Conclusion We found no indications of sa

Conclusion We found no indications of saphenous nerve injury caused by the adductor-canal-blockade at the egfr antagonist mid-thigh level. However, 84% of the patients had signs of injury to the infrapatellar branch of the saphenous nerve in the operated leg. Such findings are well-known complications to the surgical procedure.
Background The rapid and short-acting local anaesthetic articaine is a feasible Inhibitors,Modulators,Libraries spinal anaesthetic for day-case open inguinal herniorrhaphy (OIH). We hypothesised that similarly to other spinal local anaesthetics, the addition of fentanyl may prolong articaine spinal analgesia without prolonging motor block. Methods We performed a randomised, controlled study in 100 adult patients undergoing OIH.

Spinal anaesthesia was induced by injecting hyperbaric articaine 72?mg with (Group A?+?F) or without (Group A) fentanyl 10 mu g with the patient in lateral decubitus position. The distribution of Inhibitors,Modulators,Libraries sensory block was tested using pinprick and controlled by tilting the operating table 10 up or down. Motor block testing was based on Inhibitors,Modulators,Libraries the patient’s ability to flex knees and ankles. Rescue analgesic was intravenous (i.v.) fentanyl. Pain scores were registered, and i.v. paracetamol 1?g was given as the first post-operative analgesic. Inhibitors,Modulators,Libraries Results There were no differences (A?+?F vs. A) in the maximum median extension of the sensory block (T5 vs. T5), mean duration of sensory block =?T10 (76?min vs. 73?min), or total duration of sensory (146?min vs. 146?min) or motor block (99?min vs. 107?min). Fewer patients in Group A?+?F needed fentanyl (5 vs. 14, P?<?0.

05) perioperatively or paracetamol (3 vs. 18, P?<?0.001) post-operatively. Conclusion Fentanyl 10 mu g added to spinal hyperbaric articaine improved analgesia and reduced analgesic consumption during Inhibitors,Modulators,Libraries and after OIH. Fentanyl did not prolong motor block or delay recovery.
Background Predictors of laterality of motor block during epidural analgesia are currently unknown, as studies so far have yielded conflicting results. We aimed to evaluate predictors of post-operative asymmetric lower extremity motor blockade in a mixed surgical population. Methods This is a retrospective analysis of 578 consecutive patients with post-operative epidural analgesia for a variety of surgical procedures.

A priori determined potential predictors of unilateral motor block were age, gender, body mass index, type of surgical procedure, vertebral level of puncture, catheter insertion selleck chemical depth into the epidural space and concentration of local anaesthetic. Logistic regression analysis was employed for evaluating predictors of laterality. Results Unilateral motor block occurred in 29.2% of the patients. Univariate logistic regression analysis showed that young age, female gender, gynaecologic procedures, a low puncture level, an increased depth of catheter insertion and a high ropivacaine concentration (2?mg/ml vs.

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