Paravertebral Sympathetic Block in the Treatment of Superficial and Deep Thrombophlebitis of Leg Veins

Parke, F. W.; Chalmers, J. A.

doi:10.1111/j.1471-0528.1957.tb02665.x

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…He thought the pain was largely due to venous spasm. Parke and Chalmers 30 considered arterial spasm to be the main cause of pain. Oschner,24 and Oschner and DeBakey25, 26 proved that spasm gave rise to lymphatic obstruction in the perivenous segment, thus producing peripheral edema which often may lead to gangrene of the extremities.…”

Section: Clinical Applicationmentioning

confidence: 99%

Continuous Epidural Sympathetic Block as a Diagnostic and Therapeutic Aid for Peripheral Arterial Diseases

Gwathmey

Walker

Byrd

1964

Survey of Anesthesiology

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CONTINUOUS epidural or peridural anesthesia or block often is of definite value in the diagnosis, treatment, and postoperative management of patients with various types of peripheral vascular disease of the lower extremity. We have utilized this method of sympathetic block in 49 patients during the past two years. The purpose of this communication is to review the historic background, describe the technic, and report our experience with epidural block. History The potentialities of instilling anesthetic agents into the peridural space were first appreciated by Corning," in 1885. He introduced cocaine solutions into this space in the dog. Although he is reported to have used this as a therapeutic measure in human beings, it is not certain whether he used an epidural or an intradural puncture. Cathelin,8 in 1900, is thought to be the first to introduce anesthetic agents into the sacral canal for surgical purposes and Pages,29 in 1921, utilized this method in the thoracic and lumbar regions. Dogliotti,13 of Italy, and Gutierrez,15 of Argentina, placed this type of anesthesia on a sound basis in 1931 and 1932, respectively. Hingson and Southworth,17 in 1942, first described the continuous method of administration into the peridural space by the caudal route, and in 1944,18 reported their experiences with the continuous lumbar method. Their administration of the anes-* Presented before the

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Section: Clinical Applicationmentioning

confidence: 99%

Continuous Epidural Sympathetic Block as a Diagnostic and Therapeutic Aid for Peripheral Arterial Diseases

Gwathmey

Walker

Byrd

1964

Survey of Anesthesiology

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Aid to lumbar paravertebral sympathetic block

James

Bowers

1968

Anaesthesia

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The techniques of lumbar paravertebral sympathetic block have been described by Bryce-Smithl.2, Parke & Chalmers3 and others. The choice of needle for this block is very important. Too fine a needle bends on insertion through the skin and is also too pliable to permit change of direction within the psoas muscle. There is thus increased difficulty in placing the tip of the needle accurately for the injection. Too large a needle causes unnecessary trauma and pain to the patient. We have found that the Lindgren needles usedin the X-Ray Department for femoral and carotid arteriograms are ideal. The needles have a straight shaft, can be obtained in various lengths and have an external diameter of lmm. They are supplied with a stylet. These needles are rigid enough for

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Theory and Practice in Acute Venous Thrombosis

Wessler¹,

Deykin²

1958

Circulation

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The purpose of this review has been to outline the basis for proposing, and the details for implementing, a rational and consistent plan of therapy for the management of acute venous thrombosis. We have interpreted the entity of venous thrombosis as representing a common, frequently systemic disease, clinically manifest by focal intravascular coagulation. Concerning this disease, the specific etiology is unknown, the diagnostic criteria are crude and unsatisfactory, and although the clinical course is usually benign and self limited it may be unpredictably recurrent and fatal. We have also inferred that the difficulties in statistically validating any specific therapeutic measure are, for the present, extremely great, and that this problem will not be significantly lessened until an accurate test for thrombosis is devised. To construct a workable frame of reference for the clinical management of venous thrombosis within the limits of our present knowledge, we have formulated the concept of the temporary thrombotic state. Treatment is based upon the neutralization of hypercoagulability by anticoagulant drugs and upon a reduction of venous stasis by the removal of immobilization and a decrease in the size of the peripheral venous pool by elastic support. Various aspects of this therapeutic approach are described in detail and illustrated by selected case studies.

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Paravertebral Sympathetic Block in the Treatment of Superficial and Deep Thrombophlebitis of Leg Veins

Cited by 4 publications

References 8 publications

Continuous Epidural Sympathetic Block as a Diagnostic and Therapeutic Aid for Peripheral Arterial Diseases

Continuous Epidural Sympathetic Block as a Diagnostic and Therapeutic Aid for Peripheral Arterial Diseases

Aid to lumbar paravertebral sympathetic block

Theory and Practice in Acute Venous Thrombosis

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