Bilateral multi-injection iliohypogastric-ilioinguinal nerve block in conjunction with neuraxial morphine is superior to neuraxial morphine alone for postcesarean analgesia.

Study Objective: To determine whether bilateral iliohypogastric and ilioinguinal (IHII) peripheral nerve blocks, given in conjunction with neuraxial morphine, reduce postcesarean analgesic requirements and side effects, resulting in improved maternal satisfaction.

Design: Randomized, prospective, double-blinded, placebo-controlled study.

Setting: Labor and delivery suite at Johns Hopkins Hospital.

Accidental subcutaneous remifentanil infusion as a cause of delayed awakening after craniotomy.

We report a case of accidental subcutaneous infusion of remifentanil as a cause of delayed awakening after a craniotomy.

Neuraxial anesthesia for labor and cesarean delivery in a parturient with hereditary antithrombin deficiency on recombinant human antithrombin infusion therapy.

A recombinant human antithrombin (rhAT; generic name: antithrombin Alfa) has recently been developed. A 37 year-old parturient with hereditary antithrombin deficiency, receiving rhAT infusion therapy, who successfully received an epidural catheter for analgesia and anesthesia during labor and cesarean delivery, is presented.

Use of spinal anesthesia does not reduce intraoperative blood loss.

Objectives: To determine whether the use of spinal anesthesia (versus general anesthesia) will result in lower intraoperative blood loss for radical retropubic prostatectomy.

Methods: The patients' charts for one urologist from July 1999 through June 2005 were obtained and reviewed. The data extracted included demographic and perioperative data, including operative time, estimated blood loss, and length of stay.