Handbook of Local Anesthesia

[Disputable issues of Malamed's "Handbook of local anesthesia" (2004)].

Handbook of local anesthesia. 2004, 5-th edition [1] is an enormous (500 pages), up-to-date. Finely illustrated (400 illustration), profound and systemic work. Nevertheless, the section of chapter 15 «Supplemental injection techniques» contains serious and dangerous delusions. The present article is devoted to this section. The chapter is still continued to disseminate and to multiply almost un...

Local anesthesia toxicity review.

[Classification of local anesthesia methods].

The traditional classification methods of dental local anesthesia must be modified. In this paper we proved that the vascular mechanism is leading component of spongy injection. It is necessary to take into account the high effectiveness and relative safety of spongy anesthesia, as well as versatility, ease of implementation and the growing prevalence in the world. The essence of the proposed m...

The Technique of Local Anesthesia

In the preface to this edition the author says, "The surgical as well as all other arts are most effective when presented with the greatest simplicity. This book attempts to eliminate the nonessential." The enthusiasm which this statement arouses is somewhat dampened on finding that the early chapters contain several purely facetious remarks, quotations of such favorite phrases of the author as...

Are Local Anesthetics Needed for Local Anesthesia?

THIS issue of the Journal contains a very exciting clinical report that describes the clinical efficacy of epidural sufentanil and neostigmine in laboring women. The authors examined the analgesic effects of different combinations of the two drugs without local anesthetic during the first stage of oxytocin-augmented labor. They found that a mixture of 10 g of sufentanil with 500 g of neostigmin...