ScienceDirect Publication: Regional Anesthesia and Pain Medicine
ScienceDirect RSS

The transurethral resection syndrome ? Not yet a finished story
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 115-118
Robert G., Hahn
Does spinal anesthesia affect cerebral oxygenation during transurethral prost...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 119-125
Mohamed M., Atallah , Andreas, Hoeft , Mohamed A., El-Ghorouri , Golinar E., Hammouda , Mostafa MA, Saied
Background and Objectives. Transurethral resection of the prostate (TURP) is associated with the unique complication of transurethral resection of prostate syndrome (TURS), which is attributed to the absorption of irrigating fluid. This study was initiated to investigate the effects of spinal anesthesia and TURP on cerebral oxygen balance. Methods. Thirty patients scheduled for TURP were included. Jugular bulb oxygen saturation (SjbO2) was measured via retrograde cannulation of jugular venous bulb. Spinal anesthesia was initiated by 3 mL hyperbaric 0.5% bupivacaine injected at L3?L4 in the sitting position, producing a block to the T10 dermatome. Hemodynamic measurements and arterial and jugular...
The Labat lecture 1997 from pauchet to today the French connection
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 126-133
Gale E., Thompson
Effects of diluent volume of a single dose of epidural bupivacaine in parturi...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 134-141
Frank, Christiaens , Christian, Verborgh , Ann, Dierick , Frédéric, Camu
Background and Objectives. 0.1% bupivacaine for obstetric epidural analgesia is given by infusion, using a loading dose of a higher concentration alone or in combination with opioid analgesics. A single dose of 0.1% without any additive for relief of first-stage labor pain has not yet been documented. Methods. Fifty-eight Primiparae in active labor and with less than 5 cm cervical dilatation received 20 mg epidural bupivacaine diluted in 4 mL [group 1: 0.5% (I)], 10 mL [group 2: 0.2% (II)], or 20 mL [group 3: 0.1% (III)]. Pain relief, dermatomal spread, and motor block were assessed. Results. Visual analog pain...
Postoperative analgesia following total knee arthroplastyA study comparing sp...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 142-146
J.G., Allen , N.M., Denny , N., Oakman
Background and Objectives. The quality of analgesia and subsequent morphine requirements following spinal anesthetic block (SAB) or combined sciatic and femoral (3-in-1) block (SFB) for total knee arthroplasty were compared. Methods. The 39 patients studied were randomly assigned to receive either SAB (n = 19) or SFB (n = 20). All patients received a standardized general anesthetic, patient-controlled analgesia, and regular diclofenac. Visual analog pain scores and morphine requirements were recorded for 48 hours following surgery. Observations were grouped into four 12-hour periods. Pain scores (0?10 cm) were expressed as 95% confidence intervals; the criterion for analgesic success was a...
Pain evaluation in the intensive care unitObserver-reported faces scale compa...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 147-151
Takekazu, Terai , Hidekazu, Yukioka , Akira, Asada
Background and Objectives. The visual analog scale (VAS) is a simple and sensitive mean of pain assessment. The faces scale is also a simple, self-reporting method for children. Facial signs of pain have not been used to assess pain in postoperative adult patients in the intensive care unit (ICU). Methods. Fifty patients undergoing esophageal cancer surgery by a thoracoabdominal procedure were studied. Epidural opioids, such as morphine or buprenorphine, combined with bupivacaine were administered during and after surgery. Pain measurement was performed by a physician in the ICU using the self-reported VAS 0.5, 1, 2, 4, and 6 hours after...
Intrafascicular injection of ammonium sulfate and bupivacaine in peripheral n...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 152-158
M., Catherine Hertl , Patricia K., Hagberg , Daniel A., Hunter , Susan E., Mackinnon , Jacob C., Langer
Background and Objectives. Regional nerve blocks are often used for the treatment of postoperative pain in children. Ammonium sulfate is a non-narcotic anesthetic agent, which has been reported to provide pain relief lasting days to weeks, with few reported side effects in adult studies. Prior to considering clinical use in children, the neurotoxicity of ammonium sulfate in 4-day and 3-week old rats was assessed and compared with that of bupivacaine. Methods. Each rat received a posterior tibial nerve intrafascicular injection (0.01 mL in 4-day-old and 0.02 mL in 3-week-old rats) using either 10% ammonium sulfate (n = 24 per age...
The recovery profile of hyperbaric spinal anesthesia with lidocaine, tetracai...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 159-163
Kere, Frey , Stephen, Holman , Marianne, Mikat-Stevens , John, Vazquez , Lee, White , ...
Background and Objectives. Surgical procedures previously considered too lengthy for the ambulatory surgery setting are now being performed during spinal anesthesia. The complete recovery profile of tetracaine and bupivacaine are now of interest but are not available in the literature. This study was conducted to compare times to ambulation, voiding, and complete block resolution, as well as the incidence of back and radicular pain, after spinal anesthesia with lidocaine, bupivacaine, and tetracaine. Methods. Twelve adult volunteers underwent spinal anesthesia on three separate occasions with three local anesthetics (lidocaine 100 mg, bupivacaine 15 mg, and tetracaine 15 mg in hyperbaric solutions)...
A comparative study of low-dose hyperbaric spinal lidocaine 0.5% versus 5% fo...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 164-169
Vincent W.S., Chan , John, Garcia , Adnan, Al-Kaisy , Kenneth, Drasner
