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American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada BEST OF MEETING A1 Hs-CRP as a Serum Inflammatory Marker of Radiculitis Ackerman W, 1 Zhang J 2 1 The Pain Medicine Consultants Group, Little Rock, AR; 2 Department of Anesthesiology, Little Rock, AR A2 US-Guided Rectus Sheath Block in Children: An Initial Experience Chowdary K, Thornton J, Splinter W, Gaboury I CHEO, Ottawa, Ontario, Canada A3 Ephedrine Versus Bupivacaine in Rat Sciatic Nerve Blockade Zizza A, 1 Hung Y, 2 Kau Y, 3 Gerner P 4 Boston, MA A4 Peak Injection Pressure Is a Better Monitor of Intraneural Injection Than the Rate of Pressure Rise Tsai T, 1 Dilberovic F, 2 Vuckovic I, 2 Divanovic K 3 1 St. Luke’s-Roosevelt Hospital Center, New York, NY; 2 Medical School of University of Sarajevo, Sarajevo, Bosnia and Herzegovina; 3 Veterinary School of University of Sarajevo, Sarajevo, Bosnia and Herzegovina A5 Effect of Postoperative Pain on Quality of Recovery and Patient-Oriented Outcomes in the Immediate Postoperative Period Doherty J, 1 Partin A, 1 Fleisher L, 2 Wu C 1 1 Johns Hopkins University, Baltimore, MD; 2 University of Pennsylvania, Philadelphia, PA POSTER SESSION 1 A6 Total Shoulder Arthroplasty as an Outpatient Procedure Using Ambulatory Perineural Local Anesthetic Infusion: A Prospective Feasibility Study Ilfeld B, Wright T, Enneking F, Vandenborne K University of Florida, Gainesville, FL A7 Total Knee Arthroplasty as a 23-Hour Stay Procedure Using Ambulatory Perineural Local Anesthetic Infusion: A Prospective Feasibility Study Ilfeld B, Gearen P, Enneking F, Vandenborne K University of Florida, Gainesville, FL A8 The Benefits of Adding Epidural Analgesia to General Anesthesia: A Meta- Analysis Guay J University of Montreal, Montreal, Quebec, Canada A9 Effect of Posterior Lumbar Plexus Perineural Local Anesthetic Infusion on Postoperative Functional Ability Following Total Hip Arthroplasty Ilfeld B, Gearen P, Enneking F, Vandenborne K University of Florida, Gainesville, FL Regional Anesthesia and Pain Medicine, Vol 30, No 5 (September–October), 2005: pp 497–504 497

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Page 1: American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada

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American Society of Regional Anesthesiaand Pain Medicine

Annual Spring Meeting & WorkshopsApril 21–24, 2004

Toronto, Ontario, Canada

EST OF MEETING

1 Hs-CRP as a Serum Inflammatory Marker of RadiculitisAckerman W,1 Zhang J2

1The Pain Medicine Consultants Group, Little Rock, AR; 2Department of Anesthesiology, Little Rock,AR

2 US-Guided Rectus Sheath Block in Children: An Initial ExperienceChowdary K, Thornton J, Splinter W, Gaboury ICHEO, Ottawa, Ontario, Canada

3 Ephedrine Versus Bupivacaine in Rat Sciatic Nerve BlockadeZizza A,1 Hung Y,2 Kau Y,3 Gerner P4

Boston, MA

4 Peak Injection Pressure Is a Better Monitor of Intraneural Injection Than theRate of Pressure RiseTsai T,1 Dilberovic F,2 Vuckovic I,2 Divanovic K3

1St. Luke’s-Roosevelt Hospital Center, New York, NY; 2Medical School of University of Sarajevo,Sarajevo, Bosnia and Herzegovina; 3Veterinary School of University of Sarajevo, Sarajevo, Bosniaand Herzegovina

5 Effect of Postoperative Pain on Quality of Recovery and Patient-OrientedOutcomes in the Immediate Postoperative PeriodDoherty J,1 Partin A,1 Fleisher L,2 Wu C1

1Johns Hopkins University, Baltimore, MD; 2University of Pennsylvania, Philadelphia, PA

OSTER SESSION 1

6 Total Shoulder Arthroplasty as an Outpatient Procedure Using AmbulatoryPerineural Local Anesthetic Infusion: A Prospective Feasibility StudyIlfeld B, Wright T, Enneking F, Vandenborne KUniversity of Florida, Gainesville, FL

