Le bloc sympathique régional intraveineux à la Guanethidine. Étude rétrospective de 251 blocs du membre supérieur chez 68 patients. [Intravenous regional sympathetic block with guanethidine. Retrospective study of 251 blocks of the upper limb in 68 patients]

Details

Serval ID
serval:BIB_4FB80016AD44
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Le bloc sympathique régional intraveineux à la Guanethidine. Étude rétrospective de 251 blocs du membre supérieur chez 68 patients. [Intravenous regional sympathetic block with guanethidine. Retrospective study of 251 blocks of the upper limb in 68 patients]
Journal
Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten
Author(s)
Egloff D. V., Piaget F.
ISSN
0254-6310 (Print)
Publication state
Published
Issued date
1989
Volume
82
Number
3
Pages
149-54
Notes
English Abstract Journal Article
Abstract
68 patients have been treated by regional intravenous blocks with guanethidine. 251 blocks have been realized. The majority of the patients received 3 blocks of one week. Some of them got a second series of 3 blocks after a minimum interval of one month. The study included 3 groups of patients. The first group showed 12 patients in the first stage of Sudeck; the second group 22 patients in the second stage. The third group included 34 patients for which the indication to blockade had been a chronic painful stage (19 cases), an ankylosis (8 cases), a Dupuytren post-traumatic contracture (3 cases) a stage before the operation predisposing to dystrophy reflex (3 cases) and one case of hyperhidrosis of the hand. Considering the three groups it can be stated that the first one responded the best to the treatment with a success in 80% of the cases. This success confirms the necessity of intervening as soon as possible in case of an algoneurodystrophy. The third group reveals that this therapeutical method can be useful in other situations than the dystrophy reflexes. The indication herewith is more founded on a possible sympathetic origin of the troubles as on the comportment psycho-affective of the patient.
Keywords
Autonomic Nerve Block/*methods Chronic Disease Dupuytren's Contracture/therapy Guanethidine/*administration & dosage Humans Hyperhidrosis/therapy Injections, Intravenous Pain/therapy Reflex Sympathetic Dystrophy/*therapy
Pubmed
Create date
18/01/2008 11:43
Last modification date
20/08/2019 15:05
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