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BMJ Journals

Table of contents

March 1993 - Volume 18 - Suppl 2

Scientific Papers, Session 1

Initial Experience with Combined Spinal-Epidural Technique Using a 27-Gauge Whiteacre Spinal Needle for Ambulatory Knee Arthroscopy (1 March, 1993)
William F Urmey, J Stanton, N E Sharrock
ST-segment Changes During Cesarean Section Under Regional Anesthesia: Are They Caused by a Hyperdymanic State? (1 March, 1993)
L. Roy, R. Patel, S. Ramanathan
Is Regional Anesthesia More Time Efficient than General Anesthesia for Shoulder Surgery? (1 March, 1993)
P. Maurer, R. Greek, M. Torjman, J. Lessin, A. Marr, J. Fenlin, J. Seltzer
PCA vs. Epidural Morphine: Comparison of Perioperative Myocardial Ischemia (1 March, 1993)
Sandra R Weitz, Kenneth Drasner, Neal H. Cohen, Uday Jain, Dennis T. Mangano
Does Epidural Anesthesia Enhance the Rate of Rehabilitation following Total Knee Arthroplasty (1 March, 1993)
S. D. Ganz, P. Williams-Russo, L. H. Heim, N. E. Sharrock

Scientific Papers, Session 2

Radiological Documentation of the Intrathecal Position of 28 gauge Spinal Catheters and its Effect on the Clinical Outcome of Continuous Spinal Anesthesia (1 March, 1993)
Th. Standl, H. Beck
Distribution of Local Anesthetic in a Model of the Subarachnoid Space: A Digital Video Image Processing Technique and its Application to Catheter-Injected Anesthetic (1 March, 1993)
R. A. Robinson, S. F.C. Stewart, M. R. Myers, L. F. Lien, J. L. Swisher, K. Drasner
The Role of Endogenous Vasopressors in Maintaining Blood Pressure Following Epidural Anesthesia (1 March, 1993)
H. Carp, R. Vadhera, D. Garvey, A. Jayaram, M. Ferries
Hypotensive Epidural Anesthesia for Patients with Low Cardiac Output (1 March, 1993)
N.E. Sharrock, B. Bading, R. Mineo, B. Urquhart
Arterial and Mixed Venous Oxygen Tension during Hypotensive Epidural Anesthesia with either Epinephrine (EPI) or Norepinephrine (NEPI) Infusion (1 March, 1993)
B. Bading, R. Mineo, N.E. Sharrock

