Current Concepts in Regional Anaesthesia: Proceedings of the second general meeting of the European Society of Regional Anaesthesia

263 Pages·1984·15.3 MB·English

by  H. Renck

CURRENT CONCEPTS IN REGIONAL ANAESTHESIA
DEVELOPMENTS IN CRITICAL CARE
MEDICINE AND ANESTHESIOLOGY
Prakash, O. (ed.): Applied Physiology in Clinical Respiratory Care. 1982.
ISBN 90-247-2662-X.
McGeown, Mary G.: Clinical Management of Electrolyte Disorders. 1983.
ISBN 0-89838-559-8.
Scheck, P .A., Sj6strand, V.H., and Smith, R.B. (eds.): Perspectives in High
Frequency Ventilation. 1983. ISBN 0-89838-571-7.
Stanley, T.H., and Petty, W.C. (eds.): New Anesthetic Agents, Devices and Mo
nitoring Techniques. 1983. ISBN 0-89838-566-0.
Prakash, O. (ed.): Computing in Anesthesia and Intensive Care. 1983.
ISBN 0-89838-602-0.
Stanley, T.H., and Petty, W.C. (eds.): Anesthesia and the Cardiovascular
System. 1984. ISBN 0-89838-626-8.
Van Kleef, l.W., Burm, A.G.L., and Spierdijk, l. (eds.): Current Concepts in
Regional Anaesthesia. 1984. ISBN 0-89838-644-6.
CURRENT CONCEPTS IN
REGIONAL ANAESTHESIA
Proceedings of the second general meeting of the European Society
of Regional Anaesthesia
edited by
JACK W. VAN KLEEF, MD
ANTON G.L. BURM, MSc
JOHAN SPIERDIJK, MD
Department oj Anaesthesiology
Leiden University Hospital
Leiden, The Netherlands
1984 MARTINUS NIJHOFF PUBLISHERS
a member of the KLUWER ACADEMIC PUBLISHERS GROUP
BOSTON / THE HAGUE / DORDRECHT / LANCASTER
Distributors
jar the United States and Canada: Kluwer Boston, Inc., 190 Old Derby Street,
Hingham, MA 02043, USA
jar all other countries: Kluwer Academic Publishers Group, Distribution Center,
P.O.Box 322, 3300 AH Dordrecht, The Netherlands
Library of Congress Cataloging in Publication Data
European Society of Regional Anaesthesia. General
Meeting (2nd: 1983 : Leiden, Netherlands)
Current concepts in regional anaesthesia.
(Developments in critical care medicine and anaes
thesiology)
Includes index.
1. Conduction anesthesia--Congresses. I. Kleef,
Jack W. van. II. Burm, Anton G. L. III. Spierdijk, Joh.
IV. Title. V. Series.
RD84.E88 1983 617' .964 84-4108
ISBN-13: 978-94-009-6017-6 e-ISBN-13: 978-94-009-6015-2
001: 10.1007/978-94-009-6015-2
Copyright
© 1984 by Martinus Nijhoff Publishers, The Hague.
Softcover reprint of the hardcover 1s t edition 1984
All rights reserved. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form or by any means, mechanical,
photocopying, recording, or otherwise, without the prior written permission of
the publishers,
Martinus Nijhoff Publishers, P.O. Box 566, 2501 CN The Hague,
The Netherlands.
v
PREFACE
This book contains the papers that were presented at the 2nd
general meeting of the European Society of Regional Anaesthesia
(E.S.R.A.) which was held in Leiden on September 1st, 2nd and
3rd 1983. During the meeting a fruitful exchange of knowledge
was initiated which I hope will lead to further inspiration
and research. The book covers the following topics:
Special Blocks
Obstetric Pathology
Epidural versus Spinal Anaesthesia
(Postoperative) Pain Control
I would like to express my gratitude to all the speakers who sent
their manuscripts in time for publishing. I should also like to
thank the co-editors of this book, as well as mr B.F. Commandeur,
from Martinus Nijhoff Publishers for their cooperation. Finally
I should like to express my gratitude especially to Mrs J.I.
Tieleman-Shamir for all her secretarial work, and to Miss
M.P.M. Toelen for typing a good number of the manuscripts.
w.
Jack van Kleef
VII
CONTENTS
Preface v
Faculty XI
Multiple intercostal blocks by a singe injection?
-A clinical and radiological investigation
H. Renck. A. Johansson, P. Aspelin and H. Jacobsen
An alternative method of intercostal block.
(studies of the use of the jet injector) 8
S.J. Seddon
The mixed lumbar - lumbosacral or psoas compartment
block 14
J.T.A. Knape
Transsacral block 23
