Epidural bolus injection with alkalinized lidocaine improves blockade of the first sacral segment — a brief report

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Epidural bolus injection with alkalinized lidocaine improves blockade of the first sacral segment--a brief report.

PURPOSE It has been reported that the addition of epinephrine and/or bicarbonate to local anesthetic enhances the depth of epidural blockade and that initial partial bolus injection results in greater caudal spread. We evaluated the anesthetic effects of lidocaine with epinephrine and/or bicarbonate injected into the epidural space by bolus or catheter injection. METHODS Forty-four patients u...

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Quantitative assessment of differential sensory blockade after lumbar epidural lidocaine.

A cutaneous current perception threshold (CPT) sensory testing device measures both large and small diameter sensory nerve fiber function and may be useful in evaluating differential neural blockade. Eight subjects received both lumbar epidural saline and lumbar epidural lidocaine. Five milliliters of normal saline was administered and the CPTs were measured. After the saline, 10 mL of 2% plain...

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Epidural blockade improves substrate utilization after surgery.

The purpose of this study was to test the hypothesis that epidural blockade with local anesthetic improves the anticatabolic effects of glucose after colorectal surgery. Sixteen patients were randomly assigned to undergo a 6-h stable isotope infusion study (3 h fasted, 3 h glucose infusion at 4 mg. kg(-1). min(-1)) on the second postoperative day with or without perioperative epidural blockade....

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Postmortem redistribution of lidocaine after epidural injection in beagle dogs.

OBJECTIVES An animal model using beagle dog has been established to investigate the postmortem redistribution of lidocaine. MATERIALS AND METHODS 18 dogs were euthanized and injected lidocaine (13 mg/kg) via epidural immediately. An autopsy was performed at 0, 12, 24, 48, 72, 96 hours after drug administration. All animals were stored in supine position at room temperature. For the other grou...

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Comparison of the application of lidocaine, lidocaine-dexamethasone and lidocaine-epinephrine for caudal epidural anesthesia in cows

The aim of the present study was to determine whether the addition of dexamethasone (DEX) or epinephrine to lidocaine (LID) altered the characteristics of anesthesia and cardiorespiratory variables following caudal epidural application in cows. Twenty adult dairy cows were randomly assigned to receive one of the treatments of LID (0.2 mg/kg), DEX (8 mg), lidocaine-dexamethasone (LIDEX; 0.2 mg/k...

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ژورنال

عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie

سال: 2002

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03017382