Posters, Session 5

Peri-Catheter Epidural Fibrosis with Chronic Implants: Hydrogel is Less Reactive than Silicone Elastomer (1 March, 1993)
D. W. Coombs, J. A. DeLeo, R. W. Colburn, B. Twitchell, M. Serpel, P. J. Hoopes
Indomethacin for Postoperative Pain Relief in Gynecologic Patients (1 March, 1993)
R.A. Jan, E. Frank, R. Winne, B. Leighton, R. Bartkowski, M Torjman
Analgesic Potency of Postoperative Epidural Fentanyl and Morphine Following Orthopedic Procedures in Children (1 March, 1993)
Mashallah Goodarzi, Nicte-Ha Shier
β-Endorphin Induced-Antinociception Is Antagonized By Products of Its Post-Translational Processing (1 March, 1993)
R. McQuillan, G. Lavigne, E. Fibuch, W. Millington
Low Dose Epidural Morphine Provides Better Analgesia Than Oral Perocet for Post Vaginal Delivery Patients (1 March, 1993)
P.H. Pan, C. Moore, N. Blass
Comparison of intrathecal fentanyl infusion with intrathecal morphine infusion or bolus for postoperative pain relief after hip arthroplasty (1 March, 1993)
L Niemi, M Pitkänen, M Tuominen, PH Rosenberg
Intrathecal Sufentanil for Labor Analgesia: Effects of Added Epinephrine (1 March, 1993)
BH Minzter, WR Camann, RA Denney, S Datta
Histopathologic changes in primate spinal cord after single and repeated epidural phenol administration (1 March, 1993)
J. Katz, C.S. Sehlhorst, K. Blisard
Maternal, Fetal and Neonatal Consequences of Acute Hydration During Epidural Anesthesia for C-Section (1 March, 1993)
José C. A. Carvalho, Roberto S. Mathias, Waldir G. Senra, Marcelo L. A. Torres, Alberto Vasconcelos, José Edison de Moraes, Ruy V. Gomide do Amaral
Spinal PCA using Isobaric Bupivacaine with or without Sufentanil: Preliminary Results. (1 March, 1993)
K. Geernaert, D. Vandeput, M. Vercauteren, H. Adriaensen
Local Anesthetic Test Dose As A Predictor of Effective Epidural Opiate Analgesia (1 March, 1993)
Sandra R Weitz, Kenneth Drasner
Incidence of Reflex Sympathetic Dystrophy following Distal Upper Extremity Fracture: A Population-based Study of Gender and Fracture Type (1 March, 1993)
D. L. Brown, P. A. Martin, K. P. Offord
Success Rates of Sympathetic Blockade: CT Guided T1 Injection vs C6 Paratracheal Injection (1 March, 1993)
Quinn Hogan, Scott Erickson
A Randomized, Double-Blind, Placebo-Controlled Evaluation of Ketorolac as an Adjuvant to Fentanyl Patient-Controlled Epidural Analgesia After RRP (1 March, 1993)
JA Grass, NT Sakima, DL Bourke
The intrathecal effectiveness of four short acting local anesthetics in rats: a single concentration-response relationship (1 March, 1993)
A.P. Wolff, R. Dirksen, M.J.M. Gielen, L.H.D.J. Booij
Determining Dosage of Post-Operative Epidural Opioid Infusions in Pediatric Patients (1 March, 1993)
K.A. Holder, V.M. Clarke
0.125% Bupivacaine is the Optimum Concentration for Continuous Postoperative Epidural Fentanyl Analgesia (1 March, 1993)
NH Badner, R Bhandari, WE Komar
Pharmacokinetics of Ketorolac Tromethamine Following Subcutaneous Administration (1 March, 1993)
Richard L. Noren, Allen H. Hord, Donald D. Denson
Thoracic Paravertebral Blockade in Children-Initial complication report. (1 March, 1993)
PA Lönnqvist
Time Course of Primary and Secondary Hyperalgesia after Heat Injury to the Skin (1 March, 1993)
S. Møiniche, JB. Dahl, H. Kehlet
Searching The Cause of Back Pain after Epidural Chloroprocaine: Effects of EDTA on Isolated Myenteric Plexus-Longitudinal Muscle of Guinea-pig Ileum. (1 March, 1993)
B.C. Wang, C.K. Tang, D. Li, C. Rosenberg, H Turndorf
Comparison Of Onset Time Between Bupivacaine 0.5% And Bupivacaine 0.5% With Sufentanil 25 mcg (1 March, 1993)
Mark A. Kalt, Susan Arcaro, Michael Lawlor, Lawrence Mason, Calvin Johnson
Anticoagulant Effects of Magnesium Sulphate as Measured by Thromboelastography (1 March, 1993)
Frederick W. Burgess
Comparison of four methods to detect level of sensory block after epidural anesthesia for cesarean sections (1 March, 1993)
B. Chen, W. Kwan, N. Lin, X. Hou
Comparison of 25 Gauge Whitacre and Quinke Point Spinal Needles in Post-Partum Tubal Ligation (1 March, 1993)
P.A. Bevilacqua, D.A. Fleming, E.L. Bradley, D.B. Shaw
Obstetric Continuous Spinal Anesthesia (CSA): Large Bore Catheter Insertion after Attempted Epidural Anesthesia (1 March, 1993)
E.D. Fausel, Y.K. Demian, J.E. Tetzlaff, D. Huang
Addition of Ketorolac Tromethamine (KC) To Etidocaine (E) For Trigger Point Injections (1 March, 1993)
J. Antonio Aldrete
Role of Enkephalins in Pregnancy Induced Analgesia in Rats (1 March, 1993)
A. Jayaram, R. Vadhera, M. Ferries, D. Garvey, H. Carp
Antibiotic administration and maternal temperature in women with labor epidurals (1 March, 1993)
D.C. Mayer, F.J. Spielman, N.C. Chescheir
Reflex Sympathetic Dystrophy of the Upper Extremity: 10% Phenol Neurolytic Stellate Ganglion Block in a Community Hospital (1 March, 1993)
James S. Wechsler
Fluoroscopy useful for Epidural Steroid Injections (1 March, 1993)
Duane C. Bellamy, Brenda Hagen, L. F. Gunzenhaeuser
A Study of Potential Contamination Rates with Epidural Catheter Hub Disconnections (1 March, 1993)
Mike A. Royal, Robert M. Sutherland
Roland Disability Questionnaire is a sensitive outcome instrument following epidural steroid injections. (1 March, 1993)
Jeffrey Ngeow, Daniel Richman, Pat Schwartzberg, Pamela Williams-Russo
Helium - Neon Laser Treatment for Upper Extremity Reflex Sympathetic Dystrophy. (1 March, 1993)
Alex. M. Straja., Vladimir Redko
Celiac Plexus Neurolytic Block; Survey of Pain Programs (1 March, 1993)
James E. Honet, Karen L. Shea, Joseph L. Seltzer
Long-Term Follow Up of Cryoanalgesia for Chronic Thoracic Pam (1 March, 1993)
C.R. Green, A.M. deRosayro, A.R. Tait, R.S. Roth;, K.M. Greenwald

