Articles: nerve-block.
-
Rev Esp Anestesiol Reanim · Feb 2004
Randomized Controlled Trial Comparative Study Clinical Trial[Sciatic nerve block with 1% mepivacaine for foot surgery: posterior versus lateral approach to the popliteal fossa].
To compare the efficacy and feasibility of the sciatic nerve block performed using either a posterior or a lateral approach to the popliteal fossa, taking into consideration patient comfort during puncture and postoperative analgesia. ⋯ The lateral approach to the block of the sciatic nerve in the popliteal fossa provides analgesia comparable to that obtained with the posterior approach, with a faster onset and longer postoperative duration.
-
Ilio-inguinal nerve block is commonly used in children to provide analgesia after surgery in the groin. Several case reports and clinical studies have described leg weakness after this technique and suggest that it may caused by inadvertent femoral nerve block. No prospective studies describing the incidence of this complication have been published. ⋯ Leg weakness consistent with a femoral nerve block occurs after ilio-inguinal nerve block in approximately one in nine children.
-
Handchir Mikrochir Plast Chir · Feb 2004
[Clinical experiences and dosage pattern in subcutaneous single-injection digital block technique].
100 patients with injuries to their fingers were treated using the subcutaneous digital block as described by Low et al.. Different dosages ranging from 2 to 3 millilitres of a local anesthetic were required to obtain appropriate anesthesia according to the location of injury. 108 finger injuries were treated, 18 thumb injuries, 90 finger injuries. The anesthetic was administered using a 0.55 x 25 mm needle and injected strictly subcutaneously into the flexor crease at the base of the finger or thumb. ⋯ Additionally, we performed a deep local nerve block (Oberst), if the patient still felt discomfort or pain. The severity or type of injury did not play a role according to our findings. The subcutaneous finger block as described by Low et al., therefore, is the method of choice treating injuries to the fingers and to the palmar aspect of the thumb, since it offers a decrease in the amount of anesthetic required and increases patient comfort.
-
To study the efficacy and complications of a parascalene block over a period of 10 years of experience. ⋯ The parascalene block is a simple, safe, and effective technique. The probability of serious complications is lower than with most known supraclavicular techniques, mainly because the puncture is perpendicular to the horizontal plane. A neurostimulator or aponeurotic click technique is used and the nerve trunks can be found between 1,5 and 2 cm deep when the plexus is located in reference to the transverse processes.