Ultrasound-guided block and the incidence of intraneural injection

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Ultrasound-guided approach to nerves (direct vs. tangential) and the incidence of intraneural injection: a cadaveric study.

This study evaluated the incidence of nerve puncture and intraneural injection based on the needle approach to the nerve (direct vs. tangential). Two expert operators in regional anaesthesia performed in-plane ultrasound-guided nerve blocks (n = 158) at different levels of the brachial plexus in cadavers, aiming either directly for the nerve (n = 77) or tangentially inferior to the nerve (n = 8...

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Incidence of subclinical neuropathy after intraneural injection.

To the Editor: The article by Sala-Blanch et al. paints regional anesthesia into an interesting corner. On one hand, the authors demonstrate that intraneural injection happens frequently during nerve stimulator-guided blocks. On the other hand, the article does not provide convincing evidence that intraneural injection is safe. Neuropathy after peripheral nerve block is uncommon and therefore d...

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Nerve puncture and apparent intraneural injection during ultrasound-guided axillary block does not invariably result in neurologic injury.

BACKGROUND Nerve puncture by the block needle and intraneural injection of local anesthetic are thought to be major risk factors leading to neurologic injury after peripheral nerve blocks. In this study, the author sought to determine the needle-nerve relation and location of the injectate during ultrasound-guided axillary plexus block. METHODS Using ultrasound-guided axillary plexus block (1...

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Intraneural injection during nerve stimulator-guided sciatic nerve block at the popliteal fossa.

BACKGROUND Exact location of the needle tip during nerve stimulation-guided peripheral nerve blocks is unknown. Using high-frequency ultrasound imaging, we tested the hypothesis that intraneural injection is common with nerve stimulator-guided sciatic nerve (SN) block in popliteal fossa. METHODS Forty-two patients scheduled for hallux valgus repair were studied. Sciatic block at the popliteal...

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Intraneural injection during anterior approach for sciatic nerve block.

To the Editor:—We read with interest the case report by Sala-Blanch et al. The authors describe an unorthodox but interesting treatment for patients undergoing continuous sciatic nerve block that raises several concerns. In short, using computed tomographic imaging without clear clinical indication, the authors documented that nerve stimulator–guided needle placement during sciatic nerve block ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2017

ISSN: 0003-2409

DOI: 10.1111/anae.13913