H.U. Gerbershagen, D.H. Frohneberg, Ch. Parihans and
H. Waisbrod
Regional block in children
32
o. Schulte-Steinberg
Coeliac plexus block 42
D.C. Moore
Sympathetic dystrophies: i.v. regional Guanethidine
versus stellate ganglion blocks 56
J.G. Hannington-Kiff
Surface landmarks for supraclavicular brachial plexus
block 61
L.J. Dupre and P. Stieglitz
VIII
Comparative study of the effect of plain and CO2-local
anaesthetics in peripheral nerve blocks 68
H. No1te, H. Fruhstorfer, H. Petruschke, B. Roessler,
U. Godt and G. Schmidt
The extent of blockade following various techniques of
brachial plexus block 82
E. Lanz. D. Theiss and D. Jankovic
Haemodynamics and pregnancy-induced hypertension 91
M.J.N.C. Keirse and H.H.H. Kanhai
Epidural anaesthesia in pregnancy-induced hypertension 104
A.I. Ho1lmen
Epidural anesthesia for the pregnant diabetic 111
J.B. Weiss
Peridural anaesthesia in Caesarean section 123
A. van Steenberge, J .L. Hody and L. Fanard
Epidural analgesia and high risk vaginal delivery 130
J.P. Holm
Concepts and perspectives in spinal anesthesia 142
N.M. Greene
Current concepts and perspectives in epidural
anaesthesia 151
P.R. Bromage
Pharmacokinetics in spinal and epidural anaesthesia 167
A.G.L. Burro and J.W. van K1eef
IX
Effect of adrenaline during epidural and spinal
anaesthesia 174
J.W. van Kleef and A.G.L. Burm
Cardiovascular effects of epidural and spinal block 186
D.B. Scott
Absorption and disposition of local anaesthetics in
relation to regional blood flow changes 192
G.T. Tucker
Mechanisms of pain 203
Joh. Spierdijk
Regional blockade versus analgesic therapy 210
L. Wiklund and G. Engberg
Analgesic and respiratory effects of subcutaneously
and epidurally administered morphine in rats 219
R.H.W.M. van den Hoogen
Continuous epidural anaesthesia: advantages and
disadvantages 226
M. D'A. Stanton-Hicks
The endocrine-metabolic response to postoperative 237
pain
H. Kehlet, N.C. Hjorts~ and D. Bigler
INDEX 245
XI
FACULTY
Prof. P.R. Bromage
Department of Anesthesiology
University of Colorado
Health Sciences Center
4200 East Ninth Avenue
Denver/Colorado 80262
U • S .A.
A.G.L. Burm M.Sc.
Afdeling Anaesthesiologie
Academisch Ziekenhuis
Rijnsburgerweg 10
2333 AA Leiden/The Netherlands
Prof. B.U. Gerbershagen
Schmerz Zentrum Mainz
Alice Hospital
Auf der Steig 14-16
6500 Mainz l/West Germany
Prof. N.M. Greene
Department of Anesthesiology
Yale University/School of Medicine
Yale New Haven Hospital
333 Cedar Street
New Haven/Connecticut 06510
U.S .A.
Dr. J.G. Hannington-Kiff
Pain Relief Clinic
Frimley Park HosQital
Portsmouth Road
Frimley/Surrey GU16 5UJ
United Kingdom
Prof.A.I. Ho11men
Department of Anaesthesiology
University of oulu
90100 Oulu 10/Finland
Mrs. Dr. J.P. Bo1m
Kliniek voor obstetrie en gynaecologie
Academisch Ziekenhuis
oostersingel 59
9713 EZ Groningen/The Netherlands
Dr. R.B.W.M. van den Boogen
Afdeling Anaesthesiologie
Diaconessenhuis
Houtlaan 55
2334 CK Leiden
XII
Dr. H. Kehlet
Kommunehospitalet
Surgical Department 1
0sten Farimagsgade 5
1399 Copenhagen K/Denmark
Prof. M.J.N.C. Keirse
Vrouwenkliniek
Academisch Ziekenhuis
Rijnsburgerweg 10
2333 AA Leiden/The Netherlands
Dr. J.W. van Kleef
Afdeling Anaesthesiologie
Academisch Ziekenhuis
Rijnsburgerweg 10
2333 AA Leiden/The Netherlands
Dr. J .T.A. Knape
Gansoord 4
1411 RH Naarden/The Netherlands
Dr. E. Lanz
Institut far Anaesthesiologie
der UniversitM.t
6500 Mainz/West Germany
Dr. D.C. Moore
Department of Anesthesiology
The Mason Clinic
118 Ninth Avenue
Seattle/Washington 98101
U.S.A.
Prof. H. Nolte
Institut far Anaesthesiologie
Klinikum Minden
Bismarckstrasse 6 - Bereich 1
4950 Minden/Westfalen
West Germany
Prof. H. Renck
Department of Anaesthesia
Malm~ AllmM.nna Sjukhus
21401 Malm~/Sweden
Dr. o. Schulte-Steinberg
Dietrichweide 7
D-8135 S~cking/West Germany
Dr. D.B. Scott
Department of Anaesthetics
Royal Infirmary of Edinburgh
Lauriston Place
Edinburgh EH3 9YW/United Kingdom