A. Rovenstine and regional anesthesia.
Emery Andrew Rovenstine was a dominant figure in anesthesiology in the United States between 1935 and 1960. Among his many contributions to the specialty, his regional anesthesia practice remains less well known. This paper explores Rovenstine's career and his contributions to regional anesthesia. ⋯ Emery A. Rovenstine did much to popularize regional anesthesia and ensure a rightful place for its techniques within the armamentarium of the anesthesiologist. Keeping alive the traditions of Gaston Labat at Bellevue, Rovenstine's contributions to regional anesthesia on all levels were considerable. Most importantly, he ensured an enduring role for regional anesthesia through the recurring contributions of his pupils.
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Regional anesthesia · May 1997
Case ReportsPhantom pain with probable reflex sympathetic dystrophy: efficacy of fentanyl infiltration of the stellate ganglion.
The stellate ganglion can alleviate phantom pain of the upper extremity, possibly because of the presence in it of enkephalin receptors, as has been suggested by experimental and clinical reports. A case is reported in which fentanyl, instead of local anesthetic, was used for stellate ganglion block. ⋯ Fentanyl infiltration of the stellate ganglion proved to be successful in the management of the pain and temperature sensation changes in the stump and phantom upper extremity.