Articles: nerve-block.
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Paediatric anaesthesia · Jan 1997
Comparative Study Clinical Trial Controlled Clinical TrialPlasma bupivacaine levels after fascia iliaca compartment block with and without adrenaline.
Twenty children undergoing unilateral surgery on the thigh received a fascia iliaca compartment block using 2 mg.kg-1 of bupivacaine with (Group A) or without (Group P) adrenaline 1/200,000. Venous blood samples were taken as 5, 10, 15, 20, 25, 30, 40, 50 and 60 min after injection and assayed for concentrations of bupivacaine. In all subjects an adequate block was produced. ⋯ The median time to first analgesia was 9.75 h (range 3-15 h) in Group P and 10.5 h (range 2.5-21 h) in Group A. The study confirmed the efficacy of the fascia iliaca compartment block in children and showed that when performed with 2 mg.kg-1 of bupivacaine it is associated with plasma concentrations of bupivacaine well within acceptable limits. The addition of adrenaline 1/200,000 to the local anaesthetic solution reduces the maximum plasma concentration reached.
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Review Randomized Controlled Trial Comparative Study Clinical Trial
Circumcision anesthesia: a study of nursing implications for dorsal penile nerve block.
To compare responses to circumcision between a group of unanesthetized newborn males and a group having dorsal penile nerve block (DPNB). ⋯ The unanesthetized subjects displayed stress reactions that have implications for nursing care.