Kessler, P. and Steinfeldt, T. and Gogarten, W. and Schwemmer, U. and Buettner, J. and Graf, B. M. and Volk, T. (2013) Peripheral regional anesthesia in patients under general anesthesia. Risk assessment with respect to parasthesia, injection pain and nerve damage. ANAESTHESIST, 62 (6). pp. 483-488. ISSN 0003-2417, 1432-055X
Full text not available from this repository. (Request a copy)Abstract
Nerve injury after peripheral regional anesthesia is rare and is not usually permanent. Some authors believe that inducing peripheral nerve blocks in patients during general anesthesia or analgosedation adds an additional risk factor for neuronal damage. This is based on published case reports showing that there is a positive correlation between paresthesia experienced during regional anesthesia and subsequent nerve injury. Therefore, many sources recommend that regional nerve blocks should only be performed in awake or lightly sedated patients, at least in adults. However, there is no scientific basis for this recommendation. Furthermore, there is no proof that regional anesthesia performed in patients under general anesthesia or deep sedation bears a greater risk than in awake or lightly sedated patients. Currently anesthesiologists are free to follow personal preferences in this matter as there is no good evidence favoring one approach over the other. The risk of systemic toxicity of local anesthetic agents is not higher in patients who receive regional anesthesia under general anesthesia or deep sedation. Finally, in children and uncooperative adults the administration of peripheral nerve blocks under general anesthesia or deep sedation is widely accepted.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SYSTEMIC TOXICITY; COMPLICATIONS; BLOCKS; SURGERY; INJURY; EXPERIENCE; LIDOCAINE; Nerve block; Anesthetics, local; Intoxication; Ultrasonography; Electric nerve stimulation |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Apr 2020 06:52 |
| Last Modified: | 08 Apr 2020 06:53 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16539 |
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