Poster Discussion 1

The Response of Rabbit Sympathetic Efferent Nerve Activity (SENA) and Mesenteric Vein Diameter (VD) to Graded Concentrations of Epidural and IM Lidocaine (1 March, 1993)
O. Hogan, A. Stadnicka, T. Stekiel, Z. J. Bosnjak, J.P. Kampine
A New Rabbit Epidural Anesthesia (EA) Model: Hemodynamic Responses to Graded Concentrations of Epidural and Systemic Lidocaine (1 March, 1993)
O. Hogan, A. Stadnicka, T. Stekiel, Z. J. Bosnjak, J.P. Kampine
Intravenous Injection of Local Anesthetic: Identification with Isoproterenol and Epinephrine in Children During Halothane Anesthesia. (1 March, 1993)
John K. Brendel, Terrance A. Yemen, Frederic A. Berry
Subarachnoid and Epidural Calcitonin in Patients with Metastatic Cancer Pain (1 March, 1993)
A. Maytorena, J. Rogers, O. Sierra
Intrathecal Morphine and Fentanyl for Labor Analgesia: Efficacy and Adverse Effects (1 March, 1993)
Lawrence E. Caldwell, Mark A. Rosen, Sol M. Shnider
Pharmacokinetics of Alfentanil Following Epidural Administration (1 March, 1993)
A.G.L. Burm, Haak-van F. der Lely, J. W. van Kleef, J. G. Bovill, A. A. Vletter, R. P.M. van den Heuvel, W Onkenhout

Poster Discussion 2

Survey of Preference for Spinal vs. General Anesthesia: Education Makes a Difference (1 March, 1993)
NH Jorgensen, M Harders, RM Hullander, D Leivers
Histologic Features of Epidural Soft Tissue and its Relation to the Dura and Canal Wall (1 March, 1993)
Quinn Hogan, Kenneth Lynch, Inta Lacitis
Epidural Triamcinolone Causes Prolonged and Severe Suppression of the Pituitary-Adrenal Axis (1 March, 1993)
J. Kay, H. Raff, J.W. Findling
The Determination of Propofol Levels in Follicular Fluid Collected at Transvaginal Oocyte Retrieval and the Effects of those Levels on Mouse Embryo Development. (1 March, 1993)
C Kowalczyk, T Sacco, C Grout, C Johnson, C Blacker, K Ginsburg, R. Leach
Epidural Meperidine Provides Surgical Anesthesia for Critically-Ill Patients Undergoing Major Surgery (1 March, 1993)
Ramesh Kaza, Michael Lawlor, Wendy Allen, Lou Ranella, Calvin Johnson
Unilateral Epidural Block: a new technique (1 March, 1993)
Pawan Grover, Glenn D. Babus, Quinn H. Hogan

Scientific Papers, Session 3

A Formalin Model of Inflammatory Hyperalgesia Produces Unilateral Dorsal Horn Elevations in the Preprotachykinin Gene (1 March, 1993)
J.L. Swisher, R.L. Carpenter
Spinal Anesthesia with Ropivacaine. A Double Blind Study on Efficacy and Safety of 0.5% and 0.75% Solutions in Patients Undergoing Minor Lower Limb Surgery. (1 March, 1993)
Jack W. van Kleef, Bernadette Th. Veering
Comparison of Single vs. Staged Epidural Injections of 0.75% Bupivacaine - Pharmokinetic Hemodynamic and Pharmodynamic Effects. (1 March, 1993)
Nigel E Sharrock, Robert Mineo, Jennifer Stanton, William J Ennis, William F Urmey
Ropivacaine for Spinal Anesthesia (1 March, 1993)
W. Wahedi, H. Nolte
Fos-IR Mapping of Central Nociceptive Projections in Tourniquet-related Pain (1 March, 1993)
James C. Crews, Constance S. Sehlhorst, Traci M. Reed, Michael M. Behbehani
Bupivacaine V Ropivacaine in Obstetric Epidural Analgesia (1 March, 1993)
A. F. McCrae, H. Jozwiak, J. H. McClure

