Articles: nerve-block.
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Randomized Controlled Trial Comparative Study Clinical Trial
Sciatic nerve blockade improves early postoperative analgesia after open repair of calcaneus fractures.
To determine the effectiveness of analgesia, with or without sciatic nerve blockade, after open repair of calcaneus fracture. ⋯ Sciatic nerve blockade confers significant benefit over morphine alone for analgesia after open repair of calcaneus fractures. Postsurgical sciatic nerve blockade provides the longest possible postoperative block duration.
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Randomized Controlled Trial Clinical Trial
Influence of sensory and proprioceptive impairment on the development of phantom limb syndrome during regional anesthesia.
The relation between impairment of sensorimotor function and occurrence of phantom limb syndrome (PLS) during regional anesthesia has not been described. This study assessed the temporal relation between PLS and the progression of sensorimotor impairment during placement of a brachial plexus nerve block. ⋯ This study provides a better understanding of the determinants of PLS by showing that the final position of PLS is related both to the abolition of proprioception and the initial position of the anesthetized limb.
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Journal of endourology · Apr 2004
ReviewChronic prostatitis/chronic pelvic pain syndrome: is there a role for local drug infiltration therapy?
The clinical syndrome of chronic prostatitis ranges from well-defined chronic bacterial infections to poorly defined chronic pelvic pain syndrome (CPPS), previously referred to as "prostatodynia" or "abacterial prostatitis." Faced with the obscure nature of the disease, its protracted course, and the poor response to oral medication, urologists have considered alternative routes of drug administration. We review the indications and outcomes of local drug infiltration (intraprostatic antibiotic and zinc, intrasphincteric botulinum toxin A, pudendal nerve blocks) and discuss their potential use and benefit in the treatment of chronic prostatitis syndromes.
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J Neurosurg Anesthesiol · Apr 2004
Plasma ropivacaine levels following scalp block for awake craniotomy.
The plasma levels of ropivacaine HCl with 5 mcg/mL epinephrine were measured in 10 patients following scalp blockade for awake craniotomy. A mean dose of 260 mg (3.6 mg/kg) resulted in peak plasma concentrations of 1.5 +/- 0.6 mcg/mL, with a median time to peak plasma concentration of 15 minutes. ⋯ Despite this rapid rise of plasma level, no signs of cardiovascular or central nervous system toxicity were observed. In this group of patients undergoing awake craniotomy for excision of lesions in the eloquent areas of the cerebral cortex, ropivacaine HCl with epinephrine appeared to be a safe and effective local anesthetic agent in the dosages used.