Current Concepts in Regional Anaesthesia : Proceedings of the Second General Meeting of the European Society of Regional Anaesthesia

To ascertain whether nerve block could, in fact, be produced by this method a clinical trial was now conducted. Front Matter....Pages I-XIII Multiple Intercostal Blocks by a Single Injection? — A Clinical and Radiological Investigation....Pages 1-7 An Alternative Method of Intercostal Block (Studies of the use of the Jet Injector)....Pages 8-13 The Mixed Lumbar-Lumbosacral or Psoascompartment Block....Pages 14-22 Transsacral Block....Pages 23-31 Regional Block in Children....Pages 32-41 Celiac Plexus Block....Pages 42-55 Sympathetic Dystrophies: I.V. Regional Guanethidine versus Stellate Ganglion Blocks....Pages 56-60 Surface Landmarks for Supraclavicular Brachial Plexus Block....Pages 61-67 Comparativ Study of the Effect of Plain and CO 2 -Local Anaesthetics in Peripheral Nerve Blocks....Pages 68-81 The Extent of Blockade Following Various Techniques of Brachial Plexus Block....Pages 82-90 Haemodynamics and Pregnancy-Induced Hypertension....Pages 91-103 Epidural Anaesthesia in Pregnancy Induced Hypertension....Pages 104-110 Epidural Anesthesia for the Pregnant Diabetic....Pages 111-122 Peridural Anaesthesia in Caesarean Section....Pages 123-129 Epidural Analgesia and High Risk Vaginal Delivery....Pages 130-141 Concepts and Perspectives in Spinal Anesthesia....Pages 142-150 Current Concepts and Perspectives in Epidural Anaesthesia....Pages 151-166 Pharmacokinetics in Spinal and Epidural Anaesthesia....Pages 167-173 Effects of Adrenaline during Epidural and Spinal Anaesthesia....Pages 174-185 Cardiovascular Effects of Epidural and Spinal Block....Pages 186-191 Absorption and Disposition of Local Anaesthetics in Relation to Regional Blood Flow Changes....Pages 192-202 Mechanisms of Pain....Pages 203-209 Regional Blockade versus Analgesic Therapy....Pages 210-218 Analgesic and Respiratory Effects of Subcutaneous and Epidurally Administered Morphine in Rats....Pages 219-225 Continuous Epidural Anaesthesia Advantages and Disadvantages....Pages 226-236 The Endocrine-Metabolic Response to Postoperative Pain....Pages 237-244 Back Matter....Pages 245-252 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