7 Total Knee Arthroplasty as a 23-Hour Stay Procedure Using AmbulatoryPerineural Local Anesthetic Infusion: A Prospective Feasibility StudyIlfeld B, Gearen P, Enneking F, Vandenborne KUniversity of Florida, Gainesville, FL

8 The Benefits of Adding Epidural Analgesia to General Anesthesia: A Meta-AnalysisGuay JUniversity of Montreal, Montreal, Quebec, Canada

9 Effect of Posterior Lumbar Plexus Perineural Local Anesthetic Infusion onPostoperative Functional Ability Following Total Hip ArthroplastyIlfeld B, Gearen P, Enneking F, Vandenborne K

University of Florida, Gainesville, FL

Regional Anesthesia and Pain Medicine, Vol 30, No 5 (September–October), 2005: pp 497–504 497

Page 2: American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada

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498 Regional Anesthesia and Pain Medicine Vol. 30 No. 5 September–October 2005

10 Efficacy of Continuous Local Anesthetic Infusion for Postoperative Pain AfterRadical Retropubic ProstatectomyLevin J,1 Partin A,1 Fleisher L,2 Wu C1

1Johns Hopkins University, Baltimore, MD; 2University of Pennsylvania, Philadelphia, PA

11 Perineuromal Administration of Norepinephrine EvokesLin E, Agarwal S, Wu C, Raja SJohns Hopkins University, Baltimore, MD

12 Efficacy of Postoperative Epidural Analgesia versus Intravenous Patient-Controlled Analgesia with Opioids: A Meta-AnalysisMichaels R,1 Cohen S,2 Liu S,3 Wu C1

1Johns Hopkins University, Baltimore, MD; 2Philadelphia College of Osteopathic Medicine,Philadelphia, PA; 3Virginia Mason Medical Center, Seattle, WA

13 Gender and Postdural Puncture Headache: A Meta-AnalysisPetrovic M,1 Cohen S,2 Rowlingson A,1 Wu C1

1Johns Hopkins University, Baltimore, MD; 2Philadelphia College of Osteopathic Medicine,Philadelphia, PA

14 Bevel Direction and Postdural Puncture Headache: A Meta-AnalysisJeffries M,1 Richman J,1 Cohen S,2 Wu C1

1Johns Hopkins University, Baltimore, MD; 2Philadelphia College of Osteopathic Medicine,Philadelphia, PA

15 The Analgesic Effects of Oral Gabapentin on Postoperative PainHurley R, Cohen S, Rowlingson A, Wu CJohns Hopkins University, Baltimore, MD

16 Regional Anesthesia Surveillance System (RASS): First Results After 12 Monthsin Clinical RoutineSchulz-Stübner S, Herwaldt LUniversity of Iowa Hospitals and Clinics, Iowa City, IA

17 Patient Participation Does Not Prevent Wrong Side ProceduresSchulz-Stübner SUniversity of Iowa Hospitals and Clinics, Iowa City, IA

18 The Effect of Regional Versus General Anesthesia on Paresthesiae One YearAfter Ambulatory Hand SurgeryBrull R, McCartney C, Abbas S, Chan VToronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

19 Comparison of Ilioinguinal-Iliohypogastric Nerve Block and Spinal Anaesthesiafor Inguinal HerniorraphyYilmazlar A,1 Bilgel H,2 Donmez C,1 Ayla G1

1Uludag University Bursa, Bursa, Turkey; 2Anadolu Grubu Hospital Istanbul, Istanbul, Turkey

20 The Use of Dexmedetomidine for Hemodynamic Stability During Awake CarotidEndarterectomyMcCutcheon C, Orme R, Scott D, Davies MSt Vincent’s Hospital, Melbourne, Fitzroy, Victoria, Australia

21 Effect of Valdecoxib on Transitional Pain After Elective Ambulatory SurgeryFoster G, Imasogie N, Ganapathy S, Drosdowech DSt Joseph’s Health Care, University of Western Ontario, London, Ontario, Canada

22 Implementation of an Anesthesia Perioperative Pain Management EducationProgram for Peripheral Nerve Blockade in Elective Orthopedic SurgicalProceduresReeves C,1 Rebel A,2 Hanna M1

1Johns Hopkins University, Baltimore, MD; 2University of Kentucky, Lexington, KY

Page 3: American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada

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Annual Spring Meeting & Workshops 499

