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Peripheral nerve injury arising in anaesthesia practice
Author(s) -
Hewson D. W.,
Bedforth N. M.,
Hardman J. G.
Publication year - 2018
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.14140
Subject(s) - medicine , peripheral , peripheral nerve , peripheral nerve injury , anesthesia , nerve injury , blockade , nerve stimulator , anatomy , receptor
Summary In this article, we will discuss the pathophysiology of peripheral nerve injury in anaesthetic practice, including factors which increase the susceptibility of nerves to damage. We will describe a practical and evidence‐based approach to the management of suspected peripheral nerve injury and will go on to discuss major nerve injury patterns relating to intra‐operative positioning and to peripheral nerve blockade. We will review the evidence surrounding particular strategies to reduce the incidence of peripheral nerve injury during nerve blockade, including nerve localisation methods, timing of blocks, needle techniques and design, injection pressure‐monitoring and local anaesthetic and adjunct choice.