Poster Discussion 3

Spinal Clonidine Hypotension: Mechanism of Reversal by Spinal Neostigmine (1 March, 1993)
Anand Lothe, Peng Li, Chuanyao Tong, James Eisenach
A Decrease in Postoperative Myocardial Ischemia and Infarction by Epidural Bupivacaine-Morphine after Upper Abdominal Surgery (1 March, 1993)
OA de Leon-Casasola, D Karabella, P Harrison, MJ Lema
Thromboembolism after Total Knee Arthroplasty: A Randomized Trial Comparing Epidural and General Anesthesia (1 March, 1993)
P. Williams-Russo, S.G. Klein, S.B. Haas, R.L. Kahn, N.E. Sharrock
Effect of General Anesthesia vs Interscalene Block for Shoulder Surgery: Postoperative Pain and Neuro-Endocrine Responses (1 March, 1993)
R. Greek, P. Maurer, M. Torjman, H. Schieren, J. Finke, J. Lessin, A. Marr, J. Fenlin, J. Seltzer
Initial One-Year Experience of a 97.3% Regional Anesthesia Ambulatory Surgery Center (1 March, 1993)
William F Urmey, Jennifer Stanton, Nigel E Sharrock
Does the choice of spinal needle influence the behavior of micro-bore spinal catheters? (1 March, 1993)
Brian K. Bevacqua, Alexey V. Slucky
Flow Characteristics of 2 Microcatheters for Continuous Spinal Anesthesia in a Canine Model (1 March, 1993)
Susan Steele, Mark Dentz, Laurence Hedlund, Charles T. Wheeler, Robert McRae, Bruce Leone
A Comparison of Epidurally Administered 2-Chloroprocaine and Lidocaine for Outpatient Knee Arthroscopy (1 March, 1993)
J.J. Deck, J.M. Neal, M.A. Lewis, D.J. Kopacz
Continuous Postoperative Epidural Infusions: a clinical study comparing variable concentrations of hydromorphone/bupivicaine and fentanyl/bupivicaine (1 March, 1993)
Nathan A. Miller, Victor C. Lee, Nancy R. Eksterowicz, John C. Rowlingson
The Addition of Intramuscular Ketorolac to Epidural Morphine-Bupivacaine for Post-Thoracotomy Analgesia (1 March, 1993)
OA de Leon-Casasola, E McClintick, P Harrison, J Massey, MJ Lema

