The Risk of Persistent Paresthesia Is Not Increased with Repeated Axillary Block

Horlocker, Terese T.; Kufner, Ronald P.; Bishop, Allen T.; Maxson, Pamela M.; Schroeder, Darrell R.

doi:10.1097/00132586-200002000-00052

Cited by 12 publications

(20 citation statements)

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“…These studies would appear to support Moore's 104 contention that mechanical paresthesias are not per se an indication of nerve injury. The incidence of acute paresthesia may 78 or may not 93,95 be increased in patients with preoperative neurologic symptoms. 78 In summary, although elicitation of paresthesia during regional techniques is not definitively linked to ARNI, pain on injection does appear to heighten the risk of injury.…”

Section: Peripheral Nerve Injury and Brachial Plexus Blockmentioning

confidence: 99%

“…89 Those deficits arising within the first 24 hours most likely represent extra-or intraneural hematoma, intraneural edema, or a lesion involving a sufficient number of nerve fibers to allow immediate diagnosis. 94,95 Subsets of ARNI present 1 to 28 days postoperatively. 77,92 In the Closed Claims database, median presentation was 3 days after surgery.92 Most injuries are evident by 3 weeks, although there are reports of delayed symptoms developing weeks after surgery.…”

Section: Peripheral Nerve Injurymentioning

confidence: 99%

“…109 These changes may result in delayed tissue reaction or scar formation, accounting for symptoms that develop days or even weeks after peripheral nerve blockade. 89,92,[94][95][96] Chemical Injury: The Role of Local Anesthetic Neurotoxicity. Clinical experience suggests that local anesthetic drugs are overwhelmingly safe when administered correctly and in the recommended concentrations.…”

Section: Peripheral Nerve Injury and Brachial Plexus Blockmentioning

confidence: 99%

See 2 more Smart Citations

Brachial plexus anesthesia: Essentials of our current understanding☆

Neal

Hebl

Gerancher

et al. 2002

Regional Anesthesia and Pain Medicine

167

156

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Section: Peripheral Nerve Injury and Brachial Plexus Blockmentioning

confidence: 99%

Section: Peripheral Nerve Injurymentioning

confidence: 99%

Section: Peripheral Nerve Injury and Brachial Plexus Blockmentioning

confidence: 99%

See 1 more Smart Citation

Brachial plexus anesthesia: Essentials of our current understanding☆

Neal

Hebl

Gerancher

et al. 2002

Regional Anesthesia and Pain Medicine

167

156

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“…292 Those deficits arising within the first 24 hrs most likely represent extraneural or intraneural hematoma, intraneural edema, or a lesion involving a sufficient number of axons to allow immediate diagnosis. 114,302 Other subsets of ARNI present 1 to 28 days postoperatively. 293,295 In the ASA Closed Claims Study 295 database, median presentation was 3 days after surgery.…”

Section: Peripheral Nerve Injurymentioning

confidence: 99%

“…Unrelated risk factors include patient and surgical issues, with the latter being responsible for 89% of perioperative neurological complications in a report of 1614 blocks for upper extremity surgery. 302 Regional anesthetic factors that may contribute directly to ARNI include mechanical trauma, ischemic injury, or chemical injury. Whether patients with preexisting clinical or subclinical injury that involves the brachial plexus are at increased risk for injury from a secondary insult during block placement (the Bdouble-crush[ phenomenon 304 ) is a concern that is neither confirmed nor refuted by current literature.…”

Section: Peripheral Nerve Injury and Brachial Plexus Blockadementioning

confidence: 99%

Upper Extremity Regional Anesthesia

Neal¹,

Gerancher

Hebl

et al. 2009

Regional Anesthesia and Pain Medicine

308

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Brachial plexus blockade is the cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. As part of the American Society of Regional Anesthesia and Pain Medicine's commitment to providing intensive evidence-based education related to regional anesthesia and analgesia, this article is a complete update of our 2002 comprehensive review of upper extremity anesthesia. The text of the review focuses on (1) pertinent anatomy, (2) approaches to the brachial plexus and techniques that optimize block quality, (4) local anesthetic and adjuvant pharmacology, (5) complications, (6) perioperative issues, and (6) challenges for future research.Upper extremity regional anesthesia has been a mainstay of the anesthesiologist's armamentarium since Hall 1 first reported the use of cocaine to block the brachial plexus in 1884. Recognizing that upper extremity neural blockade represents the most frequent use of peripheral nerve blocks in most anesthesiologists' practice, 2 in 2001, the American Society of Regional Anesthesia and Pain Medicine (ASRA) undertook a critical review of all available English-language publications pertinent to this topic. The resulting extensive source document was synthesized into a comprehensive review article 3 that was published in 2002; both the source and the review documents will be updated approximately every 5 years.Rather than publishing only new material that has become available since 2002, the original review article has been completely revised so that readers may continue to view the subject matter in its entirety. New topics in this review include ultrasound-guided brachial plexus block, continuous catheter-based analgesia, and a collection of new images * by medical illustrator, Jennifer Gentry (www.gentryvisualization.com). This review summarizes the essential scholarly work available from the source document, which can be viewed at Copyright © 2009 by American Society of Regional Anesthesia and Pain Medicine Address correspondence to: Joseph M. Neal, MD, 1100 Ninth Ave (B2-AN), Seattle, WA 98101 (anejmn@vmmc.org). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of this entity. James P. Rathmell, MD, served as acting editor-in-chief for this article.Financial support: None. NIH Public Access Author ManuscriptReg Anesth Pain Med. Author manuscript; available in PMC 2010 March 1. Published in final edited form as:Reg Anesth Pain Med. 2009 ; 34(2): 134-170. doi:10.1097/AAP.0b013e31819624eb. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript www.asra.com. This review article strives (1) to serve as a review of pertinent anatomy, (2) to compare the effectiveness of brachial plexus approaches and techniques, (3) to present available evidence to guide selection of pharmacological agents, (4) to describe the complications inherent to upper extremity anesthesia, (5) to consider pertinent perioperative issues, and (6) to identify informational gaps and empha...

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Outcomes After Regional Anesthesia

Nielsen

Steele²

2005

International Anesthesiology Clinics

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The Risk of Persistent Paresthesia Is Not Increased with Repeated Axillary Block

Cited by 12 publications

References 0 publications

Brachial plexus anesthesia: Essentials of our current understanding☆

Brachial plexus anesthesia: Essentials of our current understanding☆

Upper Extremity Regional Anesthesia

Outcomes After Regional Anesthesia

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