Electrocardiogram (ECG) Monitor “Pacing” Interference from a Peripheral Nerve Stimulator When Performing a Peripheral Nerve Block

The popliteal fossa nerve block (PFNB) offers numerous advantages that make it a suitable anesthetic technique for foot and ankle surgery. In this retrospective study, we investigated the acute and long-term safety and efficacy of this relatively underutilized anesthetic technique for foot and ankle surgery. A review of 834 patients who underwent foot and/or ankle surgery by the coauthor (NAA) was conducted. Four hundred sixty-seven patients received a PFNB with the aid of a peripheral nerve stimulator. Variables assessed included the quality of surgical anesthesia, postoperative analgesia and the acute and long-term incidence of postoperative neuralgia and neuropraxia. The PFNBs were performed by anesthesiologists with various levels of training at a tertiary care hospital and all were supplemented with a saphenous nerve block. The PFNB was successful as the sole anesthetic technique in 79% of the cases; 18% were converted to general anesthesia and 3% required augmentation with local anesthetic. There were no complications associated with the PFNB. There were no incidents of postoperative neuralgia or neuropraxia. Only 12% of patients with a successful block required analgesics in the PACU, while 60% of patients with a failed block required systemic analgesics for surgical site pain (p<0.01). These results suggest that the performance of the PFNB with the guidance of a peripheral nerve stimulator is a safe and effective anesthetic technique for foot and ankle surgery.

Download Full-text

Peripheral Nerve Stimulator for Obturator Nerve Block during Transurethral Resection of Bladder Tumor Following Spinal Anesthesia: Initial Experience

10.21088/ijaa.2349.8471.7520.42 ◽

2020 ◽

Vol 7 (5) ◽

pp. 1161-1165

Author(s):

Shilpa G K Bhat

Keyword(s):

Peripheral Nerve ◽

Spinal Anesthesia ◽

Nerve Block ◽

Transurethral Resection ◽

Bladder Tumor ◽

Obturator Nerve ◽

Initial Experience ◽

Nerve Stimulator ◽

Peripheral Nerve Stimulator ◽

Obturator Nerve Block

Download Full-text

A Prospective, Randomized Single-blind Study of the Anesthetic Efficacy of the Inferior Alveolar Nerve Block Administered with a Peripheral Nerve Stimulator

Journal of Endodontics ◽

10.1016/j.joen.2009.11.023 ◽

2010 ◽

Vol 36 (3) ◽

pp. 429-433 ◽

Cited By ~ 11

Author(s):

Fredric Simon ◽

Al Reader ◽

Melissa Drum ◽

John Nusstein ◽

Mike Beck

Keyword(s):

Peripheral Nerve ◽

Nerve Block ◽

Inferior Alveolar Nerve ◽

Blind Study ◽

Inferior Alveolar Nerve Block ◽

Nerve Stimulator ◽

Peripheral Nerve Stimulator ◽

Single Blind

Download Full-text

Obturator Nerve Block in Adductor Spasticity: Comparison of Peripheral Nerve Stimulator and Ultrasonography Techniques

Turkish Journal of Anesthesia and Reanimation ◽

10.5152/tjar.2013.49 ◽

2013 ◽

Vol 41 (4) ◽

pp. 121-125

Author(s):

Nazan Has Selmi ◽

Sukran Sahin ◽

Alp Gurbet ◽

Gurkan Turker ◽

Sibel Kul ◽

...

Keyword(s):

Peripheral Nerve ◽

Nerve Block ◽

Obturator Nerve ◽

Nerve Stimulator ◽

Peripheral Nerve Stimulator ◽

Obturator Nerve Block

Download Full-text

Nerve Stimulator and Multiple Injection Technique for Upper and Lower Limb Blockade

50 Studies Every Anesthesiologist Should Know ◽

10.1093/med/9780190237691.003.0044 ◽

2018 ◽

pp. 235-240

Keyword(s):

Peripheral Nerve ◽

Nerve Block ◽

Peripheral Nerve Block ◽

Patient Acceptance ◽

Injection Technique ◽

Neurologic Complications ◽

Multiple Injection ◽

Nerve Stimulator ◽

Nerve Blocks ◽

Block Placement

This case focuses on administering nerve stimulators through multiple injections in the limbs by asking the question: For peripheral nerve blocks performed using the multiple injection technique with a nerve stimulator, what are the failure rate, patient acceptance, effective volume of local anesthetic solution, and incidence of neurologic complications? Use of the multiple injection technique with a nerve stimulator during peripheral nerve block placement has a high success rate, with <2% incidence of transient neurologic complications. Elevated tourniquet inflation pressure was associated with an increased risk for transient nerve injury. However, only 74% of patients would request the same anesthetic procedure if they underwent another surgery, mainly owing to discomfort during peripheral nerve block placement.

Download Full-text