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CASE REPORT
Year : 2011  |  Volume : 55  |  Issue : 2  |  Page : 181-183

Differential blockade to assess surgical repair by intraoperative active mobilization in knee injuries-Beyond labour analgesia


Department of Anesthesiology, Tirunelveli Medical College, Tirunelveli, Tamil Nadu, India

Correspondence Address:
G Vijay Anand
Plot No. 3, Udaya Nagar II, NGO 'B' Colony, Tirunelveli-627 007, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.79903

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Motor-sparing selective epidural analgesia has long been practised in the field of labour analgesia. However, the utility of such techniques in other fields remain limited. We present the successful use of a similar technique of differential blockade in a case of quadriceps plasty with realignment of patella for recurrent dislocation of patella. A very low concentration of bupivacaine and fentanyl was used through continous epidural. The adequacy of repair was assessed intraoperatively by active movement of operated limb by patient himself.


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