scholarly journals A review of peripheral nerve blocks for cesarean delivery analgesia

2019 ◽  
Vol 45 (1) ◽  
pp. 52-62 ◽  
Author(s):  
Kelsey D Mitchell ◽  
C Tyler Smith ◽  
Courtney Mechling ◽  
Charles B Wessel ◽  
Steven Orebaugh ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Cesarean Delivery ◽  
Multimodal Analgesia ◽  
Erector Spinae ◽  
Transversus Abdominis ◽  
Future Research ◽  
Wound Infiltration ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Emergency Cesarean

Peripheral nerve blocks have a unique role in postcesarean delivery multimodal analgesia regimens. In this review article, options for peripheral nerve blocks for cesarean delivery analgesia will be reviewed, specifically paravertebral, transversus abdominis plane, quadratus lumborum, iliohypogastric and ilioinguinal, erector spinae, and continuous wound infiltration blocks. Anatomy, existing literature evidence, and specific areas in need of future research will be assessed. Considerations for local anesthetic toxicity, and for informed consent for these modalities in the context of emergency cesarean deliveries, will be presented.

Peripheral nerve blocks are not associated with increased risk of perioperative peripheral nerve injury in a Veterans Affairs inpatient surgical population

2019 ◽  
Vol 44 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Meghana Yajnik ◽  
Alex Kou ◽  
Seshadri C Mudumbai ◽  
Tessa L Walters ◽  
Steven K Howard ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Peripheral Nerve ◽  
Nerve Injury ◽  
Peripheral Nerve Injury ◽  
Veterans Affairs ◽  
Transversus Abdominis ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Increased Risk ◽  
American Society

Background and objectivesPerioperative peripheral nerve injury (PNI) is a known complication in patients undergoing surgery with or without regional anesthesia. The incidence of new PNI in a Veterans Affairs (VA) inpatient surgical population has not been previously described; therefore, the incidence, risk factors, and clinical course of new PNI in this cohort are unknown. We hypothesized that peripheral nerve blocks do not increase PNI incidence.MethodsWe conducted a 5-year review of a Perioperative Surgical Home database including all consecutive surgical inpatients. The primary outcome was new PNI between groups that did or did not have peripheral nerve blockade. Potential confounders were first examined individually using logistic regression, and then included simultaneously together within a mixed-effects logistic regression model. Electronic records of patients with new PNI were reviewed for up to a year postoperatively.ResultsThe incidence of new PNI was 1.2% (114/9558 cases); 30 of 3380 patients with nerve block experienced new PNI (0.9%) compared with 84 of 6178 non-block patients (1.4%; p=0.053). General anesthesia alone, younger age, and American Society of Anesthesiologists physical status <3 were associated with higher incidence of new PNI. Patients who received transversus abdominis plane blocks had increased odds for PNI (OR, 3.20, 95% CI 1.34 to 7.63), but these cases correlated with minimally invasive general and urologic surgery. One hundred PNI cases had 1-year follow-up: 82% resolved by 3 months and only one patient did not recover in a year.ConclusionsThe incidence of new perioperative PNI for VA surgical inpatients is 1.2% and the use of peripheral nerve blocks is not an independent risk factor.

A Review of Peripheral Nerve Blocks for Cesarean Delivery Analgesia

2020 ◽  
Vol 40 (4) ◽  
pp. 218-220
Author(s):  
K.D. Mitchell ◽  
C.T. Smith ◽  
C. Mechling ◽  
C.B. Wessel ◽  
S. Orebaugh ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Cesarean Delivery ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks

scholarly journals Analgesic Benefits of Ultrasound-Guided Thoraco-Abdominal Wall Peripheral Nerve Blocks

2016 ◽  
Vol 10 (1) ◽  
pp. 40-51
Author(s):  
Jaime Ortiz ◽  
Lisa Mouzi Wofford
Keyword(s):  
Peripheral Nerve ◽  
Abdominal Wall ◽  
Rectus Sheath ◽  
Hospital Length ◽  
Transversus Abdominis ◽  
Hospital Length Of Stay ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Perioperative Analgesia

Background and Objectives: Peripheral nerve blocks have been associated with decreased opiate consumption along with decreased associated side effects, improved pain scores, improved patient satisfaction scores, and decreased hospital length of stay. The aim of this review is to describe the use of ultrasound-guided thoraco-abdominal wall peripheral nerve blocks for perioperative analgesia. Content: This review article discusses the indications, anatomy, techniques, risks, and available clinical evidence of ultrasound-guided transversus abdominis plane (TAP), paravertebral, PECS, rectus sheath, and ilioinguinal/ iliohypogastric truncal blocks to update practitioners on the utility of these interventions in perioperative pain management. Conclusion: The increased use of ultrasound guidance in the performance of regional anesthesia has increased the tools available to physicians to provide analgesia in patients with thoraco-abdominal pain after surgery and trauma.

Acute pain management in trauma: anatomy, ultrasound-guided peripheral nerve blocks and special considerations

2019 ◽  
Vol 85 (7) ◽  
Author(s):  
Theodosios Saranteas ◽  
Iosifina Koliantzaki ◽  
Olga Savvidou ◽  
Marina Tsoumpa ◽  
Georgia Eustathiou ◽  
...  
Keyword(s):  
Pain Management ◽  
Peripheral Nerve ◽  
Acute Pain ◽  
Ultrasound Guided ◽  
Acute Pain Management ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks

Fascial plane blocks and peripheral nerve blocks: two planets not so far apart

2019 ◽  
Vol 85 (10) ◽  
Author(s):  
Pierfrancesco Fusco ◽  
Eugenio Di Martino ◽  
Giuseppe Paladini ◽  
Francesca De Sanctis ◽  
Stefano Di Carlo ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Fascial Plane
Sign in / Sign up

Export Citation Format

Share Document