Articles: nerve-block.
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Use of single-dose and continuous interscalene brachial plexus block (ISB) are gaining widespread popularity. When compared with general anesthesia, ISB has been reported to provide superior postoperative analgesia with fewer side effects, and it is associated with greater patient satisfaction. Anatomical landmarks are readily identifiable, which contributes to the ease of performing this block. In the future, we anticipate increased use of continuous interscalene catheters or injection of biodegradable local anesthetic impregnated microspheres to provide prolonged perioperative outpatient analgesia.
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Reg Anesth Pain Med · Nov 2002
Assessment of lower extremity nerve block: reprise of the Four P's acronym.
Successful performance of lower-extremity regional anesthesia includes sensory and/or motor block assessment of up to 4 major peripheral nerves. This brief report describes a methodology for the rapid evaluation of lower-extremity anesthesia before surgical incision. ⋯ Accurate assessment of lower-extremity regional anesthesia can be achieved rapidly using The Four Ps evaluation tool.
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Ann Fr Anesth Reanim · Nov 2002
Randomized Controlled Trial Clinical Trial[Bilateral ilioinguinal nerve block for ambulatory varicocele surgery].
The aim of this study was to evaluate the effectiveness of bilateral ilioinguinal-iliohypogastric nerve blocks for pain relief following ambulatory bilateral varicocelectomy. ⋯ Ilioinguinal nerve block is effective in controlling pain after bilateral varicocelectomy in ambulatory surgery.
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Peripheral nerve blocks are associated with minimal haemodynamic disturbance. It is perhaps ideal for high-risk surgical patients who cannot tolerate the adverse consequences of even the slightest attenuation of haemodynamic response. ⋯ In this report, a 56-year-old man with severe sepsis and recent myocardial infarction presents for an urgent above knee amputation. We present the practical benefits of a combined sciatic-femoral nerve block on such a patient.
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Letter Clinical Trial Controlled Clinical Trial
Sciatic nerve block and the improvement of femoral nerve block analgesia after total knee replacement.