RT Book, Section
A1 Boezaart, André P.
A2 Hadzic, Admir
SR Print(0)
ID 3504489
T1 Chapter 49. Stimulating Catheters
T2 NYSORA Textbook of Regional Anesthesia and Acute Pain Management
YR 2007
FD 2007
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071449069
LK accessanesthesiology.mhmedical.com/content.aspx?aid=3504489
RD 2024/04/19
AB It  has  been  well  established  that  peripheral  nerve  blocks  and  neuraxial  blocks  provide  superior  analgesia  for  the  treatment  of  acute  pain,  especially  postoperative  pain.  The  main  limitation  of  these  modalities  is  that  acute  postoperative  pain  usually  outlasts  the  relief  afforded  by  single-injection  techniques.  As  a  result,  continuous  peripheral  nerve  blocks  have  been  developed  to  overcome  these  limitations,  to  extend  analgesia  beyond  duration  of  a  single-injection  method,  and  to  allow  for  greater  ability  to  titrate  sensory–motor  differentiation  of  the  blockade.  Unlike  the  case  for  single-injection  techniques,  continuous  nerve  block  via  a  perineural  catheter,  can  be  discontinued  or  the  infusion  changed  if  unwanted  side  effects  occur.  The  main  emphasis  during  the  past  decade  has  been  to  develop  catheters  and  techniques  that  allow  relatively  simple,  accurate,  and  noninvasive  catheter  placement  to  ensure  effectiveness  and  to  reduce  secondary  block  failure.  These  aims  have  been  largely  accomplished  in  the  past  decade;  the  current  efforts  seek  to  define  indications  and  infusion  strategies  for  continuous  peripheral  nerve  blocks,  especially  in  the  setting  of  outpatient  surgery.