Continuous peripheral nerve blocks: State of the art

Current Opinion in Anaesthesiology

Volumn 18, Issue 5, 2005, Pages 522-526

  Grossi, Paolo ^a   Allegri, Massimo ^b  

^a IRCCS POLICLINICO SAN DONATO   (Italy)

^b FONDAZIONE IRCCS POLICLINICO SAN MATTEO   (Italy)

Author keywords

Continuous nerve block; Peripheral nerve block; Ultrasound guidance nerve block

Indexed keywords

LEVOBUPIVACAINE; ROPIVACAINE;

CONTINUOUS INFUSION; DRUG INFUSION; EXPERIENCE; HUMAN; INFECTIOUS COMPLICATION; NERVE BLOCK; PERIPHERAL NERVE; PERIPHERAL NERVE INJURY; POSTOPERATIVE ANALGESIA; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; TECHNIQUE; ULTRASOUND;

EID: 26244436796     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.aco.0000182562.40304.ac     Document Type: Review

References (38)

1. Viscusi ER. Emerging techniques in the treatment of postoperative pain. Am J Health Syst Pharm 2004; 61 (Suppl 1):S11-S14. This is a review of the various techniques for postoperative pain control; it emphasizes the importance of continuous peripheral nerve blocks.
2. Ivani G, Mossetti V. Continuous peripheral nerve blocks. Pediatr Anaesth 2005; 15:87-90. This article deals with techniques, drugs, and complications in pediatric continuous peripheral nerve blocks.
3. Shinaman RC, Mackey S. Continuous peripheral nerve blocks. Curr Pain Headache Rep 2005; 9:24-29.
4. Zaric D, Boysen K, Christiansen J, et al. Continuous popliteal sciatic nerve block for outpatient foot surgery: a randomized, controlled trial. Acta Anaesthesiol Scand 2004; 48:337-341. This article highlights the safety of peripheral nerve blocks in outpatients.
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6. Tsui BC, Wagner A, Finucane B. Electrophysiologic effect of injectates on peripheral nerve stimulation. Reg Anesth Pain Med 2004; 29:189-193. This excellent and clear article explains the electrophysiologic basis of the Raj test It suggests a useful method to elicit a motor response even after the Raj test.
7. Salinas FV, Neal JM, Sueda LA, et al. Prospective comparison of continuous femoral nerve block with non-stimulating catheter placement versus stimulating catheter-guided perineural placement in volunteers. Reg Anesth Pain Med 2004; 29:212-220. This important study emphasized the importance of catheter positioning as close to the targeted nerve as possible and how this can be managed more easily with a stimulating catheter.
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23. Ilfeld BM, Morey TE, Thannikary LJ, et al. Clonidine added to a continuous interscalene ropivacaine perineural infusion to improve postoperative analgesia: a randomized, double-blinded, controlled study. Anesth Analg 2005; 100:1172-1178. This article shows that even a higher dose of clonidine added to a local anesthetic infusion cannot improve postoperative analgesia.
24. Casati A, Vinciguerra F, Cappelleri G, et al. Adding clonidine to induction bolus and postoperative infusion during continuous femoral nerve block delays recovery of motor function after total knee arthroplasty. Anesth Analg 2005; 100:866-872. This work underlines the most important problem of adding clonidine to a perineural femoral infusion: a delay in recovery of motor function was the result.
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35. Sarfesai AM, Chakrabarti AJ, Denny NK. Lower lobe collapse during continuous interscalene brachial plexus local anesthesia at home. Reg Anesth Pain Med 2004; 29:65-68. This case report suggests maintaining a good communication with patients at all times to prevent and treat rare complications.
36. Tuominem M, Tarkkila P. Diaphragmatic motion during continuous interscalene brachial plexus block. Reg Anesth Pain Med 1995; 20:543-544.
37. Al-Nasser B, Palacios JL. Femoral nerve injury complicating continuous psoas compartment block. Reg Anesth Pain Med 2004; 29:361-363. This case report shows that severe femoral nerve injury should be considered in the list of complications after continuous psoas compartment block.
38. Litz RJ, Vincent O, Wiessner D, Heller AR. Misplacement of a psoas compartment catheter in the subarachnoid space. Reg Anesth Pain Med 2004; 29:60-64. This is a case report of an unusual catheter misplacement into the subarachnoid space after primary psoas compartment block. The authors underline the importance of a negative aspiration test after catheter positioning.