Erik M Helander1, Aaron J Kaye2,3, Matthew R Eng4, Patrick I Emelife5, Mark W Motejunas5, Lauren A Bonneval3,6, Justin A Terracciano7, Elyse M Cornett8, Alan D Kaye5. 1. Department of Anesthesiology, University of Florida, PO Box 100254, Room 2036, Gainesville, FL, 32610, USA. 2. Medical University of South Carolina, Charleston, SC, 29425, USA. 3. Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave, New Orleans, LA, 701123, USA. 4. Department of Anesthesiology, LSU Health Sciences Center, 1542 Tulane Ave, New Orleans, LA, 70112, USA. 5. Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave, New Orleans, LA, 70112, USA. 6. LSU Health Sciences Center New Orleans, 2020 Gravier Street, 5th Floor, New Orleans, LA, 70112, USA. 7. LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA. 8. Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA. ecorne@lsuhsc.edu.
Abstract
PURPOSE OF REVIEW: Understanding the etiologies of the complications associated with regional anesthesia and implementing methods to reduce their occurrence provides an opportunity to foster safer practices in the delivery of regional anesthesia. RECENT FINDINGS: Neurologic injuries following peripheral nerve block (PNB) and neuraxial blocks are rare, with most being transient. However, long-lasting and devastating sequelae can occur with regional anesthesia. Risk factors for neurologic injury following PNB include type of block, injection in the presence of deep sedation or general anesthesia, presence of existing neuropathy, mechanical trauma from the needle, pressure injury, intraneural injection, neuronal ischemia, iatrogenic injury related to surgery, and local anesthetic neurotoxicity. The present investigation discusses regional blocks, complications of regional blocks, risk factors, site-specific limitations, specific complications and how to prevent them from happening, avoiding complications in regional anesthesia, and the future of regional anesthesia.
PURPOSE OF REVIEW: Understanding the etiologies of the complications associated with regional anesthesia and implementing methods to reduce their occurrence provides an opportunity to foster safer practices in the delivery of regional anesthesia. RECENT FINDINGS:Neurologic injuries following peripheral nerve block (PNB) and neuraxial blocks are rare, with most being transient. However, long-lasting and devastating sequelae can occur with regional anesthesia. Risk factors for neurologic injury following PNB include type of block, injection in the presence of deep sedation or general anesthesia, presence of existing neuropathy, mechanical trauma from the needle, pressure injury, intraneural injection, neuronal ischemia, iatrogenic injury related to surgery, and local anesthetic neurotoxicity. The present investigation discusses regional blocks, complications of regional blocks, risk factors, site-specific limitations, specific complications and how to prevent them from happening, avoiding complications in regional anesthesia, and the future of regional anesthesia.
Authors: Benoit Gautier; Helene Hajjar; Sylvia Soares; Jade Berthelot; Marie Deck; Scarlette Abbou; Graham Campbell; Maria Ceprian; Sergio Gonzalez; Claire-Maëlle Fovet; Vlad Schütza; Antoine Jouvenel; Cyril Rivat; Michel Zerah; Virginie François; Caroline Le Guiner; Patrick Aubourg; Robert Fledrich; Nicolas Tricaud Journal: Nat Commun Date: 2021-04-21 Impact factor: 14.919
Authors: Jung A Lim; Shin Yeung Sung; Ji Hyeon Lee; So Young Lee; Sang Gyu Kwak; Taeha Ryu; Woon Seok Roh Journal: Medicine (Baltimore) Date: 2020-08-28 Impact factor: 1.817