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Can meta-analysis rescue knowledge from a sea of unintelligible data? 元分析能从海量难以理解的数据中拯救知识吗?
Regional anesthesia
Pub Date : 1996-11-01
S E Abram, M Hopwood
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引用次数: 0
Complications of pediatric regional anesthesia. 小儿区域麻醉的并发症。
Regional anesthesia
Pub Date : 1996-11-01
L M Broadman
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引用次数: 0
Lidocaine-clonidine retrobulbar block for cataract surgery in the elderly. 利多卡因-可乐定在老年白内障手术中的应用。
Regional anesthesia
Pub Date : 1996-11-01
K Mjahed, N el Harrar, M Hamdani, M Amraoui, M Benaguida

Background and objectives: Clonidine, an alpha-2-adrenoreceptor agonist, has been shown to decrease intraocular pressure (IOP) and to have some analgesic and sedative effects when it is used in premedication for ophthalmic surgery. This study was designed to investigate the efficacy of lidocaine-clonidine retrobulbar block for cataract surgery with respect to its effect on IOP, analgesic action, and sedative effects.

Methods: Sixty elderly patients (ASA status I and II) were allocated randomly to receive in a prospective double-blind manner retrobulbar block for cataract surgery. Group I (n = 30) received 3-4 mL of 2% lidocaine with 1 mL saline, while group 2 (n = 30), received 3-4 mL of 2% lidocaine with clonidine 2 micrograms/kg.

Results: A large decrease in intraocular pressure from 13.5 +/- 4.6 to 7.7 +/- 3.7 mm Hg (P < .01) and a small but significant reduction of both systolic and diastolic blood pressure were observed 20 minutes alter the retrobulbar block in patients receiving clonidine, while no changes occurred in the control group. The median duration of analgesia and akinesia was greater in the lidocaine-clonidine group (241 +/- 88 minutes and 80 +/- 20 minutes, respectively) as compared with the lidocaine group (128 +/- 24 minutes and 70 +/- 20 minutes, respectively) (P < .01, P < .05). Sedation scores were greater in group 2 from the 10-minute point (P < .01).

Conclusions: Addition of clonidine to lidocaine for retrobulbar block causes a decrease in intraocular pressure, a sedative effect, and an increased duration of analgesia and akinesia, with relatively stable hemodynamic parameters.

背景和目的:克拉定是一种α -2肾上腺素受体激动剂，在眼科手术前使用时，已被证明可以降低眼压，并具有一定的镇痛和镇静作用。本研究旨在探讨利多卡因-克拉定球后阻滞在白内障手术中的疗效，包括其对IOP、镇痛作用和镇静作用的影响。方法:随机选取60例ASA状态为I和II的老年白内障患者，采用前瞻性双盲方法行球囊后阻滞治疗。第1组(n = 30)给予2%利多卡因3-4 mL加生理盐水1 mL，第2组(n = 30)给予2%利多卡因3-4 mL加可乐定2微克/千克。结果:接受可乐定治疗的患者眼压从13.5 +/- 4.6大幅下降至7.7 +/- 3.7 mm Hg (P < 0.01)，收缩压和舒张压在球后阻滞20分钟后均有小幅但显著的下降，而对照组无变化。利多卡因-可乐定组镇痛和肌无力的中位持续时间(分别为241 +/- 88 min和80 +/- 20 min)大于利多卡因组(分别为128 +/- 24 min和70 +/- 20 min) (P < 0.01, P < 0.05)。第2组镇静评分从10min开始显著高于第2组(P < 0.01)。结论:在利多卡因的基础上加入可口定用于球后阻滞，可降低眼压，起到镇静作用，增加镇痛和运动障碍持续时间，血流动力学参数相对稳定。
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引用次数: 0
Status epilepticus amauroticus secondary to meningitis as a cause of postpartum cortical blindness. 继发于脑膜炎的无影癫痫持续状态是产后皮质性失明的一个原因。
Regional anesthesia
Pub Date : 1996-11-01
M J Goldstein, R L Parker, D M Dewan

Background and objectives: A patient who underwent cesarean delivery with epidural anesthesia presented 6 days postpartum with acute cortical blindness.

Methods: Initial studies included an ophthalmology consultation as well as a full neurologic workup, including cranial computed tomography, diagnostic lumbar puncture, magnetic resonance imaging, body fluid cultures, and electroencephalography. Early broad-spectrum antibiotic coverage was initiated, and because of possible epileptic activity on electroencephalogram, phenytoin was added to the treatment regimen.

Results: Soon after beginning the initial phenytoin dose, the patient reported full return of her vision. She was eventually discharged from the hospital in good condition.

Conclusions: This case report illustrates how blindness can be related to seizure activity.

背景和目的:一位接受剖宫产硬膜外麻醉的患者产后6天出现急性皮质性失明。方法:最初的研究包括眼科会诊和全面的神经系统检查，包括颅脑计算机断层扫描、诊断性腰椎穿刺、磁共振成像、体液培养和脑电图。早期开始使用广谱抗生素，由于脑电图上可能出现癫痫活动，苯妥英被添加到治疗方案中。结果:在开始初始苯妥英剂量后不久，患者报告视力完全恢复。她最终出院了，身体状况良好。结论:本病例报告说明了失明如何与癫痫发作活动相关。
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引用次数: 0
Torrieri and combined spinal-epidural technique. Torrieri和脊髓-硬膜外联合技术。
Regional anesthesia
Pub Date : 1996-11-01
J A Aldrete
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引用次数: 0
Effect of addition of hyaluronidase and epinephrine on the pH of local anesthetic solutions. 添加透明质酸酶和肾上腺素对局麻溶液pH值的影响。
Regional anesthesia
Pub Date : 1996-11-01
A J England, K Richards, A P Rubin
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引用次数: 0
Knotted epidural catheters. 硬膜外导管打结。
Regional anesthesia
Pub Date : 1996-11-01
A L Stuart, A J McDavid
{"title":"Knotted epidural catheters.","authors":"A L Stuart,&nbsp;A J McDavid","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77347,"journal":{"name":"Regional anesthesia","volume":"21 6","pages":"606"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19920876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spinal-epidural-general anesthesia. Spinal-epidural-general麻醉。
Regional anesthesia
Pub Date : 1996-11-01
S Alam
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引用次数: 0
Respiratory benefits of regional anesthesia. 区域麻醉对呼吸的益处。
Regional anesthesia
Pub Date : 1996-11-01
F Clergue, I Aissa, J Hollande, F Stephan
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引用次数: 0
Verification of Sensory Block During Regional Anesthesia 区域麻醉中感觉阻滞的验证
Regional anesthesia
Pub Date : 1996-11-01 DOI: 10.1136/RAPM-00115550-199621061-00028
O. A. Leon-Casasola
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引用次数: 0
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