23 Postoperative Pain Control With an Opioid-Based Thoracic Epidural in a Patientwith Idiopathic Hypertrophic Subaortic StenosisIstaphanous GUniversity Of Cincinnati, Cincinnati, OH

24 Do Continuous Peripheral Nerve Catheters Provide Superior Pain Control toOpioids? A Meta-AnalysisRichman J,1 Wong R,2 Liu S,1 Wu C1

1Johns Hopkins University, Baltimore, MD; 2Virginia Mason Medical Center, University ofWashington, Seattle, WA

25 For Outpatient Inguinal Hernia Surgery Peripheral Nerve Block OffersAdvantages Over General AnesthesiaKerimoglu B, Karaca P, Claudio R, Hadzic ASt. Luke’s-Roosevelt Hospital Center, New York, NY

26 Peripheral Nerve Blocks in Heavily Sedated PatientsGadsden J, Singh A, Iwata T, Hadzic ASt. Luke’s-Roosevelt Hospital Center, New York, NY

27 Lower Extremity Nerve Blocks for Outpatient Foot and Ankle Surgery:A Literature ReviewTsai T, Iwata T, Shah S, Hadzic ASt. Luke’s-Roosevelt Hospital Center, New York, NY

OSTER SESSION 2

28 Psoas Compartment Block with Additional Sciatic Nerve Block for Total KneeJoint Replacement in 391 Consecutive PatientsVicent O, Litz R, Wiessner D, Koch TUniversity Hospital Dresden, Dresden, Germany

29 Interscalene Brachial Plexus Block with Sparing of the Phrenic Nerve byInterscalene CatheterClendenen S,1 Rajendran S,1 Bauer P,2 Elias J3

1Surgical Center at Premier, Colorado Springs, CO; 2Health South Radiology Colorado Springs, CO;3Medical Education and Research Center of Colorado, Colorado Springs, CO

30 The Vertical Infraclavicular Block Influences Hemidiaphragmatic Movement andVentilatory FunctionGielen M,1 Rettig H2

1Radboud University Nijmegen, The Netherlands; 2Ikazia Hospital Rotterdam, The Netherlands

31 Comparison of Levobupivacaine in Intra-Articular Versus Femoral Nerve Blockas Postoperative Analgesia Treatment in Arthroscopy Reconstruction ofAnterior Cruciate Ligament of the KneeEspinosa W,1 Salazar C,2 Rovira M,1 Labzina J1

1Mutualidad de Futbolistas Españoles Clínica FIATC, Barcelona, Spain; 2Hospital de Figueres,Girona, Spain

32 The Femoral Nerve and Its Relationship to the Lateral Circumflex VesselsOrebaugh S,1 Chelly J2

1UPMC-Southside, Pittsburgh, PA; 2UPMC-Shadyside, Pittsburgh, PA

33 The Learning Curve for Infraclavicular Nerve Block Using a Regional AnesthesiaSimulatorGonzales J, Grant S, Stevens T

Duke University Medical Center, Durham, NC
Page 4: American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada

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500 Regional Anesthesia and Pain Medicine Vol. 30 No. 5 September–October 2005

34 Ultrasound as the Only Nerve Localization Technique for Peripheral Nerve Blockvan Geffen G, Gielen MRadboud University Medical Centre, Nijmegen, The Netherlands

35 Is There Any Need for Expanding Perineural Space Before Catheter Placementin Continuous Femoral Nerve Blocks?Pham Dang C,1 Guilley J,2 Langlois C,1 Dernis L2

1University Hospital, Nantes, Loire-Atlantique, France; 2Centre Hospital Department, La Roche SurYon, La Vendée, France

36 CT-Scan Guided Parasacral Sciatic Nerve Block: Modified Surface Landmarks forSafetyPham Dang C, Dupas B, Pinaud M, Malinge MUniversity Hospital, Nantes, Loire-Atlantique, France

37 A Case of Distal Peroneal Nerve Palsy With Misinterpretation of EMG ResultsPham Dang C,1 Gouin F,1 Pereon Y2

1University Hospital, Nantes, Loire-Atlantique, France; 2University Hospital, Nantes, France

38 Evaluation of Interscalene Block Performance: Establishing Construct ValidityChoi M,1 Perlas A,1 Chan V,1 Naik V2

1University Health Network, Toronto Western Division, University of Toronto, Toronto, Ontario,Canada; 2St Michael’s Hospital, Toronto, Ontario, Canada

39 Prospective Randomized Double-Blind Comparison of Bupivacaine 0.125%Versus Ropivacaine 0.2% for Continuous Femoral AnalgesiaNa K, Salinas F, Neal J, Batra MVirginia Mason Medical Center, Seattle, WA

40 Percutaneous Electrode Guidance for Femoral Nerve Block in Case ofUnperceivable Artery PulsationsPham Dang C,1 Kick O,2 Pinaud M,1 Malinge M1

1University Hospital, Nantes, Loire-Atlantique, France; 2Polyclinique de l’Atlantique St. Herblain,Loire-Atlantique, France

41 Subgluteal Approach to the Sciatic Nerve: No Palpation, No ConfusionFranco C, Rahman A, Choksi NJHS Hospital of Cook County, Chicago, IL

42 Opioid-Free Anesthesia and Analgesia Provides Adequate Pain Relief andImproves Outcomes After Colon Resection: A Preliminary ReportGanapathy S, Watson J, Imasogie N, Rajgopal CUniversity of Western Ontario, London, Ontario, Canada

43 Ultrasonographic Localization of Continuous Brachial Plexus Catheter Tip UsingAgitated Dextrose Solution: Case ReportsGanapathy S,1 Foster G,1 Armstrong K,1 Bevan P2

1University of Western Ontario, London, Ontario, Canada; 2University of Toronto, Toronto, Ontario,Canada

44 Ultrasound-Guided, Perineural Catheter Placement in Fresh CadaversWeller R, Gerancher JWake Forest University School of Medicine, Winston-Salem, NC

45 Estimation of Sciatic Nerve Depth in the Subgluteal Approach Using ThighDiameter as a MarkerCrabtree E, Beck M, Nosovitch M, Boezaart A

University of Iowa, Iowa City, IA
Page 5: American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada

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Annual Spring Meeting & Workshops 501

46 Continuous Caudal Anesthesia for an Eight-Week-Old Baby With SevereJunctional Epidermolysis Bullosa (JEB)Thukral M, Waisel DChildren’s Hospital Boston, Boston, MA

47 Does the Epidural Approach Angle Influence Thoracic Epidural Catheter TipPosition?Ryu H, Lee C, Kim Y, Bahk JSeoul National University Hospital Seoul, Korea

48 Plexus Brachialis Can Be Easily Stimulated Transfascial! A Case ReportZajac A,1 Mantaj A,2 Hertel B2

1Paracelsus-Klinik Henstedt-Ulzburg Norderstedt, Schleswig-Holstein, Germany; 2Oberlausitz-Kliniken Bischofswerda, Saxon, Germany

49 Unilateral Spinal Anesthesia Using a 26-Gauge Quincke Spinal NeedleKim K,1 Yun M,2 Oh Y3

Sungnam-si Kyonggi-do, South Korea

50 Ultrasound Evaluation of Needle Tip Position During Lateral ParavascularSupraclavicular Brachial Plexus BlockLi C, McCartney C, Perlas A, Chan VToronto Western Hospital, University of Toronto, Toronto, Ontario, Canada

51 Ultrasound Study to Determine the Accuracy of Needle Placement for RectusSheath Block by Conventional Method in ChildrenChowdary K, Thornton J, Splinter W, Gaboury ICHEO, Ottawa, Ontario, Canada

52 Successful Use of Ultrasound Guided Axillary Block in Three Morbidly ObesePatientsLiang L, Foster G, Singh S, Parkin JUniversity of Western Ontario, London, Ontario, Canada

53 Lidocaine Infusions in the Treatment of Pain in Fibromyalgia Patients:A Retrospective CohortHutcheson J, Smith AMedical University of South Carolina, Charleston, SC

54 High Injection Pressures During an Intraneural Injection Predicts FascicularInjury and Neurologic Deficits in DogsTsai T,1 Divanovic K,2 Vuckovic I,3 Dilberovic F3

1St. Luke’s-Roosevelt Hospital Center, New York, NY; 2Veterinary School, University of Sarajevo,Sarajevo, Bosnia and Herzegovina; 3Medical School, University of Sarajevo, Sarajevo, Sarajevo,Bosnia and Herzegovina

55 Intrathecal Midazolam Added to Bupivacaine Does Not Improve the Durationand Quality of Spinal AnesthesiaYun M,1 Kim K,2 Rhee K,3 Oh Y4

Sungnam City, Geunggi Province, South Korea

56 Anterior Cervical Approach for Stellate and T2-3 Sympathetic Block: A NovelTechniqueVallejo R, Benyamin R, Plancarte RMillennium Pain Center, Bloomington, IL

