scholarly journals Pudendal Nerve Block in Male Goats: Comparison of Ischiorectal Fossa and Ischial Arch Approaches Using Low Volume 1% Lignocaine Hydrochloride

2016 ◽  
Vol 39 (1) ◽  
pp. 111-115 ◽  
Author(s):  
Mujeebur Rehman Fazili ◽  
Nida Handoo ◽  
Mohd Younus Mir ◽  
Beenish Qureshi
Keyword(s):  
Nerve Block ◽  
Local Anaesthetic ◽  
Pudendal Nerve ◽  
Rectal Wall ◽  
Ischiorectal Fossa ◽  
Pudendal Nerve Block ◽  
Short Term Exposure ◽  
Group 2 ◽  
Manual Manipulation ◽  
Group 1

AbstractThirty (30) adult male goats were injected xylazine (0.05 mg/kg, IM) and randomly divided into three equal groups. Internal pudendal nerve block was tried using 3.5 ml (on each side) of 1% lignocaine hydrochloride byischiorectal fossa or ischial arch approaches in goats from Group 1 and Group 2 respectively, 15 minutes after giving xylazine. Inadvertent puncture of the rectal wall and prick to the finger placed in the rectum was experienced once in Group 1 animal. None of the animals showed protrusion of the penis without manual manipulation. Prolapse of the prepucial ring was noticed in three animals from Group 1 and two each from Group 2 and 3. The application of mild manual push percutaneously resulted in the exposure of the penis in eight and six animals belonging to Group 1 and Group 2 respectively, 15 minutes after injection of the local anaesthetic. Statistically significant (P>0.05) difference between Group 1 and 2 values was detected only once at 90 minutes following injection of the local anaesthetic. The block lasted longer in animals of Group 1. The exposed organ was flaccid and insensitive. The organ retracted into the prepucial cover within five minutes of its release in all the animals. The penile exposure could not be achieved by similar manipulation in any of the Group 3 animals. From this study it was concluded that the ischiorectal fossa approach is cumbersome and may lead to inadvertent punctures, but the block develops in more number of animals for a longer period than with the ischial arch approach. The outcome of the two techniques did not show statistically significant (P>0.05) difference for most of the assessment period. Reducing the concentration of lignocaine hydrochloride may reduce the chances of continued relaxation of the penis beyond the required period and also the drug toxicity. However, studies using larger volume of 1% lignocaine hydrochloride may be undertaken for short term exposure of the penis without manual manipulation.

The influence of continuous local wound infusion on postoperative pain in patients undergoing transfemoral amputation

VASA ◽  
2015 ◽  
Vol 44 (5) ◽  
pp. 381-386 ◽  
Author(s):  
Christian Uhl ◽  
Thomas Betz ◽  
Andrea Rupp ◽  
Markus Steinbauer ◽  
Ingolf Töpel
Keyword(s):  
Pain Management ◽  
Pilot Study ◽  
Local Anaesthetic ◽  
Phantom Pain ◽  
Transfemoral Amputation ◽  
Postoperative Wound ◽  
Stump Pain ◽  
Management Protocol ◽  
Group 2 ◽  
Group 1

Abstract. Summary: Background: This pilot study was set up to examine the effects of a continuous postoperative wound infusion system with a local anaesthetic on perioperative pain and the consumption of analgesics. Patients and methods: We included 42 patients in this prospective observational pilot study. Patients were divided into two groups. One group was treated in accordance with the WHO standard pain management protocol and in addition to that received a continuous local wound infusion treatment (Group 1). Group 2 was treated with analgesics in accordance with the WHO standard pain management protocol, exclusively. Results: The study demonstrated a significantly reduced postoperative VAS score for stump pain in Group 1 for the first 5 days. Furthermore, the intake of opiates was significantly reduced in Group 1 (day 1, Group 1: 42.1 vs. Group 2: 73.5, p = 0.010; day 2, Group 1: 27.7 vs. Group 2: 52.5, p = 0.012; day 3, Group 1: 23.9 vs. Group 2: 53.5, p = 0.002; day 4, Group 1: 15.7 vs. Group 2: 48.3, p = 0.003; day 5, Group 1 13.3 vs. Group 2: 49.9, p = 0.001). There were no significant differences between the two groups, neither in phantom pain intensity at discharge nor postoperative complications and death. Conclusions: Continuous postoperative wound infusion with a local anaesthetic in combination with a standard pain management protocol can reduce both stump pain and opiate intake in patients who have undergone transfemoral amputation. Phantom pain was not significantly affected.

