Regional nerve blocks 1: wrist blocks

REGIONAL ANAESTHESIA Complications of peripheral nerve blocks

Key points † Serious complications of peripheral nerve blocks include nerve injury, catheter infection, bleeding, and LAST. † Intraneural injection occurs frequently with nerve stimulator or ultrasound-guided techniques. It is rarely associated with nerve injury. † Lipid emulsion therapy is effective in treating severe LAST. Summary Complications of peripheral nerve blocks are fortunately rare,...

Ultrasound and regional blocks.

Editor—A review in the BJA in 2010 suggested that advantages of using ultrasound guidance in regional anaesthesia included direct visualization of structures and local spread, detection of anatomical variants, reduction in local anaesthetic volume, painless blocks, and improved block performance and patient satisfaction. We feel that the following case demonstrates an additional benefit of ultr...

Upper limb nerve blocks

Brachial plexus blockade has enjoyed great popularity since it was first reported in 1884. As the ventral primary rami of cervical nerves 5–8 and a part of the first thoracic nerve emerge from the intervertebral foramina, they are invested in a fascial sheath that runs to a point distal to the axilla. Effective regional anaesthesia can be achieved with single or multiple injections at a variety...

Upper Extremity Nerve Blocks

Workflow in Interventional Radiology: Nerve Blocks and Facet Blocks

Workflow analysis has the potential to dramatically improve the efficiency and clinical outcomes of medical procedures. In this study, we recorded the workflow for nerve block and facet block procedures in the interventional radiology suite at Georgetown University Hospital in Washington, DC, USA. We employed a custom client/server software architecture developed by the Innovation Center for Co...