[Basic principles of management of closed trauma of the thorax with rib fractures].
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Biomedical subjects
Publications and source records attributed to E A Vagner.
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Epidural analgesia (EA) with dicaine and morphine has been compared in 34 patients with pain syndrome caused by degenerative dystrophy of lumbar vertebrae. The advantages of EA with dicaine have been observed. 35.3% of patients have been subject to surgery. In the rest of patients pain syndrome was relieved. Radionuclide epidurography has shown that the volume of the anesthetic solution injected should not exceed 10 ml.
A prolonged blockade of the brachial plexus by a subclavicular approach was performed in a 22-year-old patient with combined trauma and severe pain in the left arm. The administration of 20 ml of a 0.3% dicaine solution through a catheter led to spinal anesthesia accompanied by the development of transient hemodynamic and respiration disturbances, which were arrested without medication or controlled lung ventilation. A possible reason for this complication is traumatic plexitis. When performing a blockade of the brachial plexus one should administer a test dose of an anesthetic prior to the entire drug dosage.
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