Posters, Session 6

Local Anesthetic Activity of Verapamil Alone and in Combination with Bupivacaine in vitro
(1 March, 1993)
RJ Moskop, PSA Glass, David L Martel
Lidocaine for Spinal Anesthesia in Infants: Effect of Added Epinephrine (1 March, 1993)
R. Sukhani, A. Wahood, P. Black
A Quantitative In Vitro Determination of the Effect of Baricity on the Distribution of Spinal Anesthetics (1 March, 1993)
MB Sosis, B Braverman, G Tomasa
A Simple Method for Clinical Determination of Local Anesthetics in Plasma (1 March, 1993)
T. Mizuki, K. Nakashima, K. Tanaka, K. Dan
Does the addition of Meperidine or Dezocine to low dose lidocaine produce successful Intravenous Regional Anesthesia? (1 March, 1993)
Brian K. Bevacqua
Echocardiographic Evaluation of Bupivacaine Cardiotoxicity (1 March, 1993)
D.E. Coyle, D.T. Porembka, C.S. Sehlhorst, L. Wan, M.M. Behbehani
Microcatheter Continuous Spinal Anesthesia: An Invitro Assessment of the Potential for Neurologic Injury with 24G vs. 28G Catheters (1 March, 1993)
C. H. Leicht, G. Vasdev
Lidocaine and Bupivacaine Decrease Aminophylline Toxicity in Mice (1 March, 1993)
JP Kerchberger, RB Patel, RJ McCarthy, D Pharm, AD Ivankovich
Differential Epidural Block: Does the Choice of Anesthetic Matter? (1 March, 1993)
P. Teague, T. Andros, S. Holman, S. Koppel, R. Stevens
The Effect of Balanced Analgesia and Reinforced Rehabilitation on Convalescence after Major Orthopaedic and Abdominal Surgery (1 March, 1993)
S. Møiniche, JB. Dahl, BL. Hansen, H. Kehlet
An In Vitro Investigation of the Relationship Between Spinal Needle Design and Failed Spinal Anesthetics
(1 March, 1993)
YG Sayeed, MB Sosis, B Braverman, AD Ivankovich
A Comparison of Spinal Needle Flow Rates (1 March, 1993)
Barbara Zucker-Pinchoff, Margaret Ruttenberg
A Comparison of the Flow Characteristics of Spinal Needles (1 March, 1993)
MB Sosis, B Braverman, A. Toppses
Combined Axillary-Interscalene (Axis) Brachial Plexus Block for Elbow Surgery (1 March, 1993)
William F Urmey
Dose-Dependent Effects of Lidocaine in Isolated Small Mesenteric Veins of the Rabbit. (1 March, 1993)
A. Stadnicka, O. Hogan, T.A. Stekiel, Z.J. Bosnjak, J.P. Kampine
Spinal Anesthesia with Quincke and Whitacre 27-gauge Needles: Comparison of Incidence of Failure Rate and Postdural Puncture Headache. (1 March, 1993)
J. Lynch, K. Strick, M. Kasper, K. Topalidis, H. Schaaf, D. Zech, I. Krings-Ernst
A Comparison of Epidermal Coring with 22 Gauge Spinal Needles (1 March, 1993)
E Lipov, MB Sosis, AD Ivankovich
Effects of Drug dose, Volume and Concentration on Spinal Anesthesia with Isobaric Tetracaine (1 March, 1993)
Hwa-kou King, Daniel J. Wooten
Growth of Candida Albicans and Staphylococcus Aureus in Fentanyl/Bupivacaine Mixtures for Epidural Infusion
(1 March, 1993)
MB Sosis, B Braverman, AD Ivankovich
Epidural anesthesia and renal vascular resistance (1 March, 1993)
S Lowson, M Toohy, M Nevin, S Bolsin
Uptake of Local Anesthetic by Spinal Nerve Roots in vitro
(1 March, 1993)
Raymond B. Fink
Spinal Anesthesia Produces Increased Basilar Ventilation in Supine Patients (1 March, 1993)
D. A. Nakata, S. S. Moorthy, R. W. Burt, S. F. Dierdorf
Unilateral Spinal Anesthesia (1 March, 1993)
Jon Moore Carson, Woo Young Park
0.5% Chloroprocaine vs. 0.5% Lidocaine for Intravenous Regional Anesthesia (Ivra) of the Lower Extremity (1 March, 1993)
T.A.R. Palas
Risk of Cerebellar Tonsillar Herniation after Diagnostic Lumbar Puncture in Pseudotumor Cerebri (1 March, 1993)
SRA Paruchuri, Michael Lawlor, Kleinhomer Kevin, Lawrence Mason, Calvin Johnson
The Use of Nerve Blocks to Assist in Management of Lower Extremity Deformities in Spastic Cerebral Palsy (1 March, 1993)
P. Chandra, G.L. Tuchy, E. Tuchy, G.W. Welch, R. Bagg
Influence of tropisetron, a 5-HT₃-antagonist, on nausea and analgesia after intrathecal morphine
(1 March, 1993)
M Pitkänen, L Niemi, M Tuominen, PH Rosenberg
Post-Anesthesia Care Unit (PACU) Regression of Epidural Lidocaine Motor Blockade Following Saline Injections (1 March, 1993)
Richard P. O'Flynn, Janet N. Siler
Continuous spinal anesthesia offers greater hemodynamic stability compared to the single shot method. (1 March, 1993)
Th. W. Schnider, S. Mueller-Duysing, M. Jöhr, H. Gerber
Audio Visual Aids During Lengthy Surgical Procedures Under Spinal Anaesthesia (1 March, 1993)
A. Avila, P. Nelligan, D. Taylor, R. Hendel, M. Shine
Time From Hospital Admission to Initiation of Epidural Analgesia Predicts Outcome After Chest Wall Trauma (1 March, 1993)
AJ Mapes, EA Disbrow, LH Hanowell
Training Residents to do Axillary Blocks: II. The Multiple-Injection Technique (1 March, 1993)
James J. Gibbons
Impulse Activity Produces Functionally Specific Changes in Conduction Latency that Relate to Conduction Safety in RAT Sciatic Fibers. (1 March, 1993)
S.A. Raymond, J.G. Thalhammer, F.A. Popitz-Bergez, M. Rappoport, G.R. Strichartz
Post-Operative Urinary Retention following Spinal Anesthesia (1 March, 1993)
J. C. Olsen, J. H. Waters, D. Leivers
Differential Evaluation of Sensory and Motor Function During Peripheral Nerve Block with Lidocaine in Rats. (1 March, 1993)
J.G. Thalhammer, Marina Vladimirova, G.R. Strichartz