scholarly journals THE NEUROPATHIES COMPLICATING PERIPHERAL NERVE BLOCKS: TWO CASES STUDIES

2021 ◽  
Vol 9 (09) ◽  
pp. 463-465
Author(s):  
Monsef Elabdi ◽  
◽  
Abderahmane Elwali ◽  
Keyword(s):  
Risk Factors ◽  
Peripheral Neuropathy ◽  
Peripheral Nerve ◽  
Postoperative Analgesia ◽  
Gold Standard ◽  
Case Reports ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Locoregional Anesthesia

Peripheral nerve blocks have become a gold standard for anesthesia and postoperative analgesia in limb and girdle surgeries due to the feeling of security, the simplicity of locoregional anesthesia, the absence of certain adverse effects when general anesthesia and especially in the quality of postoperative analgesia. However, locoregional anesthesia has a certain risk.We present two case reports of peripheral neuropathy after locoregional anesthesia involving the lumbar plexus and median nerve.We discuss through literature review, pathophysiology mechanisms, risk factors, management and prognosis of nerve injury during locoregional anesthesia.

scholarly journals EPIDEMIOLOGY AND COMPLICATIONS OFPERIPHERAL NERVE BLOCKS IN ORTHOPEDICS AND TRAUMATOLOGY : RABAT MILITARYHOSPITAL EXPERIENCE

2021 ◽  
Vol 9 (10) ◽  
pp. 1301-1306
Author(s):  
M. El Abdi ◽  
◽  
R. Ahtil ◽  
A. El Wali ◽  
◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Military Hospital ◽  
Prospective Surveillance ◽  
Nerve Blocks ◽  
Significant Development ◽  
Peripheral Nerve Blocks ◽  
Locoregional Anesthesia ◽  
The Mean ◽  
The Military

In recent years, Peripheral Nerve Blocks (PNB) have undergone a significant development due to the simplicity of management of patients under peripheral nerve blocks and especially the quality of postoperative analgesia. This study aims at reviewing the epidemiology and complications of Peripheral nerve blocks. We conducted a prospective surveillance study including all patients who had undergone surgery under peripheral nerve blocks for anesthesia or analgesia in the Trauma Department of the Military Hospital Mohammed V of Rabat over four (4) years. We recorded demographic characteristics, ASA class, effects of puncture, time of performing peripheral nerve blocks, failure, requirement for further block, perioperative and postoperative complications and theirmanagement. One thousand four hundred and twelve (1412) patients underwent nerve blocks during the study period, representing 49% of anesthetic activity in Trauma Department. The mean age is 35 years old. For 85% of patients, the indication of peripheral nerve blocks was advised for anesthesia and 15% PNBwere purely for analgesia. The most performed anesthetic nerve blocks were the infraclavicular blocks followed by blocks at the humeral canal. For analgesia, the ilio-facial and femoral blocks are the most performed. Minor complications are dominated by vascular punctures and paresthesia. As far asmajor complications are concerned, we noticed four (4) cases of convulsions and two (2) cases of neuropathies. Peripheral locoregional anesthesia is an effective and safe method for anesthesia and analgesia. Minor incidents are frequent, serious complications are possible. Their prevention is achieved through compliance to rules on peripheral nerve blocks performance, contraindication, benefit and risk analysis of each block and ultrasound skills.

scholarly journals Postoperative Analgesia in Children Using Peripheral Nerve Blocks

2020 ◽  
Vol 40 (2) ◽  
pp. 198-205
Author(s):  
Tetsuro KAGAWA ◽  
Eri UESHIMA ◽  
Takashi FUJIWARA ◽  
Aya SUEDA ◽  
Saeko TAKATSUJI
Keyword(s):  
Peripheral Nerve ◽  
Postoperative Analgesia ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks

scholarly journals Igel Phantom: An Innovative Model for USG Guided Needling Training

2020 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Peripheral Nerve ◽  
Cost Effective ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Training Models ◽  
Effective Learning ◽  
Innovative Model ◽  
Keywords Ultrasonography

Advancements in Ultrasonography has increased the interest among anesthesiologists to learn regional anesthesia techniques specially the peripheral nerve blocks. But it takes a long learning curve to become an expert in ultrasound guided regional aneaesthesia techniques. The training models like blue phantom is expensive and not freely available. Other commercially available phantom models like gelatin based phantom and agar based phantoms though cheap has less shelf life .We devised a novel and cost effective learning phantom using Igel for needling training. Further studies are required for comparing the quality of Igel based phantoms with commercially available phantoms like blue phantom. Keywords: Ultrasonography; Igel; Phantom.

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