RT Book, Section
A1 Evans, Holly
A1 Nielsen, Karen C.
A1 Melton, M. Steve
A1 Greengrass, Roy A.
A1 Steele, Susan M.
A2 Hadzic, Admir
SR Print(0)
ID 1141731569
T1 Equipment for Continuous Peripheral Nerve Blocks
T2 Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071717595
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1141731569
RD 2024/04/24
AB Continuous  peripheral  nerve  blocks  (CPNBs)  provide  a  number  of  advantages  in  the  perioperative  period.  These  techniques  provide  the  flexibility  to  prolong  intraoperative  anesthesia  while  avoiding  the  risks  and  side  effects  of  general  anesthesia.  Following  surgery,  CPNBs  offer  extended  postoperative  analgesia.  When  compared  to  parenteral  opioid  analgesia,  CPNBs  are  associated  with  superior  analgesia,  reduced  opioid  consumption,  and  decreased  opioid-related  side  effects  such  as  postoperative  nausea  and  vomiting,  sedation,  and  respiratory  depression.1-11  Analgesia  of  similar  quality  to  epidural  anesthesia  is  the  result;  however,  less  hypotension,  urinary  retention,  pruritus,  and  mobility  restrictions  occur  with  CPNBs.7,12,13,14  There  is  also  evidence  supporting  the  beneficial  effect  of  CPNBs  on  postoperative  sleep  patterns  and  cognitive  function15,16  as  well  as  early  rehabilitation.7,8  Concurrent  sympathectomy  is  ideal  following  microvascular,  reimplantation,  and  free-flap  surgery,17,18  as  well  as  for  treatment  of  accidental  intra-arterial  drug  injection.19,20,21  Extended  analgesia  can  also  be  provided  for  patients  with  chronic  pain22  and  those  requiring  palliation  of  terminal  illness.23  Finally,  preoperative  use  can  reduce  phantom  limb  sensation  in  patients  undergoing  amputation.24