Continuous peripheral nerve block in replantation and revascularization

Journal of Reconstructive Microsurgery
J S Taras, M J Behrman

Abstract

Continuous infusion of a local anesthetic by means of a percutaneous forearm catheter and an infusion pump was studied for its utility in achieving sympathetic blockade following replantation and revascularization of the digits. The efficacy of the technique was demonstrated by cold stress testing. When the technique was used in 55 patients who underwent digital replantation or revascularization, 53 of 57 replanted digits (93 percent) and 25 of 26 revascularized digits (96 percent) survived. The analgesia obtained from the nerve block benefited patient comfort during hospitalization, and normal sensibility in the uninjured digits returned promptly after discontinuing the anesthetic in all but one patient. The reported study indicates that continuous peripheral nerve block by means of an indwelling forearm catheter is a safe and effective adjunct in preventing neurogenically-mediated vasospasm.

Citations

Nov 11, 2011·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Ryusuke OsadaTomoatsu Kimura
Aug 13, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Alexander StojadinovicChester C Buckenmaier
Sep 25, 2012·Chirurgie de la main·S Barbary, G Dautel
Apr 3, 2007·Anesthesiology Clinics·Cesare GregorettiV Marco Ranieri
Jun 1, 2017·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·Andrea WengerJens Rothenberger
Apr 11, 2018·A&A Practice·Gregory J StevensDavid R Lowery
Jan 6, 2010·Plastic and Reconstructive Surgery·Cenk CayciJeffrey A Ascherman
Dec 31, 2002·Anesthesia and Analgesia·Bradley D BergmanTerese T Horlocker
Aug 9, 2011·Anesthesia and Analgesia·Brian M Ilfeld
Dec 20, 2013·Plastic and Reconstructive Surgery·Erika Davis SearsKevin C Chung
Sep 28, 2017·Pediatric Emergency Care·Emilie Bougie, Sabrina Cugno
Mar 2, 2010·Journal of Korean Medical Science·Sung-Bom PyunHee-Kyu Kwon
Sep 12, 2000·Acta Anaesthesiologica Scandinavica·S LehtipaloB Biber
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Rohini DattatriRakesh Garg

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Current Opinion in Anaesthesiology
Stacie DeinerKenneth J Abrams
Current Opinion in Anaesthesiology
Manuel Taboada, Peter G Atanassoff
© 2022 Meta ULC. All rights reserved