Cahiers d'anesthésiologie
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Cahiers d'anesthésiologie · Jan 1993
[Trans-sacral caudal anesthesia in ambulatory practice in infants. Our experience].
Sacral epidural block (S2 S3 intervertebral space, P. Busoni's method) is as safe and easy as caudal block. 11 children ASA 1 undergoing ambulatory surgery are studied (inguinal herniorrhaphy, undescended testis). Bupivacaine 0.25%, 0.5 ml.kg-1 is unsatisfactory, but anaesthesia is excellent with 0.8 ml.kg-1.
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Cahiers d'anesthésiologie · Jan 1993
[Loco-regional anesthesia and orthopedic surgery of the shoulder].
Interscalene block can induce by itself anesthesia for shoulder surgery, if the opening does not reach the delto-pectoral site nor the shoulder-blade, but medical indications must be thoroughly talked over on account of the risk of phrenic paralysis with patients suffering from breezing trouble, and the surgical position that may disturb the anesthesiologist in case he has to increase anesthesia. A superficial cervical plexus block is required in anesthesia of the upper part of the shoulder. ⋯ Today we prefer set interscalene block before the patient is anaesthetized, searching for paresthesias with a thin needle: this process does not take long to install, it is relatively painless and provides excellent analgesia during the per and post-surgical period, until the next day with long acting local anesthetics. Not any complication happened in fifty patients for one year.
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Cahiers d'anesthésiologie · Jan 1993
Biography Historical Article[In memoriam. Jean-Marie Picard (1925-1992)].