This book contains the papers that were presented at the 2nd general meeting of the European Society of Regional Anaesthesia (E. S. R. A. ) which was held in Leiden on September 1st, 2nd and 3rd 1983. During the meeting a fruitful exchange of knowledge was initiated which I hope will lead to further inspiration and research. The book covers the following topics: Special Blocks Obstetric Pathology Epidural versus Spinal Anaesthesia (Postoperative) Pain Control I would like to express my gratitude to all the speakers who sent their manuscripts in time for publishing. I should also like to thank the co-editors of this book, as well as mr B. F. Commandeur, from Martinus Nijhoff Publishers for their cooperation. Finally I should like to express my gratitude especially to Mrs J. I. Tieleman-Shamir for all her secretarial work, and to Miss M. P. M. Toelen for typing a good number of the manuscripts. Jack w. van Kleef VII CONTENTS Preface v Faculty XI Multiple intercostal blocks by a singe injection? -A clinical and radiological investigation H. Renck. A. Johansson, P. Aspelin and H. Jacobsen An alternative method of intercostal block. (studies of the use of the jet injector) 8 S. J.Seddon The mixed lumbar - lumbosacral or psoas compartment block 14 J. T. A. Knape Transsacral block 23 H. U. Gerbershagen, D. H. Frohneberg, Ch. Parihans and H. Waisbrod Regional block in children 32 o. Schulte-Steinberg Coeliac plexus block 42 D. C. Moore Sympathetic dystrophies: i. v.