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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. Jack w. 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.
List of contents
Multiple intercostal blocks by a singe injection? -A clinical and radiological investigation.- An alternative method of intercostal block. (studies of the use of the jet injector).- The mixed lumbar - lumbosacral or psoascompartment block.- Transsacral block.- Regional block in children.- Coeliac plexus block.- Sympathetic dystrophies: i.v. regional Guanethidine versus stellate ganglion blocks.- Surface landmarks for supraclavicular brachial plexus block.- Comparative study of the effect of plain and CO2-local anaesthetics in peripheral nerve blocks.- The extent of blockade following various techniques of brachial plexus block.- Haemodynamics and pregnancy-induced hypertension.- Epidural anaesthesia in pregnancy-induced hypertension.- Epidural anesthesia for the pregnant diabetic.- Peridural anaesthesia in Caesarean Section.- Epidural analgesia and high risk vaginal delivery.- Concepts and perspectives in spinal anesthesia.- Current concepts and perspectives in epidural anaesthesia.- Pharmacokinetics in spinal and epidural anaesthesia.- Effect of adrenaline during epidural and spinal anaesthesia.- Cardiovascular effects of epidural and spinal block.- Absorption and disposition of local anaesthetics in relation to regional blood flow changes.- Mechanisms of pain.- Regional blockade versus analgesic therapy.- Analgesic and respiratory effects of subcutaneously and epidurally administered morphine in rats.- Continuous epidural anaesthesias advantages and disadvantages.- The endocrine-metabolic response to postoperative pain.
