Articles: nerve-block.
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Curr Opin Anaesthesiol · Jun 2008
ReviewEpidemiology and morbidity of regional anaesthesia in children.
To evaluate which techniques of regional anaesthesia are made in 2008 and to appreciate and check their safety. ⋯ Regional anaesthesia is very much used in the child and develops very quickly. The peripheral accesses represent the majority of the regional techniques used. Continuous injection, after central or peripheral accesses, also progresses. There are complications in podiatry after regional anaesthesias. In most cases, they are not serious permanent problems, but they are probably underestimated. Modern approaches of treatment for the nervous structures (neurostimulators and echographs) are available and are used more often in order to increase the effectiveness. Careful use of the neurostimulator and ultrasonography may probably improve the safety in paediatric regional anaesthesia in the years to come.
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Randomized Controlled Trial
Femoral nerve blockade administered preclinically for pain relief in severe knee trauma is more feasible and effective than intravenous metamizole: a randomized controlled trial.
Before clinical treatment and during transportation, the analgesic therapy offered to patients with painful knee trauma may be quite insufficient. We hypothesize that a femoral nerve blockade for analgesia can be administered in a preclinical setting at the injury site and provides better pain relief than intravenous metamizole, whose analgesic effect is comparable with that of opioids. ⋯ Patients with painful knee trauma benefited from femoral nerve blockade administered before hospitalization. The treatment can be administered safely in the preclinical setting and provides effective analgesia.
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Randomized Controlled Trial Comparative Study
Radial plus musculocutaneous nerve stimulation for axillary block is inferior to triple nerve stimulation with 2% mepivacaine.
To compare the extent of sensory and motor block with two different nerve stimulation techniques in axillary blocks. ⋯ Radial plus musculocutaneous nerve stimulation showed lower efficacy of axillary block than did triple nerve stimulation when using 2% mepivacaine.
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Anesthesia and analgesia · Jun 2008
Randomized Controlled TrialClonidine and analgesic duration after popliteal fossa nerve blockade: randomized, double-blind, placebo-controlled study.
We tested the hypothesis that 100 microg clonidine added to 0.375% bupivacaine would prolong the duration of analgesia from popliteal fossa nerve blockade. ⋯ Clonidine significantly prolongs the analgesic duration after popliteal fossa nerve blockade with bupivacaine.
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Randomized Controlled Trial
Multimodal analgesia without parenteral narcotics for total knee arthroplasty.
Use of parenteral narcotics after total knee arthroplasty is considered by most orthopedic surgeons to be the standard of care. This study tested the hypothesis that a multimodal oral pain medication protocol could control pain and minimize complications of parenteral narcotics. ⋯ The average daily pain score was less than 4 out of 10, nausea occurred in 15 patients (21%), emesis in 1 patient (1.4%), and there were no severe complications. This study proved the hypothesis that pain after total knee arthroplasty could be effectively managed without routine use of parenteral opioids.