Articles: nerve-block.
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We propose a new technique of regional anesthesia that combines suprascapular nerve block (SSNB) and axillary nerve block (ANB) in arthroscopic shoulder surgery. ⋯ Combining SSNB and ANB is an effective and safe technique for intraoperative anesthesia and postoperative analgesia for certain procedures of shoulder arthroscopic surgery.
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Acta clinica Croatica · Jun 2008
Comparative StudySuperficial versus combined (deep and superficial) cervical plexus block for carotid endarterectomy.
It is not clear if any technique of regional anesthesia for carotid endarterectomy has an advantage over another. Therefore, we analyzed analgesic efficacy side effects and complication rate in patients undergoing carotid surgery either under combined (deep and superficial) or superficial cervical block alone. Data on 324 patients that received either combined (n = 107) or superficial (n = 216) cervical block were prospectively analyzed. ⋯ Accordingly combined block provided a slightly better analgesia during the surgery which was probably clinically irrelevant. There was no difference in postoperative analgesia and hemodynamic stability. So far, this is the largest prospective study in which superficial cervical block was found to be as efficacious as combined block which is associated with a considerably higher risk of complications.
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Local or regional anaesthesia has long been recognised as a useful anaesthetic option for thyroidectomy. A few authors have reported the successful use of local infiltration anaesthesia for thyroidectomy in our environment. The technique is said to be particularly suitable for simple giant goitres. ⋯ Surgery, which lasted 2 hours 45 minutes, was uneventful. The patient was allowed oral fluid intake within 2 hours postoperatively. Superficial cervical plexus block is simple, safe, effective and cheap for thyroidectomy for Simple Giant Goitre.
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Tech Hand Up Extrem Surg · Jun 2008
Groin flap immobilization by axillary brachial plexus block anesthesia.
Pedicled groin flaps are still widely used as soft tissue coverage in hand surgery. Various methods have been described for immobilization of flaps, such as Ace wraps, plaster, and external fixators. The hands of 5 females and 12 males, totaling 17 patients, with severe injury were reconstructed with groin flaps between 2001 and 2005. ⋯ A combination of axillary brachial plexus block plus general anesthesia had advantages in the prevention of pedicle tension or torsion during the initial recovery period. Reduction of general anesthesia time and improvement of postoperative pain were also observed. Axillary brachial plexus block and general anesthesia are a preferred combination for patients undergoing groin flap operations.