New Aspects in Regional Anesthesia 4: Major Conduction Block: Tachyphylaxis, Hypotension, and Opiates

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Table of Contents

I Tachyphylaxis in Long-Term Epidural Analgesia.- Tachyphylaxis in Regional Anesthesia: Can we Reconcile Clinical Observations and Laboratory Measurements?.- No Tachyphylaxis with Prolonged, Continuous Bupivacaine.- Discussion.- Tachyphylaxis and Local Anesthetics.- Discussion.- Clinical Observations of Tachyphylaxis During Long-Term Epidural Analgesia.- Experimental Tachyphylaxis: Development of a Continuous Epidural Dog Model.- Discussion.- Pharmacologic Regulation of Local Anesthetic Conduction Block by Cyclic AMP.- Discussion.- Panel Discussion: Tachyphylaxis and Local Anesthetics.- II Hypotension Induced by Major Conduction Blocks.- Pathophysiology of Hypotension Induced by Spinal/Epidural Analgesia.- Discussion.- Vasovagal Syncope and Spinal Anesthesia: A Psychophysiologic Phenomenon.- Discussion.- Direct Vascular Effects of Some Local Anesthetics: A Mechanical and Electrophysiological Study.- Discussion.- Subarachnoid Block Spares Visceral Blood Flow and Drug Elimination Capacity.- Discussion.- Severe Hypotension and Major Conduction Anesthesia.- Discussion.- Hemodynamic Effects of Different Vasopressors (Etilefrine, Norfenefrine, Akrinor, Amezinium Metilsulfate) During Hypotension Caused by Epidural Anesthesia.- Discussion.- Blood Volume Distribution Under the Influence of Dihydroergotamine (Dihydergot) and Etilefrine Hydrochloride (Effortil) During Epidural Anesthesia.- Hemodynamic Effects and Mechanism of Action of Dihydroergotamine in Epidural Anesthesia.- Discussion.- Panel Discussion: Hypotension Associated with Local Anesthetics.- III Epidural and Intrathecal Opioids in Acute and Chronic Pain Treatment.- Epidural Opioids in Postoperative Pain Treatment.- Discussion.- Potentiation of Opiates Administered by the Intraventricular Route.- Discussion.- Influence of Epidural Opiates on Postoperative Morbidity and Endocrine-Metabolic Changes.- Discussion.- Experimental Studies of Urodynamic and Respiratory Changes Following Epidural Morphine.- Discussion.- Hyperbaric Intratheeal Morphine for Parturients with Toxemia.- Discussion.- Epidural Lofentanil for Pain Relief in Labor.- Discussion.- Epidural Opiate Analgesia Via Implantable, Continuous Low-Flow Pump for Cancer Pain.- Discussion.

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