Nerve Block

Publication Title: 
British Journal of Sports Medicine

BACKGROUND: A variety of therapeutic interventions is available for restoring motion and diminishing pain in patients with frozen shoulder. An overview article concerning the evidence for the effectiveness of these interventions is lacking. OBJECTIVE: To provide an evidence-based overview regarding the effectiveness of conservative and surgical interventions to treat the frozen shoulder. METHODS: The Cochrane Library, PubMed, Embase, Cinahl and Pedro were searched for relevant systematic reviews and randomised clinical trials (RCTs).

Author(s): 
Favejee, M. M.
Huisstede, B. M. A.
Koes, B. W.
Publication Title: 
The Journal of Thoracic and Cardiovascular Surgery

Postoperative pain is an important factor in the management of children undergoing thoracotomy. Intercostal nerve block has been used in adult patients, but its applicability in the pediatric age group has not been previously evaluated. Eighty-nine children (85 girls and 31 boys) aged 6 months to 16 years (mean age 4.7 years) underwent ligation of a patent ductus arteriosus (PDA) through a left thoracotomy. Twenty-nine children received intercostal blocks with bupivacaine from the level of the second to sixth thoracic vertebrae. Sixty cases constituted the control group.

Author(s): 
Fleming, W. H.
Sarafian, L. B.
Publication Title: 
The Journal of Thoracic and Cardiovascular Surgery

Postoperative pain is an important factor in the management of children undergoing thoracotomy. Intercostal nerve block has been used in adult patients, but its applicability in the pediatric age group has not been previously evaluated. Eighty-nine children (85 girls and 31 boys) aged 6 months to 16 years (mean age 4.7 years) underwent ligation of a patent ductus arteriosus (PDA) through a left thoracotomy. Twenty-nine children received intercostal blocks with bupivacaine from the level of the second to sixth thoracic vertebrae. Sixty cases constituted the control group.

Author(s): 
Fleming, W. H.
Sarafian, L. B.
Publication Title: 
Texas Dental Journal

Cervicogenic headache has historically been misdiagnosed, ultimately leading to misguided therapies. Even with the growing body of literature in the field of headache, this particular entity is still vastly understudied. Efforts should be made to encourage appropriate clinical studies in order to provide evidence based therapeutic modalities for this patient population. The dental professional is provided with the unique opportunity to see these patients on a regular basis without the time constraints now shouldered by our physician colleagues.

Author(s): 
Bender, Steven D.
Publication Title: 
Minerva Anestesiologica

Regional - mostly spinal and epidural - anaesthesia associated with pharmacological hypnosis in approximately fifty general surgery and orthopaedic patients is described. The advantage of this type of management is that patients are sedated during the operation and in the post-operative period, coupled, in the latter situation, with a good antalgic effect.

Author(s): 
Mellano, C.
Cattaneo, P.
Publication Title: 
Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, Und Verwandte Gebiete

In the treatment of hyperhidrosis stabilization of psychovegetative functions is certainly desirable. However, autogenic exercise, hypnosis, psychotherapy as well as the administration of sedatives and tranquilizers serve only as adjuvant therapeutic measures. Systemic antihidrotics, like sage or camphor, proved ineffective; anticholinergics pose the risk of side effects. For topical therapy aldehydes, organic acids, and especially metallic salts are favorable. Tanning agents are of limited effect.

Author(s): 
Hölze, E.
Publication Title: 
Anesthesia and Analgesia

We studied 94 healthy ASA physical status I or II children to determine the end-expired concentration of halothane associated with eye opening on emergence from anesthesia, and to determine if parenteral opioid therapy or regional analgesia significantly altered this concentration. In our study, anesthesia was maintained with halothane in an air-oxygen mixture. After the surgical procedure was completed, the inspired concentration of halothane was adjusted to zero and the end-expired concentrations were permitted to decrease spontaneously.

Author(s): 
Watcha, M. F.
Lagueruela, R. G.
White, P. F.
Publication Title: 
Der Anaesthesist

One of the most important mandates of the anaesthesiologist is to control the depth of anaesthesia. An unsolved problem is that a straight definition of the depth of anaesthesia does not exist. Concerning this it is rational to separate hypnosis from analgesia, from muscle relaxation and from block of cardiovascular reactions. Clinical surrogate parameters such as blood pressure and heart rate are not well-suited for a valid statement about the depth of hypnosis. To answer this question the brain has become the focus of interest as the target of anaesthesia.

Author(s): 
Schmidt, G. N.
Müller, J.
Bischoff, P.
Publication Title: 
Revista Brasileira De Anestesiologia

BACKGROUND AND OBJECTIVES: Ultrasound-guided transrectal prostate biopsy is a reference in the diagnosis of prostate neoplasias. The higher the number of samples, the greater is the pain and discomfort. The objective of this study was to compare three anesthetic techniques in this group of patients. METHODS: Forty-five patients were included in this study. Patients were divided into three groups: 1 - Propofol; 2 - Propofol + Prostatic Plexus Block; 3 - Propofol + Fentanyl.

Author(s): 
Barbosa, Ricardo Antônio Guimarães
da Silva, Camerine Domingues
Torniziello, Mary Yumi Takei
Cerri, Luciana Mendes de Olivera
Carmona, Maria José Carvalho
Malbouisson, Luiz Marcelo Sá
Publication Title: 
American Family Physician

Regional analgesia has become the most common method of pain relief used during labor in the United States. Epidural and spinal analgesia are two types of regional analgesia. With epidural analgesia, an indwelling catheter is directed into the epidural space, and the patient receives a continuous infusion or multiple injections of local anesthetic. Spinal injections are usually single injections into the intrathecal space. A combination of epidural and spinal analgesia, known as a walking epidural, also is available.

Author(s): 
Schrock, Steven D.
Harraway-Smith, Carolyn

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