Skip Navigation

Continuing Education in Anaesthesia, Critical Care & Pain 2006 6(2):71-74; doi:10.1093/bjaceaccp/mkl006
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Ridgway, S.
Right arrow Articles by Herrick, M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Ridgway, S.
Right arrow Articles by Herrick, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


Continuing Education in Anaesthesia, Critical Care & Pain | Volume 6 Number 2 2006 © The Board of Management and Trustees of the British Journal of Anaesthesia [2006]. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Perioperative nerve dysfunction and peripheral nerve blockade

Stephen Ridgway, FRCA
Clinical Fellow in Regional Anaesthesia, Addenbrooke's Hospital Hills Road, Cambridge CB2 2QQ, UK

Martin Herrick, FRCA
Consultant Anaesthetist, Department of Anaesthetics Box 93 Addenbrooke's Hospital Hills Road, Cambridge CB2 2QQ, UK Tel: 01223 217434 Fax: 01223 217223 E-mail: martin.herrick@addenbrookes.nhs.uk (for correspondence)
The first 150 words of the full text of this article appear below.


Key points

Temporary postoperative paraesthesia is not uncommon.

The incidence of permanent nerve damage approximates to 1 in 5000.

A nerve stimulator will not necessarily prevent nerve damage.

Patient positioning and surgery is often implicated in perioperative nerve damage.

 

The popularity of peripheral nerve blockade has increased rapidly over recent years. The analgesia provided by a nerve block is advantageous after operation, reduces nurse intervention and opioid administration, and, in the day case setting, allows patients to go home pain free. Peripheral nerve blockade, when used alone or with a small amount of sedation, may avoid the need for general anaesthesia with its potential adverse effects. After the block is established, physiological disturbance is minimal, and time in the recovery room is markedly reduced. However, patients and some professionals may have exaggerated fears and misconceptions about regional anaesthetic techniques. It is therefore important that the anaesthetist has an understanding of . . . [Full Text of this Article]


   Pathological classification of nerve damage
 

   Incidence
 

   Risk vs hazard
 

   Reducing the risk of neurological damage
 
Training

Nerve location techniques

Asleep vs awake

Type of needle


   Additional factors
 
Additives

Surgery

Patient pathology

Patient positioning


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?