Hadzic's Regional Anesthesia > Part XI. Neurologic Complications of Regional Anesthesia >

Chapter 69. Neurologic Complications of Peripheral Nerve Blocks: Mechanisms & Management

Methods and Means of Decreasing the Risk of Neurologic Complications Associated with Nerve Blocks

Steven Deschner, MD, Alain Borgeat, MD, Admir Hadzic, MD

Recommendations for Decreasing Pnb Complications

Topics Discussed:

high-pressure injection injury; needle device; neurologic complication; pain during injection; peripheral nerve blocks.

Sections:

Recommendations for Decreasing Pnb Complications, Aseptic Technique, Short-Bevel Insulated Needles, Needles of Appropriate Length for Each Block Technique, Surface Localization, Needle Advancement, Fractionated Injections, Accuracy of the Nerve Stimulator, Avoidance of Forceful, Fast Injections, Avoidance of High Injection Pressures, Aborting Injection When Pain Is Reported , Choosing the Local Anesthetic Solution Wisely, Blocks in Anesthetized Patients, Repeating a Block after a Failed Block

Excerpt:

"Most nerve block techniques are merely percutaneous injections. However, infections are known to occur and can result in significant disability. Because this complication is almost entirely preventable, every effort should be made to adhere to strictly aseptic technique...."

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