Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1992-4-2
pubmed:abstractText
This study was designed to determine the role of the afferent peripheral neural input in the regression of sensory analgesia during epidural analgesia. Eighteen patients who underwent minor obstetric or gynecologic surgery under lumbar epidural analgesia with lidocaine were divided into three groups. Group A received electrical single twitch stimulation at the spinal nerve dermatome one segment rostrad of the proximal extent of sensory paralysis. Group B received electrical twitch stimulation at the anterior crural region where nerve block may have been most profound in this study. Group C was assigned as a control and did not receive any stimulation. The patients received the stimulation for 60 min (i.e., from 80 to 140 min after the epidural injection). The range of sensory analgesia at 140 min was compared with that at 80 min. The regression of sensory analgesia in group B or C was 1 +/- 0 (mean +/- SD) spinal nerve segments, but in group A it was 5 +/- 1, which was significantly (P less than 0.0025) larger than the others. We conclude that the afferent peripheral neural input to a spinal segment where the nerve block is incomplete may accelerate the regression of sensory analgesia from epidural analgesia.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0003-2999
pubmed:author
pubmed:issnType
Print
pubmed:volume
74
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
358-61
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1992
pubmed:articleTitle
Role of afferent neural input in regression of sensory paralysis during epidural analgesia.
pubmed:affiliation
Department of Anesthesiology, Kochi Medical School, Japan.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial