Articles: nerve-block.
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Acta Anaesthesiol Scand · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialComparison of epidural, continuous femoral block and intraarticular analgesia after anterior cruciate ligament reconstruction.
The purpose of this study was to compare three locoregional techniques of pain management after arthroscopic anterior cruciate ligament reconstruction (ACLR). ⋯ We conclude that either epidural or continuous femoral nerve block provide adequate pain relief in patients who undergo ACLR, whereas intraarticular analgesia seems unable to cope satisfactorily with the analgesic requirements of this surgical procedure.
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Reg Anesth Pain Med · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialFemoral block provides superior analgesia compared with intra-articular ropivacaine after anterior cruciate ligament reconstruction.
Arthroscopic anterior cruciate ligament (ACL) reconstruction of the knee is a painful procedure requiring intensive postoperative pain management. This prospective study investigates analgesic quality after a femoral block as compared with intra-articular injection of local anesthetic. ⋯ Compared with intra-articular injection of local anesthetic, femoral nerve block (FNB) provides better analgesia and allows a significant morphine-sparing effect after ACL repair.
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Reg Anesth Pain Med · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialUsefulness of pre-emptive peribulbar block in pediatric vitreoretinal surgery: a prospective study.
Vitreoretinal (VR) surgery with or without scleral buckling is associated with significant postoperative pain and emesis in adults, and recent studies have addressed the effect of retro or peribulbar block on these parameters. VR surgery in children has received little attention regarding the incidence of pain and emesis, and the role of regional anesthesia in modifying these parameters. In this study, we compared peribulbar block with conventional opioid analgesia in children undergoing VR surgery. ⋯ Peribulbar block appears to be a safe and clinically superior alternative to intravenous opioid for pediatric VR surgery.
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Evidence-based practice guidelines for interventional techniques in the management of chronic spinal pain are systematically developed and professionally derived statements and recommendations that assist both physicians and patients in making decisions about appropriate health care in the diagnosis and treatment of chronic or persistent pain. The guidelines were developed utilizing an evidence-based approach to increase patient access to treatment, to improve outcomes and appropriateness of care, and to optimize cost-effectiveness. All types of relevant and published evidence and consensus were utilized. ⋯ It is expected that a provider will establish a plan of care on a case-by-case basis, taking into account an individual patient's medical condition, personal needs, and preferences, and the physician's experience. Based on an individual patient's needs, treatment different from that outlined here could be warranted. These guidelines do not represent "standard of care."