Articles: nerve-block.
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The Journal of urology · Oct 1979
Continuous intercostal nerve block for pain relief after lumbar incision.
To relieve postoperative pain along a lumbar incision in 9 patients the intercostal nerves were blocked with catheters for continuous epidural anesthesia. The catheters were inserted near the intercostal nerves, above and beneath the incision, just before the wound was closed and 0.25% bupivacaine hydrochloride solution was infused periodically through the catheters. ⋯ None of the patients had any complications. The technique is simple and can produce an analgesic effect repeatedly without causing pain for the patient.
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A simple safe technique of providing rapid, effective analgesia in children with femoral shaft fractures is described. It is particularly useful in patients who have associated head or abdominal injuries in the presence of which opiates should be withheld. The technique is recommended to all practitioners involved in the early care of femoral shaft fractures.