Download PDF by H. Renck, A. Johansson, P. Aspelin, H. Jacobsen (auth.),: Current Concepts in Regional Anaesthesia: Proceedings of the

By H. Renck, A. Johansson, P. Aspelin, H. Jacobsen (auth.), Jack W. Van Kleef Md, Anton G. L. Burm Msc, Johan Spierdijk Md (eds.)

ISBN-10: 9400960158

ISBN-13: 9789400960152

ISBN-10: 9400960174

ISBN-13: 9789400960176

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Additional info for Current Concepts in Regional Anaesthesia: Proceedings of the second general meeting of the European Society of Regional Anaesthesia

Sample text

L = Ii ver. Ns and arrows = points of needles. Rand arrows = alcohol-iothalamate - local anesthetic drug solution. 5 cm from the spinous process of the lumbar vertebra directly medial to the lower edge of the twelfth rib (Figures 6-8) [3] • Even this distance may be too great in a patient with a large tumor because a needle has passed through the kidney when these distances were not exceeded (Figure 10) [3]. When the needle is to be placed caudad to the diaphragm, CT is mandatory to be sure that the needle has traversed the diaphragm and lies below it (Figure 7A, 8B).

N = needle's bevel. R = spread of radiopaque solution in prevertebral space anterior to (below) diaphragm. 52 Figure 8. CT of a combined approach in a patient whose previous block using classic approach gave only partial relief. A. Needle on left cephalad to (above) diaphragm. B. Needle on right caudad to (below) diaphragm. C. Spread of solution following injection of 30 ml of 50% alcohol containing meglumine iothalamate through needle on left and 50 ml through needle on right. L-1 = 1st lumbar vertebra.

21:417 Hartel FC. 1916. Die Lokalanasthesie. Enke, Stuttgart Heimburger RF, Freeman LW, Wilde NJ. 1948. Sacral nerve innervation of the human bladder. Neurosurgery 5:154 Killian H. 1973. Lokalanasthesie und Lokalanasthetika. G. Thieme, Stuttgart Labat GS. 1928. Regional Anesthesia. Saunders, Philadelphia Mandel F. 1947. Paravertebral block. Grune & Stratton, New York Meirowski AM. 1969. The management of chronic interstitial cystitis by differential sacral neurotomy. Neurosurg. 30: 604 Moulder MK, Meirowski AM.

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Current Concepts in Regional Anaesthesia: Proceedings of the second general meeting of the European Society of Regional Anaesthesia by H. Renck, A. Johansson, P. Aspelin, H. Jacobsen (auth.), Jack W. Van Kleef Md, Anton G. L. Burm Msc, Johan Spierdijk Md (eds.)


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