Continuous lumbar plexus block for acute postoperative pain management after open reduction and internal fixation of acetabular fractures.

Objective: To assess the efficacy of postoperative continuous lumbar plexus blocks for postoperative pain control in patients undergoing open reduction and internal fixation of an acetabular fracture.

Patients/participants: Twenty-six patients who underwent open reduction and internal fixation of an acetabular fracture. DESIGN/PERSPECTIVE: According to a case-control study design, patients were divided into 2 groups: Group 1 (n = 13) received postoperatively a continuous lumbar plexus block with 0.

Training of residents in peripheral nerve blocks during anesthesiology residency.

Study Objective: To survey American anesthesiology residency program directors to determine the availability and extent of training in peripheral nerve block techniques.

Design: Survey questionnaire was mailed and faxed to 132 American anesthesiology residency program directors and followed up 4 weeks later with another mailing to nonresponders.

Setting: University medical center.

Continuous lateral sciatic blocks for acute postoperative pain management after major ankle and foot surgery.

Unlabelled: We developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia.

Methods: A 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper positioning of the insulated needle, a 20-gauge catheter was placed in proximity to the sciatic nerve.

Distal nerve blocks at the wrist for outpatient carpal tunnel surgery offer intraoperative cardiovascular stability and reduce discharge time.

Unlabelled: Carpal tunnel release is often performed as an outpatient procedure. We designed this retrospective study to assess the effect of different anesthesia techniques on intraoperative cardiovascular stability and discharge time. According to the anesthesia technique received, 62 consecutive patients were categorized in Group BIER (IV regional anesthesia), Group BLOCK (distal nerve blocks), and Group GENERAL (general anesthesia).