57 Ultrasound-Guided Fascia Iliaca BlockSidhu D, Warren L

Massachusetts General Hospital, Boston, MA
Page 6: American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada

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502 Regional Anesthesia and Pain Medicine Vol. 30 No. 5 September–October 2005

58 New Approaches to Ultrasound-Guided Interscalene and Subclavian PerivascularBrachial Plexus BlockadeStevens T, Grant SDuke University Medical Center, Durham, NC

OSTER SESSION 3

59 Effects of 0.2% and 1% Epidural Ropivacaine on Bispectral Index at ThreeClinical End-Points During Propofol AnesthesiaSakura S, Kushizaki H, Kanata K, Saito YShimane University School of Medicine, Izumo City, Shimane, Japan

60 Is Onset Of Epidural Analgesia Fast Enough for Parturients’ Satisfaction?Ammeiya N, Oosthuysen S, Rhodes SJames Paget Hospital, Gorleston, Norfolk, UK

61 Auditory Evoked Potential and BIS Monitors During Spinal AnesthesiaDoi K, Mihara T, Sakura S, Saito YShimane University School of Medicine, Izumo City, Shimane, Japan

62 Background and Preliminary Data for OCT-Guided Imaging of Spinal StructuresKent J, Tang C, Jafri S, Maldonado EUniv. of Maryland, Baltimore, MD

63 Electro-Acupuncture on Neuropathic Pain in the RatsLin Y, Ly H, Zurakowski D, Gerner PChildren’s Hospital Boston, Harvard Medical School, Boston, MA

64 A Case Series of Intraneural Injection During Sciatic Nerve Block UsingNeurostimulation on Patients without NeuropathyWilloughby P, Melucci R, Sadean M, Azim SSUNY @ Stony Brook, Stony Brook, NY

65 Ultrasound Imaging of Epidural Anesthesia for Morbidly Obese ParturientsOosthuysen S, Amemiya N, Rohdes SJames Paget Hospital, Gorleston, Norfolk, UK

66 Neuraxial Anesthesia and Analgesia in Patients with Pre-Existing CentralNervous System DisordersHebl, M.D. J, Horlocker, M.D. T, Schroeder, M.S. DMayo Clinic, Rochester, MN

67 Neurologic Complications after Neuraxial Anesthesia or Analgesia in Patientswith Pre-Existing Peripheral Sensorimotor Neuropathy or DiabeticPolyneuropathyHebl, M.D. J, Horlocker, M.D. T, Kopp, M.D. S, Schroeder, M.S. DMayo Clinic, Rochester, MN

68 Not Documented? Not Done! A Proposed Procedure Note for Neuraxial BlockadeViscusi E,1 Geranch J,2 Weller R,2 Copeland S2

1Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA; 2Wake Forest UniversityHealth Sciences, Winston-Salem, NC

69 Monitoring Practices for Epidural AnalgesiaViscusi E, Witkowski TJefferson Medical College, Thomas Jefferson University, Philadelphia, PA

70 Complications of Exteriorized Versus In Situ Uterine Repair at Cesarean SectionUnder Spinal AnesthesiaSiddiqui M, Goldszmidt E, Tharmaratnam U, Carvalho J

Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
Page 7: American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada

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Annual Spring Meeting & Workshops 503

71 A Self-Reporting Post � Retrospective Pre-Test Method of Evaluating the Effectsof a Pain Management Cram Course Directed Towards Health Care PractitionersAvila A,1 Zmijowskyj T,2 Gonzalez R3

1Sunnybrook Women’s College Health Science Centre, Toronto, Ontario, Canada; 2Northern OntarioSchool of Medicine, Sudbury, Ontario, Canada; 3University of Toronto, Toronto, Ontario, Canada

72 Internal Resistances Vary Among Various Perineural and Epidural CatheterModelsPanzer O, Claudio R, Takashige I, Hadzic ASt. Lukes-Roosevelt Hospital, New York City, NY

73 Epidural Hematoma in the Setting of Perioperative Anticoagulation DespiteAdherence to ASRA GuidelinesMcCeney MUniversity of Colorado Health Sciences Center, Denver, CO

74 Interscalene Brachial Plexus Block with Indwelling Catheter Resulting inComplex Regional Pain Syndrome and Brachial PlexopathyWoods D,1 Piszel B2

