TY - CHAP M1 - Book, Section TI - Equipment for Continuous Peripheral Nerve Blocks A1 - Evans, Holly A1 - Nielsen, Karen C. A1 - Melton, M. Steve A1 - Greengrass, Roy A. A1 - Steele, Susan M. A2 - Hadzic, Admir Y1 - 2017 N1 - T2 - Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e 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 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1141731569 ER -