Objectives: To present a number of cases in which pitfalls may occur during the performance of epidural block, so that they may be prevented and corrected during the procedure. Materials and methods: A retrospective analysis was performed in 118 patients who suffered from lumbar pain, radicular pain or both and who underwent CT-guided minimally invasive anti-inflammatory analgesic treatment by ...

Background and Objectives: Epidural anesthesia is a popular technique for providing lower limb surgeries. Dexmedetomidine Clonidine are known to enhance the effect of local anaesthetics. The purpose this study was compare impact dexmedetomidine clonidine on onset duration epidural anaesthesia using bupivacaine. Methods: After IEC approval, prospective, randomized, double blinded conducted 60 AS...

BACKGROUND The level of sensory block in postoperative epidural analgesia has been correlated with conventional contrast epidurography in only one study, while low-dose CT scan epidurography with multiplanar reconstruction may be a better tool for this purpose. OBJECTIVES The primary objective of this study was to evaluate, by CT imaging and digital multiplanar reconstruction, the spread and ...

BACKGROUND AND OBJECTIVES Thoracic epidural block is frequently used for esthetic breast surgeries but reports of its use in mastectomies with axillary exploration are very rare. The present study compared this technique with general anesthesia in oncologic surgeries of the breasts. METHODS Forty patients were divided in two groups. The epidural group (n = 20) underwent epidural thoracic bloc...

OBJECTIVES The efficacy of combined lumbar plexus-sciatic nerve blocks was compared to epidural anesthesia in patients undergoing total knee surgery. PATIENTS AND METHODS The study included 80 American Society of Anesthesiologists (ASA) Physical Status I-III patients (age range 18 to 65) undergoing knee surgery. The patients were randomly divided into one of two groups. Epidural anesthesia wa...

Horner's syndrome is a rare side effect of epidural analgesia. In association with ipsilateral brachial plexus block, it has only been reported once before, in French. Unilateral blockade has also been reported, although its etiology is unclear and may be multifactorial. The patient described here experienced an asymmetrical epidural blockade with a unilateral Horner's syndrome and ipsilateral ...

BACKGROUND Thoracotomy induces severe postoperative pain and impairment of pulmonary function, and therefore regional analgesia has been intensively studied in this procedure. Thoracic epidural analgesia is commonly considered the "gold standard" in this setting; however, evaluation of the evidence is needed to assess the comparative benefits of alternative techniques, guide clinical practice a...