Menu

Show posts

This section allows you to view all posts made by this member. Note that you can only see posts made in areas you currently have access to.

Show posts Menu

Messages - carmanucor

#1
Sorry. I'm a Portughese anesthetist and I don't know what is Clexane. Can you explain what is it? thank you
#2
A single shot ciatic block is very good for this situation, with a continuous femural block
#3
Regional Anesthesia / Re: Nerve blocks under GA
January 10, 2007, 02:04:28 AM
To importants thinghs: in children always asleep, in adults we perform in most of the cases with the patient talking with us. But I think, no problem if the current is >0.4 mAmp and more importante is the pression in the plunger of seringe
#4
Regional Anesthesia / Re: Stimulation Current
January 10, 2007, 01:58:17 AM
The minimal current in my hospital is 0.4 mAmp, except in diabetic patients , 0.6 or more . But 0.3 is fine, take attention only with a pression when you inject de local anesthetic! High pression is a bad sign
#5
Good nigth. sorry my bad English

1 - I prefer femural block with a stimulating catheter and a continuous infusion with a elastomeric pump to Total Knee replacement, with GA or SAB.
2 - For Hip replacement I do weekly a posterior approach lumbar plexus , with a stimulating catheter for analgesia with a SAB .

Good results
#6
why thoracic epidural! more local anesthetic, more problems. Lumbar epidural in this situacion is better in my opinion.Best regards
#7
Regional Anesthesia / Re: Unilateral spinals
January 10, 2007, 01:44:01 AM
In ortopedic surgery ( hip trauma ), first I perform a femural block, with 25 ml of ropivacaĆ­ne 0.5% and 10 or 15 minutes later I  perform a SAB, with a bupivacaĆ­ne isobaric ( 7,5 mg ) and fentanil 12,5 ug , with the fractured hip upperside with no problem, and no hypotension. Sorry my bad English