Shingles Following Axillary Nerve Block a Case Report

1986 ◽  
Vol 11 (1) ◽  
pp. 115-116
Author(s):  
N. J. PERCIVAL
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Nerve Block ◽  
Upper Limb ◽  
Axillary Nerve ◽  
Nerve Blocks ◽  
Upper Limb Surgery ◽  
Axillary Nerve Block

Axillary nerve blocks are now frequently used for emergency and elective upper limb surgery. The method gives reliable anaesthesia with few complications. A case is described in which a patient developed Herpes Zoster following an Axillary Nerve Block, a hitherto unreported complication.

scholarly journals Treatment of Digital Ischemia with Liposomal Bupivacaine

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
José Raul Soberón ◽  
Scott F. Duncan ◽  
W. Charles Sternbergh
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Axillary Nerve ◽  
African American Female ◽  
Wound Infiltration ◽  
Nerve Blocks ◽  
Liposomal Bupivacaine ◽  
Off Label ◽  
Digital Ischemia

Objective. This report describes a case in which the off-label use of liposomal bupivacaine (Exparel) in a peripheral nerve block resulted in marked improvement of a patient’s vasoocclusive symptoms. The vasodilating and analgesic properties of liposomal bupivacaine in patients with ischemic symptoms are unknown, but our clinical experience suggests a role in the management of patients suffering from vasoocclusive disease.Case Report. A 45-year-old African American female was admitted to the hospital with severe digital ischemic pain. She was not a candidate for any vascular surgical or procedural interventions. Two continuous supraclavicular nerve blocks were placed with modest clinical improvement. These effects were also short-lived, with the benefits resolving after the discontinuation of the peripheral nerve blocks. She continued to report severe pain and was on multiple anticoagulant medications, so a decision was made to perform an axillary nerve block using liposomal bupivacaine (Exparel) given the compressibility of the site as well as the superficial nature of the target structures.Conclusions. This case report describes the successful off-label usage of liposomal bupivacaine (Exparel) in a patient with digital ischemia. Liposomal bupivacaine (Exparel) is currently FDA approved only for wound infiltration use at this time.

A COMPARATIVE STUDY BETWEEN INTERSCALENE BLOCK AND SUPRASCAPULAR PLUS AXILLARY NERVE BLOCK IN PATIENTS UNDERGOING SHOULDER SURGERY

2021 ◽  
pp. 72-74
Author(s):  
Swati Dutta ◽  
Sudakshina Mukherjii ◽  
Manjushree Ray ◽  
Gautam Lahiri ◽  
Arup Chakraborty
Keyword(s):  
Nerve Block ◽  
Visual Analog Scale Score ◽  
Axillary Nerve ◽  
Shoulder Surgery ◽  
Interscalene Block ◽  
Block Group ◽  
Nerve Blocks ◽  
Number Of Patients ◽  
Axillary Nerve Block

The interscalene block is the gold standard for shoulder anesthesia. The suprascapular nerve block combined with an axillary nerve block may provide an efcacious alternative to the interscalene nerve block for shoulder surgery. To compare interscalene block with suprascapular plus axillary nerve block for shoulder surgery in terms of quality of anaesthesia, duration of analgesia and, associated complications. Seventy one patients were randomly allocated in two groups to receive either interscalene block (Group IG, number of patients =35) or suprascapular plus axillary nerve block (Group SG, number of patients = 36). Onset of block, quality of block, failure rate and incidence of complications were observed. Postoperative pain was assessed by Visual Analog Scale. Score ≥4 was considered as signicant pain and, rescue analgesic injection tramadol 100 mg was administered. Onset of sensory block was 17.67±6.11 min and 15.29±1.72 min in group SG and IG respectively. Similarly duration of block was 247.61±78.46 min (Group SG) and 268.11±24.78 min (Group IG) (p=0.1332). Majority of patients had grade III motor block in group IG (74%) and grade II in group SG (89%). Three patients had either partial or complete failure of block in SG group. Interscalene block provided longer duration of postoperative analgesia. Both interscalene block and suprascapular plus axillary nerve block provide effective anaesthesia and analgesia for shoulder surgery. Although quality of block is better following interscalene block; suprascapular and axillary nerve blocks are associated with fewer side effects.

scholarly journals Selective Suprascapular and Axillary Nerve Block Provides Adequate Analgesia and Minimal Motor Block. Comparison with Interscalene Block

2013 ◽  
Vol 63 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Patrícia Falcão Pitombo ◽  
Rogério Meira Barros ◽  
Marcos Almeida Matos ◽  
Norma Sueli Pinheiro Módolo
Keyword(s):  
Nerve Block ◽  
Motor Block ◽  
Axillary Nerve ◽  
Interscalene Block ◽  
Axillary Nerve Block

Efficacy of axillary nerve block in elbow arthroscopic surgery: a randomized trial

2014 ◽  
Vol 23 (3) ◽  
pp. 291-296 ◽  
Author(s):  
Takuro Wada ◽  
Masanori Yamauchi ◽  
Gosuke Oki ◽  
Tomoko Sonoda ◽  
Michiaki Yamakage ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Nerve Block ◽  
Arthroscopic Surgery ◽  
Axillary Nerve ◽  
Axillary Nerve Block

scholarly journals Functional recovery with peripheral nerve block versus general anesthesia for upper limb surgery: a systematic review protocol

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Jennifer Héroux ◽  
Emilie Belley-Côté ◽  
Pablo Echavé ◽  
Marie-Josée Loignon ◽  
Pierre-Olivier Bessette ◽  
...  
Keyword(s):  
Systematic Review ◽  
Peripheral Nerve ◽  
General Anesthesia ◽  
Nerve Block ◽  
Upper Limb ◽  
Functional Recovery ◽  
Peripheral Nerve Block ◽  
Upper Limb Surgery ◽  
Grade Methodology ◽  
The Impact

Abstract Background Peripheral nerve block is a single injection that inhibits the transmission of peripheral nerve impulses to the central nervous system. The inhibition of the nociceptive impulse may decrease the occurrence of muscle spasm following mobilization postoperatively. This mechanism may contribute to a better functional recovery following upper limb surgery. This systematic review will investigate the impact of peripheral nerve block on functional recovery after an upper limb surgery. Methods We will search studies comparing peripheral nerve block to general anesthesia for upper limb surgery in the following databases: CENTRAL, MEDLINE (Ovid), CINAHL, EMBASE, and Scopus. In duplicate, independent reviewers will assess eligibility, evaluate risk of bias, and abstract data on type of peripheral nerve block and functional outcome. Where possible, we will pool results using a random effects model. For each outcome, we will assess the quality of evidence using GRADE methodology. Discussion We aim to summarize the available evidence comparing functional recovery with peripheral nerve block versus general anesthesia for upper limb surgery. These data will inform the design of a trial on the topic. Systematic review registration PROSPERO CRD42018116298

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