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At least 631 records · Page 35Linked to original sources
PubMed1998

[Analgesia using continuous axillary block after surgery of severe hand injuries: self-administration versus continuous injection].

OBJECTIVE: To compare analgesia produced after surgery for severe hand trauma, by a continuous axillary block obtained either with a continuous injection (CA) or controlled by the patient (PCA). STUDY DESIGN: Prospective, randomized study. PATIENTS: Forty-two ASA physical class 1 and 2 patients were enrolled over a twelve-month period and randomly allocated either into the CA or the PCA group. METHODS: After recovery from the surgical block, the axillary plexus was located using a nerve stimulator and a 20 G catheter (Contiplex B Braun) inserted over 5 centimeters into the axillary sheath. In the CA group (n = 21) patients received 0.1 mL.kg-1.h-1 of 0.25% bupivacaine and in the PCA group (n = 21) patients received 0.1 mL.kg-1 boluses of 0.25% bupivacaine with a one hour lock-out period. Data collected were pain intensity rated according to he visual analog scale (VAS), the total volume of bupivacaine injected, the quantity of nalbuphine administered as 10 mg boluses when VAS was = 5, and the patient's satisfaction after removal of the catheter. Statistical analysis used Student t test, ANOVA and chi 2 test. RESULTS: The mean duration of catheter use was 5 +/- 3 days. During this period the amount of bupivacaine was significantly reduced in the PCA group when compared to the CA group (P < 0.001). Similarly, the PCA group required significantly less nalbuphine. Finally, in this group, the satisfaction index was higher than in the CA group (95 versus 52% respectively, P < 0.01). CONCLUSION: Continuous axillary plexus blockade provides safe and effective postoperative analgesia. With the PCA technique results a lower quantity of bupivacaine is required and patient's satisfaction better.

Adolescent↗
PubMed1994

[Passover hand injuries].

Almost every year just before Passover there is increased exposure to hand trauma in matzah bakeries. In the past 5 years we treated 11 cases of hand trauma incurred during matzah baking. The typical injuries were amputations at different levels, crush injuries and burns. We present a case seen last Passover and suggest preventive methods to eliminate these accidents in the future.

Accidents, Occupational↗
PubMed1989

Protothecosis following hand injury. A case report.

A case of protothecosis following an accidental cut on the dorsum of the hand by a fragment of glass from an exploding beer bottle is described. The area was widely excised and oral tetracycline given. No recurrence has been seen over a period of four years.

Adult↗