Anatomical basis of transgluteal pudendal nerve block

2008 ◽  
Vol 31 (4) ◽  
pp. 289-293 ◽  
Author(s):  
D. Prat-Pradal ◽  
L. Metge ◽  
C. Gagnard-Landra ◽  
P. Mares ◽  
M. Dauzat ◽  
...  
Keyword(s):  
Nerve Block ◽  
Pudendal Nerve ◽  
Pudendal Nerve Block ◽  
Anatomical Basis

The Anatomical Distribution of the Pudendal Nerve Block Injection

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Yoko Takashima ◽  
Stephanie J. Handler ◽  
Aldene Zeno ◽  
Pedro Alvarez ◽  
Brian Miyazaki ◽  
...  
Keyword(s):  
Nerve Block ◽  
Pudendal Nerve ◽  
Anatomical Distribution ◽  
Pudendal Nerve Block

Pudendal Nerve Block: Transvaginal Approach

1988 ◽  
pp. 51-57
Author(s):  
Prithvi Raj ◽  
Hans Nolte ◽  
Michael Stanton-Hicks
Keyword(s):  
Nerve Block ◽  
Pudendal Nerve ◽  
Transvaginal Approach ◽  
Pudendal Nerve Block

scholarly journals Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance

2020 ◽  
Vol 33 ◽  
pp. 101282
Author(s):  
Ji Hyeong Yu ◽  
Ye Ji Lee ◽  
Jae Yoon Kim ◽  
Woo Yong Lee ◽  
Yun Hee Lim
Keyword(s):  
Nerve Block ◽  
Pudendal Nerve ◽  
Fluoroscopic Guidance ◽  
Vulvar Pain ◽  
Pudendal Nerve Block ◽  
Radiation Induced

Hemorrhoidal Artery Ligation under Pudendal Nerve Block: Enhanced Outpatient Results

2020 ◽  
Vol 231 (4) ◽  
pp. S56
Author(s):  
Konstantinos Perivoliotis ◽  
Michail Evangelos Spyridakis ◽  
Elias Zintzaras ◽  
Eleni Arnaoutoglou ◽  
Manousos Georgios Pramateftakis ◽  
...  
Keyword(s):  
Nerve Block ◽  
Pudendal Nerve ◽  
Artery Ligation ◽  
Pudendal Nerve Block ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery

scholarly journals Interpleural Administration of Bupivacaine after Cholecystectomy: A Comparison with Intercostal Nerve Block

1989 ◽  
Vol 17 (3) ◽  
pp. 269-274 ◽  
Author(s):  
D. W. Blake ◽  
G. Donnan ◽  
J. Novella
Keyword(s):  
Local Anaesthetic ◽  
Intercostal Nerve ◽  
Intercostal Nerve Block ◽  
Nerve Blocks ◽  
Pain Scores ◽  
Lower Pain ◽  
Chest X Ray ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Pethidine requirements and verbal pain scores were recorded in 36 patients after cholecystectomy via subcostal incision. All patients also received 20 ml 0.5% bupivacaine with adrenaline 1/200,000. Group 1 (12 patients) received unilateral intercostal nerve blocks. Interpleural catheters were inserted through the 8th intercostal space in the remaining patients; 12 received local anaesthetic via the catheter immediately after surgery (Group 2) and 12 were given local anaesthetic at three hours (Group 3). Small asymptomatic pneumothoraces were noted on chest X-ray in six of the 24 patients with interpleural catheters. Both types of local anaesthesia produced lower pain scores than pethidine alone (P < 0.05) with 25% of intercostal nerve blocks and 63% of interpleural catheters requiring no pethidine in the following three hours. The provision of catheter ‘top-ups’ between six and 18 hours after surgery also resulted in lower pain scores and a reduction in pethidine requirements (P < 0.05).

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