scholarly journals Peripheral nerve block with a high concentration of tetracaine dissolved in bupivacaine for intractable post-herpetic itch: a case report

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Daiki Yamanaka ◽  
Takashi Kawano ◽  
Marie Shigematsu-Locatelli ◽  
Atsushi Nishigaki ◽  
Sonoe Kitamura ◽  
...  
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
High Concentration

scholarly journals Combined femoral and sciatic nerve block with Levobupivacaine in Brugada syndrome patient: A case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Diego Tavoletti ◽  
Elisabetta Rosanò ◽  
Elisabetta Cerutti ◽  
Luca Pecora
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Local Anesthetic ◽  
Brugada Syndrome ◽  
Peripheral Nerve Block ◽  
Case Reports ◽  
Anesthetic Techniques ◽  
Syndrome Patient

Introduction: Brugada syndrome is a rare arrhythmic disorder associated to ventricular fibrillation and sudden cardiac death. General recommendations in Brugada syndrome patient are focused on avoiding increases in vagal tone and precipitating agents such as electrolyte disorders, hypo/hyperthermia and drugs. Anesthetic management in Brugada syndrome patient has been described in many case reports, however it is still unknown which anesthesia is the safest. Local anesthetic may have a theoretical arrhythmogenic risk, but currently there is no clear evidence and their risk is still debated. Peripheral nerve block avoids autonomic nervous system changes that occur with other anesthetic techniques and it is associated to a lower level in the plasma concentration of the local anesthetic compared with neuraxial anesthesia. Case Report: We report a case of a 38-year-old man patient with Brugada syndrome who underwent urgent orthopedic surgery which was managed with a combined femoral and sciatic nerve blocks using levobupivacaine without any complications. Conclusions: Peripheral nerve block with levobupivacaine provided good analgesia, hemodynamic and cardiac stability in Brugada syndrome patient. Keywords: Brugada syndrome, Anesthesia, Levobupivacaine, Peripheral nerve block, Regional anesthesia

scholarly journals Peripheral nerve block contributes to advancement of rehabilitation: a case report

2021 ◽  
Vol 28 (3) ◽  
pp. 222-223
Author(s):  
Ruri Ohba ◽  
Yoshinobu Kameyama ◽  
Takuya Shiga ◽  
Akihiro Kanaya ◽  
Yusuke Takei ◽  
...  
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Peripheral Nerve Block

scholarly journals Emergency Transfemoral Amputation in a Severely Sick and Hemodynamically Unstable Patient through Eco-Guided Peripheral Nerve Block: Case Report

2016 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Luis Flavio Franca V Muniz ◽  
Jessica Francisco Meireles ◽  
Daissuke Kajita ◽  
Melissa Ameloti G Avelino
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Lower Limb ◽  
Peripheral Nerve Block ◽  
Anesthetic Technique ◽  
Ultrasound Guided ◽  
Borderline Patients ◽  
The Right

Critically ill and/or anticoagulated patients remain a great challenge for anesthesiologists regarding the anesthetic procedure. Its perioperative management should focus on organ preservation and avoid further damage. In this context, ultrasound-guided regional blocks are essential tools, as they avoid neuraxial invasion and deterioration in borderline hemodynamics, conferred by spinal anesthesia and general anesthesia, respectively. In this report, we present a case of a patient with septic shock, anticoagulated, and in need of an emergency surgical approach in the right lower limb in which ultrasound-guided peripheral nerve block was essential for a favorable outcome for the patient. Case Report: Patient in septic shock in need of amputation of the right lower limb at the level of the thigh, with unstable hemodynamics and severe respiratory conditions, undergoing ultrasound-guided peripheral nerve block, of the right femoral, sciatic and lateral cutaneous nerves of the thigh, as a single anesthetic technique. Conclusion: Regional anesthesia of the peripheral nerve guided by ultrasound as a unique anesthetic technique, performed by experienced professionals or under supervision, is effective and safe for lower limb surgical procedures. We suggest this approach, especially in hemodynamically borderline patients or seriously ill with or without anticoagulation.

scholarly journals Syndrome of continuous muscle fiber activity: case report with 11-year follow-up

1994 ◽  
Vol 52 (1) ◽  
pp. 96-99 ◽  
Author(s):  
José Teotônio de Oliveira ◽  
Igor Levy-Reis
Keyword(s):  
Case Report ◽  
Motor Activity ◽  
Peripheral Nerve ◽  
General Anaesthesia ◽  
Nerve Block ◽  
Male Patient ◽  
Marked Improvement ◽  
Peripheral Nerve Block ◽  
Muscle Stiffness

A 16-year-old male patient who presented with muscle stiffness and dysphonia is described. Electromyography revealed continuous motor activity that was unaffected by peripheral nerve block or general anaesthesia, but was abolished by curare. The patient had a marked improvement after using phenytoin. The follow-up 11-years later corroborates with the proposed benignity of this syndrome, in spite of being dependent on medication.

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