Fluoroscopy in the operating room as an aid to determine catheter tip position for continuous peripheral nerve blocks

Intravenous analgesia has been the standard method employed to alleviate pain. However, intravenous analgesia cause higher rate of systemic side-effects, patient discomfort and longer hospital stays. In recent times, peripheral nerve blocks (PNB) have become the most preferred choice for a variety of procedures in operating room. PNBs lower the risks of peri-operative challenges, they involve in lowering the number of opioid-related complications, and they mitigate the need for general anaesthesia. Further, peripheral nerve blocks with the assistance from ultrasound technology provide superior choices over traditional pain-relieving methods practiced in the operating room. Objective of the current review article is to throw light on the peripheral nerve blocks and their utilities other than operation theatres. Also, this review article throws light on the several utilities of peripheral nerve blocks in trauma cases, block on arrival, upper limb, lower limb, chest and abdomen, head injury, maxillofacial injuries, uses in central vein canulations, recurrent ventricular tachycardia, interventional radiology, chronic pains with acute presentation and gangrene of limbs.

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Factors impacting on-time transfer to the operating room in patients undergoing peripheral nerve blocks in the preoperative area

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2009.04.005 ◽

2010 ◽

Vol 22 (2) ◽

pp. 115-121 ◽

Cited By ~ 4

Author(s):

Jacques E. Chelly ◽

Jennifer L. Horne ◽

Mark E. Hudson ◽

John P. Williams

Keyword(s):

Peripheral Nerve ◽

Operating Room ◽

Time Transfer ◽

Nerve Blocks ◽

Peripheral Nerve Blocks

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Continuous Peripheral Nerve Blocks for Early Active Mobilization after Hand Surgery: Four Case Reports

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835518720281 ◽

2018 ◽

Vol 23 (03) ◽

pp. 419-423

Author(s):

Takanobu Otsuka ◽

Hideki Okamoto ◽

Jun Mizutani ◽

Hideyuki Goto ◽

Isato Sekiya

Keyword(s):

Peripheral Nerve ◽

Case Reports ◽

Infusion Pump ◽

Hand Surgery ◽

Scar Tissue ◽

Nerve Blocks ◽

Peripheral Nerve Blocks ◽

Catheter Tip ◽

Active Mobilization ◽

Vas Scores

Early active mobilization after hand surgery is extremely important for preventing scar tissue and adhesion. We examined four patients for whom continuous peripheral nerve blocks (CPNB) were used during and after hand surgery. This method was used for three median nerves and one ulnar nerve. A 2-cm incision was made at distal one-third of the forearm with local analgesia. The catheter tip was placed in the distal one-fourth of the forearm, and the hand surgery was begun. Early active mobilization and the self-rehabilitation exercise started immediately after the operation. The VAS scores during exercise were 0–2 (mean: 1.3); pain was controlled sufficiently. Regarding ROM, excellent results were obtained for tenolysis, with good results for arthrolysis. No infection or postoperative nerve compression was found. This method, using CPNB with a portable infusion pump, is effective and safe for use at home for postoperative pain control.

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