background lumbar plexus block (lpb) is one of the anesthetic options in the elderly patients undergoing hip surgeries. lpb could be safe because it targets somatic nerve in psoas region. effectiveness of lpb is attributed to the sufficient analgesia provided intraoperatively as well as postoperatively. adequate muscle relaxation and immobility during surgery refers to its acceptability. object...

we present a case of unexpectedly prolonged motor and sensory block following a successful single injection ultrasound – guided infraclavicular block with bupivacaine (0.25%) and dexamethasone (8 mg). ultrasound guidance and safety measurement such as injection of the local anaesthetic at a slow rate and verifying that usual resistance was felt throughout the injection, has been applied. it too...

case presentation in this report, ultrasound-guided sciatic nerve block was performed in a 25-year-old patient with tetanus to progress his respiratory drive which was decreased due to high dose sedative administration. this procedure accelerates the weaning process and extubation. introduction muscle rigidity and generalized spasm can cause severe pain in patients with tetanus. administration ...

conclusions the study indicated advantages of this modified bier's block compared to the traditional one including ability to perform surgery on upper limb bones and considerable pain relief at surgical and tourniquet sites during the operation until one hour thereafter. results this study showed the presence of analgesia at surgical and tourniquet sites during the operation in 96% of patients,...

objectives to compare an out-of-plane interscalene catheter technique to the in-plane technique in a randomized clinical trial. patients and methods eighty-four patients undergoing open shoulder surgery were randomized to either the in-plane or out-of-plane ultrasound-guided continuous interscalene technique. the primary outcome was vas pain rating at 24 hours. secondary outcomes included pain ...

conclusions open gastrostomy was successfully performed under subcostal tap block with small dose fentanyl supplementation. the subcostal tap block is considered a useful anesthetic choice in surgery for high risk patients. introduction many papers have reported that tap block provides effective postoperative analgesia, but the sole use of tap block for surgical anesthesia has been rarely repor...