1University Hospitals of Cleveland, Lakewood, OH; 2University Hospitals of Cleveland, ClevelandHeights, OH

75 Pain, the Gift That No One Wants: A Case Study of Hereditary Sensory andAutonomic Neuropathy (HSAN)Fan A,1 Boddu K2

1University of Washington, Mercer Island, WA; 2University of Iowa, Iowa City, IA

76 The Mind Registry: An Observational Database of Patients Treated withBotulinum Toxin Type B (MYOBLOC®)—Pain Subset of the DatabaseLeong M,1 Royal M2

Stanford University S. San Francisco CA

77 Auditory Evoked Potential and BIS Monitors During Spinal AnesthesiaDoi K, Mihara T, Sakura S, Saito YShimane University School of Medicine, Izumo City, Shimane, Japan

78 Epidural Analgesia CareMap: Providing a Critical Path for Pain ManagementViscusi E,1 Lynch W,2 Slatko G,2 Lenoir K3

1Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA; 2University of Medicineand Dentistry of New Jersey Kennedy Health Systems, Cherry Hill, NJ; 3ParagonRx, Wilmington,DE

79 Oxytocin Requirements at Cesarean Section for Failure to Progress in Labor:A Dose Finding StudyBalki M, Ronayne M, Davies S, Carvalho JMount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada

80 Case Report of Cervical Percutaneous Discectomy Using NucleoplastyLeverenz D, Miguel RUSF College of Medicine, Tampa, FL

81 The Modulation of the Chronic Opioid Dependent State by Convulsive Activity(A Case Report)Choi D, Whittington RColumbia University College of Physicians and Surgeons, New York, NY

82 The Incidence of Symptomatic Spinal/Epidural Hematoma Following CentralNeuraxial Blocks: An 8-Year Survey in a Single CenterLitz R, Wiessner D, Heller A, Koch T

University Hospital Dresden, Dresden, Germany
Page 8: American Society of Regional Anesthesia and Pain Medicine Annual Spring Meeting & Workshops April 21–24, 2004 Toronto, Ontario, Canada

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504 Regional Anesthesia and Pain Medicine Vol. 30 No. 5 September–October 2005

83 Low Cost Implanted Intrathecal Drug Delivery Systems for NarcoticAdministration in Cancer Pain ManagementHamdani G, Khan M, Khan MAga Khan Hospital, Karachi, Pakistan

84 Low Cost Implanted Intrathecal Drug Delivery Systems for NarcoticAdministration in Cancer Pain ManagementHamdani G, Khan M, Khan MAga Khan Hospital, Karachi Sind, Pakistan

85 Role of Neuromodulatory Drugs in Refractory Pain in Head and Neck CancerPatientsHamdani G, Khan MAga Khan Hospital Karachi Sind, Pakistan

86 Effects of Length of Epidural Catheter in the Epidural Space on Pain Relief inPatients Undergoing Total Abdominal Hysterectomy—Randomized DoubleBlinded StudyHamdani G, Chaudhary N, Khan Z, Khan FAga Khan Hospital, Karachi, Sind, Pakistan

87 Continuous Perioperative Brachial Plexus Blockade with Ropivacaine MayPrevent Phantom Limb Pain in Cancer Patients Undergoing PalliativeForequarter AmputationKotob F, Lovrincevic M, Lema MRoswell Park Cancer Institute, Buffalo, NY

88 Efficacy and Side Effects of IVPCA Methadone Versus HydromorphoneVascello L, Rebel A, Colclough G, Samba KUniversity of Kentucky, Lexington, KY

89 Neurologic Complications after Neuraxial Anesthesia or Analgesia in Patientswith Pre-Existing Spinal Stenosis or Lumbar Disc DiseaseHebl, M.D. J, Horlocker, M.D. T, Schroeder, M.S. DMayo Clinic, Rochester, MN

90 A Comparison of Patient Controlled Epidural Pethidine Versus NurseAdministered Epidural Pethidine for Analgesia after Caesarean SectionLim Y,1 Wilson S,2 Katz S2

1KK Women’s and Children’s Hospital Singapore, Singapore; 2Royal Hospital for Women, Sydney,NSW, Australia

91 A Comparison of Patient Controlled Epidural Pethidine versus NurseAdministered Epidural Pethidine for Analgesia after Caesarean SectionLim Y,1 Wilson S,2 Katz S2

1KK Women’s and Children’s Hospital Singapore, Singapore; 2Royal Hospital for Women, Sydney,NSW, Australia