Articles: nerve-block.
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Anesthesia and analgesia · May 2004
Case ReportsTransient vascular insufficiency after axillary brachial plexus block in a child.
Axillary block is used in children for procedures on the hand and forearm. We report on a child with an amputation of the thumb in whom an axillary block was given, after which the limb became pale and pulseless. The pulses returned spontaneously in 15 min. The awareness of this possibility and chances of spontaneous recovery should be considered. ⋯ Transient vascular insufficiency of the upper limb may happen as a rare complication after axillary block. Knowledge of this complication can help the anesthesiologist in the management of this problem.
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Rev Esp Anestesiol Reanim · May 2004
Clinical Trial[Parascalene block for shoulder arthroscopic surgery].
To evaluate the effectiveness of a parascalene block of the brachial plexus as the single form of anesthesia for arthroscopic surgery on the shoulder and for postoperative analgesia. ⋯ The parascalene technique to provide a brachial plexus block is effective for arthroscopic shoulder surgery.
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The anesthetic of a patient who presented for vascular access under axillary block is described. After physical examination and ultrasound study, the patient was found to have a bifid axillary artery. Because of neurologic anomalies associated with this vascular variation, an interscalene block was chosen for the procedure. The clinical implications of a bifid axillary artery when an axillary block is contemplated are discussed.
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Knee Surg Sports Traumatol Arthrosc · May 2004
Randomized Controlled Trial Clinical TrialBTB ACL reconstruction: femoral nerve block has no advantage over intraarticular local anaesthetic infiltration.
Fifty patients were randomly recruited to receive either femoral nerve block (0.375% Bupivacaine) or an intraarticular local anaesthetic injection for pain control for arthroscopically-assisted ACL reconstruction. Both groups were evenly matched for age ( t-test p >0.05). Tourniquet time did not differ significantly between the groups ( t-test p=0.24). ⋯ All patients but one were discharged home on the first postoperative morning. Our study demonstrates that pain levels can be sufficiently controlled by intraarticular infiltration of bupivacaine coupled with oral analgesia. The level of pain relief achieved could allow this procedure to be performed in a day surgery setting.
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Acta Anaesthesiol Scand · May 2004
Randomized Controlled Trial Comparative Study Clinical TrialHigh-dose bupivacaine, levobupivacaine and ropivacaine in axillary brachial plexus block.
Racemic bupivacaine is clinically similar to levobupivacaine, or ropivacaine. The drugs were compared in brachial plexus block for the first time in the same randomized and double-blind study. ⋯ Ropivacaine-HCl 5 mg ml(-1) produced slightly better sensory and motor block intensity than the same dose of levobupivacaine-HCl. General success in relation to surgery and in the duration of the blocks was similar in the three groups.