{"title":"Can meta-analysis rescue knowledge from a sea of unintelligible data?","authors":"S E Abram, M Hopwood","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77347,"journal":{"name":"Regional anesthesia","volume":"21 6","pages":"514-6"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19918425","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}
K Mjahed, N el Harrar, M Hamdani, M Amraoui, M Benaguida
{"title":"Lidocaine-clonidine retrobulbar block for cataract surgery in the elderly.","authors":"K Mjahed, N el Harrar, M Hamdani, M Amraoui, M Benaguida","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":77347,"journal":{"name":"Regional anesthesia","volume":"21 6","pages":"569-75"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19920864","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}
{"title":"Status epilepticus amauroticus secondary to meningitis as a cause of postpartum cortical blindness.","authors":"M J Goldstein, R L Parker, D M Dewan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and objectives: </strong>A patient who underwent cesarean delivery with epidural anesthesia presented 6 days postpartum with acute cortical blindness.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>This case report illustrates how blindness can be related to seizure activity.</p>","PeriodicalId":77347,"journal":{"name":"Regional anesthesia","volume":"21 6","pages":"595-8"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19920868","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}
{"title":"Torrieri and combined spinal-epidural technique.","authors":"J A Aldrete","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77347,"journal":{"name":"Regional anesthesia","volume":"21 6","pages":"599-600"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19920869","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}
{"title":"Effect of addition of hyaluronidase and epinephrine on the pH of local anesthetic solutions.","authors":"A J England, K Richards, A P Rubin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77347,"journal":{"name":"Regional anesthesia","volume":"21 6","pages":"605-6"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19920875","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}
Regional anesthesiaPub Date : 1996-11-01DOI: 10.1136/RAPM-00115550-199621061-00028
O. A. Leon-Casasola
{"title":"Verification of Sensory Block During Regional Anesthesia","authors":"O. A. Leon-Casasola","doi":"10.1136/RAPM-00115550-199621061-00028","DOIUrl":"https://doi.org/10.1136/RAPM-00115550-199621061-00028","url":null,"abstract":"","PeriodicalId":77347,"journal":{"name":"Regional anesthesia","volume":"21 1","pages":"126-128"},"PeriodicalIF":0.0,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63870111","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}