Articles: nerve-block.
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J Pain Palliat Care Pharmacother · Jan 2005
Comparative Study Clinical TrialNeurolytic celiac plexus block: a better alternative to opioid treatment in upper abdominal malignancies: an Indian experience.
The majority of patients with advanced upper abdominal malignancies suffer from moderate to severe pain due to unavailability of morphine in developing world. This study was undertaken to evaluate the role of neurolytic celiac plexus block on pain and quality of life in this patient subpopulation. One hundred consecutive patients receiving opioids for their pain relief were divided in two groups. ⋯ Patients in oral morphine group had more side effects (94% vs. 58%) as compared to NCPB (P = 0.000). NCPB is an effective tool to reduce opioid requirement and the drug-related adverse effects. It is a rewarding technique, especially when morphine availability and its easy accessibility to the deserving patient is poor.
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Review Comparative Study Historical Article
[Thoracic paravertebral blockade--history or present time?].
This article discusses thoracic paravertebral blockade (TPVB)--a popular in early XX-th century method of local anaesthesia used also for diagnosis and treatment--being revitalized lately. Authors present modem indications for TPVB comparing it to other methods of regional anaesthesia.
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Reg Anesth Pain Med · Jan 2005
Case ReportsUnintentional neuromuscular blocking agent injection during an axillary brachial plexus nerve block.
We describe the consequences of an unintentional injection of atracurium instead of ropivacaine during an axillary brachial plexus nerve block. ⋯ Unintentional injection of atracurium mixed with ropivacaine during axillary brachial plexus block leads to complete body paralysis that requires general anesthesia and mechanical ventilation. Recovery was complete without any neurological sequela. An analysis of the chain of events that led to the error suggests some recommendations to improve our daily practice.
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Urologia internationalis · Jan 2005
Randomized Controlled Trial Comparative StudyLumbar plexus blockade with ropivacaine for postoperative pain management in elderly patients undergoing urologic surgeries.
We evaluated the effectiveness and safety of lumbar plexus blockade with ropivacaine for postoperative pain relief in elderly patients undergoing flank incision for urological surgery. ⋯ In elderly patients, lumbar plexus blockade with ropivacaine can be a simple, safe and effective analgesic technique especially in the early postoperative period after urologic surgeries with flank incision.