scholarly journals Diagnosis and treatment of nerve injury following venipuncture - A report of two cases -

2021 ◽  
Author(s):  
In Jung Kim ◽  
Hana Cho ◽  
Myung Sub Yi ◽  
Yong Hee Park ◽  
Sujin Kim ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Peripheral Nerve ◽  
Nerve Injury ◽  
Nerve Block ◽  
Peripheral Nerve Injury ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Nerve Blocks ◽  
Cutaneous Branch ◽  
The One

Background: Venipuncture is one of the one of the most commonly performed, minimally-invasive procedures; however, it may lead to peripheral nerve injury. Here, we describe the diagnosis, treatment, and prognosis of two self-reported cases of nerve injury during venipuncture with the aim of drawing attention to possible needle-related nerve injuries.Case: Two anesthesiologists in our hospital experienced an injury of the lateral antebrachial cutaneous branch of the musculocutaneous nerve during venipuncture. Immediately, they underwent ultrasound examinations and nerve blocks with oral medication, resulting in full recovery.Conclusions: Ultrasonography is important for the early and confirmative diagnosis of a nerve injury during venipuncture, and for immediate treatment with a nerve block. Moreover, it is imperative for both the practitioner and the patient to be aware of the possible complication of nerve injury after venipuncture.

Nerve Block Options for Pain Control during Hepatic and Upper Abdominal Minimally Invasive Procedures

2020 ◽  
Vol 04 (03) ◽  
pp. 237-247
Author(s):  
Louis-Martin Boucher ◽  
Robyn Melanie Benz ◽  
Mathieu Pierotty ◽  
Rafael Cardoso de Melo ◽  
David Valenti
Keyword(s):  
Minimally Invasive ◽  
Nerve Block ◽  
Pain Control ◽  
Intravenous Sedation ◽  
Medical Procedures ◽  
Medical Team ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Nerve Blocks ◽  
Upper Abdominal

AbstractAvailability of minimally invasive abdominal procedures can be restricted in cases of painful procedures, due to limited access to anesthesia support or the more recent avoidance of aerosol generating medical procedures such as intubation. Intravenous sedation, in many cases is insufficient to effectively control the pain, leaving patients to suffer undue discomfort and a medical team stressed by the situation. Regional nerve blocks can offer a solution but are underutilized, likely in large part due to a lack of knowledge of available options.This manuscript describes four different nerve blocks that can be useful for analgesia related to upper abdominal procedures. Available data are reviewed regarding their effectiveness and the technique used to perform them is described. Information provided aims to help decide which is likely to provide the best analgesia depending on the procedure being done. Increase use of these blocks has the potential to improve patient's accessibility to minimally invasive upper abdominal procedures.

scholarly journals Iatrogenic peripheral nerve injury: a guide to management for the orthopaedic limb surgeon

2021 ◽  
Vol 6 (8) ◽  
pp. 607-617
Author(s):  
Timothy Bage ◽  
Dominic M. Power
Keyword(s):  
Peripheral Nerve ◽  
Nerve Injury ◽  
Peripheral Nerve Injury ◽  
Trauma Surgery ◽  
Limb Lengthening ◽  
Nerve Blocks ◽  
True Incidence ◽  
Direct Injury ◽  
Arthroplasty Surgery

Nerves may be inadvertently injured during trauma surgery due to distorted anatomy, traction applied to a limb, soft tissue retraction, by power tools, instrumentation and from compartment syndrome. Elective orthopaedic surgery has additional risks of joint dislocation for arthroplasty surgery, limb lengthening, thermal injury from cement and direct injury from peripheral nerve blocks. The true incidence is unknown, and many cases are diagnosed as neurapraxia with the expectation of a full and timely recovery without the need for intervention. The incorrect assignation of a neurapraxia diagnosis may delay treatment for a higher grade of injury and in addition fails to recognize that a diagnosis of neurapraxia should be made with caution and a commitment to regular clinical review. Untreated, a neurapraxia can deteriorate and result in axonopathy. The failure to promptly diagnose such a nerve injury and instigate treatment may result in further deterioration and expose the clinician to medicolegal challenge. The focus of this review is to raise awareness of iatrogenic peripheral nerve injuries in orthopaedic limb surgery, the importance of regular clinical examination, the role of investigations, timing and nature of interventions and also to provide a guide to when onward referral to a specialist peripheral nerve injury unit is recommended. Cite this article: EFORT Open Rev 2021;6:607-617. DOI: 10.1302/2058-5241.6.200123

Peripheral nerve blocks are not associated with increased risk of perioperative peripheral nerve injury in a Veterans Affairs inpatient surgical population

2019 ◽  
Vol 44 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Meghana Yajnik ◽  
Alex Kou ◽  
Seshadri C Mudumbai ◽  
Tessa L Walters ◽  
Steven K Howard ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Peripheral Nerve ◽  
Nerve Injury ◽  
Peripheral Nerve Injury ◽  
Veterans Affairs ◽  
Transversus Abdominis ◽  
Nerve Blocks ◽  
Peripheral Nerve Blocks ◽  
Increased Risk ◽  
American Society

Background and objectivesPerioperative peripheral nerve injury (PNI) is a known complication in patients undergoing surgery with or without regional anesthesia. The incidence of new PNI in a Veterans Affairs (VA) inpatient surgical population has not been previously described; therefore, the incidence, risk factors, and clinical course of new PNI in this cohort are unknown. We hypothesized that peripheral nerve blocks do not increase PNI incidence.MethodsWe conducted a 5-year review of a Perioperative Surgical Home database including all consecutive surgical inpatients. The primary outcome was new PNI between groups that did or did not have peripheral nerve blockade. Potential confounders were first examined individually using logistic regression, and then included simultaneously together within a mixed-effects logistic regression model. Electronic records of patients with new PNI were reviewed for up to a year postoperatively.ResultsThe incidence of new PNI was 1.2% (114/9558 cases); 30 of 3380 patients with nerve block experienced new PNI (0.9%) compared with 84 of 6178 non-block patients (1.4%; p=0.053). General anesthesia alone, younger age, and American Society of Anesthesiologists physical status <3 were associated with higher incidence of new PNI. Patients who received transversus abdominis plane blocks had increased odds for PNI (OR, 3.20, 95% CI 1.34 to 7.63), but these cases correlated with minimally invasive general and urologic surgery. One hundred PNI cases had 1-year follow-up: 82% resolved by 3 months and only one patient did not recover in a year.ConclusionsThe incidence of new perioperative PNI for VA surgical inpatients is 1.2% and the use of peripheral nerve blocks is not an independent risk factor.

Sign in / Sign up

Export Citation Format

Share Document