scholarly journals Radial Nerve Injury after Brachial Nerve Block - Case Series

2016 ◽  
Vol 62 (1) ◽  
pp. 128-129
Author(s):  
Janos Szederjesi ◽  
Alexandra Lazar ◽  
Paul Rad ◽  
Emoke Almasy

AbstractAdding epinephrine to local anesthetics is recommended to extend the duration of peripheral nerve blocks. We describe in this article two cases of radial nerve injury possible due to coadministration of epinephrine during brachial plexus block.

2016 ◽  
Vol 2 (10) ◽  
pp. 173
Author(s):  
Natarajan Pooranan ◽  
Dhanasekaran C

Peripheral nerve blocks have become important in clinical practice because of their role in post-operative pain relief, shortening of patient recovery time & avoiding risks and adverse effects of general anaesthesia. Bupivacaine is a long acting local anaesthetic. Due to its long duration of action and combined with its high quality sensory blockade compared to motor blockade it has been the most commonly used local anaesthetic for peripheral nerve blocks. Ropivacaine is a newer, long acting local anaesthetic whose neuronal blocking potential used in peripheral nerve blockade seems to be equal or superior to bupivacaine. Studies show that it has significantly greater safety margin over bupivacaine. Hence here is an attempt through the study to compare bupivacaine with ropivacaine in supraclavicular brachial plexus block in ASA II&III patients.


1996 ◽  
Vol 24 (4) ◽  
pp. 453-458 ◽  
Author(s):  
H. Pearce ◽  
D. Lindsay ◽  
K. Leslie

Two hundred consecutive, minimally-sedated patients presenting for upper limb surgery were audited prospectively to determine the overall clinical success rate, extent of cutaneous neural blockade, reliability and complication rate of each indicator of axillary sheath entry, and degree of patient satisfaction. The axillary sheath was identified, using a 22 gauge, short-bevelled needle, by one of four indicators, whichever was elicited first (paraesthesia, arterial or venous puncture, or tethering by the axillary sheath). Alkalinized mepivacaine 1.2%, 50 ml then was injected. The cutaneous distribution of the block was mapped in the presence of minimal sedation. Anaesthesia was supplemented with peripheral nerve blocks where necessary. Patients were followed up with a mailed questionnaire and surgeon interview. The overall clinical success rate was 92.5%, improving to 99% with supplementary nerve blocks. Complete anaesthesia distal to the elbow was achieved in 85% of patients. Complications were common, but generally mild and transient: mild acute local anaesthetic toxicity, 3.5%; axillary tenderness and bruising, 12%; and dysaesthesias, 12.5%. Despite this, patient satisfaction was high (97%).


2017 ◽  
Vol 67 (1) ◽  
pp. 100-106
Author(s):  
Luis Eduardo Silveira Martins ◽  
Leonardo Henrique Cunha Ferraro ◽  
Alexandre Takeda ◽  
Masashi Munechika ◽  
Maria Angela Tardelli

2016 ◽  
Vol 26 (5) ◽  
pp. 553-556 ◽  
Author(s):  
James R. Eiszner ◽  
Alfred Atanda ◽  
Ashwin Rangavajjula ◽  
Mary Theroux

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