OBJECTIVE Transrectal ultrasound (TRUS) guided prostate biopsy is well tolerated by patients but the lack of an effective marker to predict pain prevents us from determining pre-procedurally which patient group needs local anesthesia for biopsy and probe pain. Thus in this study, we investigated predictor factors for prostate biopsy and probe insertion pain. MATERIALS AND METHODS 71 patients ...

When choosing an infiltrative anesthetic agent, the type of procedure, the length of time required for anesthesia, and the pharmacodynamics of each medication are important considerations. Distraction techniques and buffering with sodium bicarbonate can be used to decrease the pain associated with injection. Local cutaneous infiltration is the most commonly used anesthetic technique and involve...

Regional digital i.v. perfusion was used to treat a severe sole abscess associated with a wire foreign body in a 19-yr-old female Asian elephant (Elephas maximus) housed at the Paris Zoo. The cow presented with acute right forelimb lameness and swelling that persisted despite 4 days of anti-inflammatory therapy. Under anesthesia, a 10- x 0.5- x 0.5-cm wire was extracted from the sole of the rig...

BACKGROUND AND OBJECTIVES Review of various techniques for digital blocks with local anesthetic, with or without epinephrine. CONTENTS Description of various procedures and comparison of results reported in the literature, mainly on latency and quality of anesthesia, details on vasoconstrictor effect of epinephrine, intraoperative bleeding, necessity of tourniquet use, duration of anesthesia ...

BACKGROUND Digital nerve block is commonly performed by care providers in medical fields. This study compares the blocks in terms of effectiveness of anesthesia and pain. METHODS Patients were divided into two groups. First group underwent digital block whereas 2nd group had transmetacarpal digital block. The subcutaneous ring block was performed by two injections of 3 ml of 2% lignocaine in ...

Infection of the synovial structures of the equine extremity is a common complication of lacerations and athletic injuries of the horse. Iatrogenic infection of the carpus, tarsus, metacarpal/metatarsal– phalangeal joints and distal interphalangeal joint subsequent to intra-articular injection often are career-ending or life-threatening. Regional limb perfusion by intramedullary administration ...

OBJECTIVE To review the effect of interventions designed to decrease turnover time in infants and children (median age, 2.6 years; range, 1 month to 10 years) who required examinations under anesthesia. METHODS Five efficiency interventions (3 anesthesia providers for 2 rooms, digital remote communication, change in patient scheduling, standardization of case order, and streamlining administr...

Purpose: To determine whether the changes in the ocular alignment following general anesthesia, maintained with two different inhalational anesthetic agents, sevoflurane and desflurane, can be used as a predictor for surgical outcomes in children with esotropia. Methods: The authors obtained digital photographs of 42 children with esotropia; 21 patients underwent strabismus surgery with general...

The blocking of the posterior tibial, sural, saphenous, superficial peroneal, and the deep peroneal nerves with possible alternative approaches is discussed. Digital blocks, Mayo blocks, and intravenous regional anesthesia are also discussed. The placement of the tourniquet above the ankle but below the calf muscles will avoid deep muscle pain. Lidocaine and bupivacaine cause vasodilatation in ...