Background and Objectives. Concerns of cauda equina syndrome have discouraged clinicians to use 5% lidocaine for continuous spinal anesthesia. Earlier reports indicated that single-shot spinal lidocaine 0.5% is effective for minor gynecologic and perianal surgery. In the present study, we evaluate the anesthetic and hemodynamic effects of low dose hyperbaric 0.5% lidocaine for continuous spinal anesthesia and compare with those of the 5% lidocaine solution in patients undergoing urologic surgery. Methods. Spinal anesthesia was induced via an indwelling subarachnoid catheter in 42 elderly male patients (range, 57?84 years) undergoing transurethral prostate and bladder procedures. Patients were randomly assigned to receive...
Spinal anesthesia with tetracaine in 0.75% glucose: Influence of the vertebra...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 170-175
Shinichi, Sakura , Mariko, Sumi , Noriko, Morimoto , Yuji, Yamamori , Yoji, Saito
Background and Objectives. The anesthetic behavior and hemodynamic consequences of spinal anesthesia with marginally hyperbaric tetracaine containing a low concentration of glucose injected at two different interspaces were examined and compared with those of conventionally hyperbaric solution. Methods. One-hundred twenty ASA Physical Status I or II patients scheduled for elective surgery to the lower limb were sequentially assigned to one of three equal groups to receive spinal anesthesia: Group 1 received 0.5% tetracaine in 0.75% glucose with 0.125% phenylephrine at the L2?L3 interspace; group 2 0.5% tetracaine in 0.75% glucose with 0.125% phenylephrine at the L3-L4 interspace; group 3 0.5%...
Alkalinizing water-soluble local anesthetic solutions by addition of cyclodex...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 176-181
Michio, Miyoshi , Toshiaki, Imoto , Yasutake, Hiji
Background and objectives. The use of sodium bicarbonate for alkalinization of local anesthetics to improve their efficacy has some disadvantages including decreased stability of the solutions. The present study was performed to evaluate usefulness of cyclodextrins (CDs) in improving the solubility and stability of local anesthetic solutions at near physiologic pH without precipitation. Methods. Solubility of local anesthetics with or without CDs in physiologic saline was investigated by monitoring cloudiness or precipitate formation visually and by recording absorbance at 620 nm. Interaction of anesthetic and CD was also studied spectrophotometrically using spectral change of the drugs associated with the inclusion...
Addition of bupivacaine to sufentanil in patient-controlled epidural analgesi...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 182-188
Marcel P., Vercauteren , Lieve, Van Den Bergh , Sri L., Kartawiadi , Koen, Van Boxem , Vincent L.H., Hoffmann
Background and Objectives. The usefulness of adding bupivacaine to an opioid administered by the epidural route is controversial. This study examines both the quality of pain relief and side effects, in particular urinary retention, during patient-controlled epidural analgesia (PCEA) with sufentanil alone or in combination with two different concentrations of bupivacaine. Methods. In a double-blind randomized study, 60 healthy young adults undergoing open knee or ankle surgery with combined spinalepidural anesthesia received postoperative analgesia via PCEA with sufentanil alone or with 0.06% or 0.12% bupivacaine. In addition to pain scores at rest and during mobilization, bladder function was evaluated. Strict...
High-dose ropivacaine wound infiltration for pain relief after inguinal herni...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 189-196
Nils, Pettersson , B-M, Emanuelsson , Håkan, Reventlid , Robert G., Hahn
Background and Objectives. Early data on ropivacaine, a recently introduced local anesthetic, indicate a longer duration of skin analgesia than with bupivacaine, along with lower toxicity. The objective of this study was to evaluate ropivacaine 7.5 mg/mL for wound infiltration pain relief after hemia surgery, in higher doses than used before, in an open, nonrandomized design. Methods. Twenty otherwise healthy men underwent elective unilateral open hernia repair by the same surgeon. General anesthesia was used during surgery, and infiltration of the operating field with 300 mg (n = 10) or 375 mg (n = 10) ropivacaine, 7.5 mg/mL, was employed...
The peripheral analgesic effect of meperidine in reducing propofol injection ...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 197-200
Wei-Wu, Pang , Martin S., Mok , Shyuan, Huang , Yung-Tai, Chung , Min-Ho, Hwang
Background and Objectives. Meperidine is frequently used in general anesthesia and perioperative analgesia. In addition to its opioid action, meperidine possesses some local anesthetic properties. A preliminary study using the tourniquet venous retention technique found meperidine to be more effective in reducing propofol injection pain than fentanyl or morphine, both of which were slightly better than placebo. This study was undertaken to evaluate whether this peripheral analgesic effect of meperidine is affected by naloxone. Methods. In a randomized, double-blind manner, after venous occlusion with a tourniquet, meperidine 40 mg was given intravenously to patients in group A (n = 31),...
Combined spinal and epidural analgesia in a parturient with severe myasthenia...
8 Jul 2010 at 1:01pm
Publication year: 1998
Source: Regional Anesthesia and Pain Medicine, Volume 23, Issue 2, March-April 1998, Pages 201-203
Robert, D?Angelo , J.C., Gerancher
Background and Objectives. A 27-year-old woman with a history of myasthenia gravis presented for vaginal delivery. Methods. A combined spinal epidural was initiated with 7.5 ?g intrathecal sufentanil at the time of first request for analgesia followed by 140 mg epidural lidocaine prior to spontaneous vaginal delivery. Results. The patient had a pain-free spontaneous vaginal delivery uncomplicated by muscle weakness. Conclusion. Combined spinal and epidural anesthesia using intrathecal opioids initially provides labor analgesia with minimal muscle weakness in the parturient with myasthenia gravis.

Presented by MedRat®

MedRat BioArchives MedRat News Home e-Journals Home MedRat Feedback Download e-Journals Links Disclaimer / Copyrights