scholarly journals New peripheral nerve blocks: are they worth the hype?

Author(s):  
AT Bösenberg ◽  
E Holland

The advent of portable ultrasound technology has revolutionised our ability to place peripheral nerve blocks within tissue planes. Ultrasound guidance has facilitated the introduction of new innovative approaches to deeper nerves not previously attempted using landmark-based techniques. The majority of these truncal blocks involve the branches of the spinal nerves.

Author(s):  
Colin J. L. McCartney ◽  
Alan J. R. Macfarlane

Peripheral nerve blocks of the upper limb can provide excellent anaesthesia and postoperative analgesia. A variety of well-established traditional approaches to the brachial plexus exist, namely interscalene, supraclavicular, infraclavicular, and axillary techniques. Individual terminal nerves such as the median, radial, ulnar, and other smaller nerves can also be blocked more distally. The traditional and ultrasound-guided approach to each of these nerve blocks is discussed in turn in this chapter, along with specific indications and complications. The introduction of ultrasound guidance has generated significant excitement in this field in the last 10 years and has been demonstrated to improve efficacy and reduce complications. However, a sound knowledge of anatomy of the nerve supply to the upper limb remains essential during any upper limb regional anaesthesia technique.


2020 ◽  
Vol 45 (9) ◽  
pp. 681-683
Author(s):  
Stephen C Haskins ◽  
Megan Fiasconaro ◽  
Lauren Wilson ◽  
Jashvant Poeran ◽  
Jiabin Liu ◽  
...  

2020 ◽  
Vol 5 (1) ◽  
pp. 120-125
Author(s):  
Krishna Prasad GV

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.


2008 ◽  
Vol 108 (4) ◽  
pp. 557-558 ◽  
Author(s):  
Admir Hadzic ◽  
Xavier Sala-Blanch ◽  
Daquan Xu

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