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During Nerve Block Injection, avoidance of excessive resistance/pressure to injection is important in decreasing the risk of intraneural/intrafascicular injection?
Equipment
Local Anesthetics
Local anesthetics bind directly within the intracellular portion of voltage-gated sodium channels. The degree of block produced by local anesthetics is dependent upon how the nerve has been stimulated and on its resting membrane potential. Local anesthetics are only able to bind to sodium channels in their charged form and when the sodium channels are open
Peripheral Nerve Stimulators For Nerve Blocks. What Are They And How Do They Work?
With a resurgence of interest in regional anesthesia and demand for more accurate nerve localization before injection of local anesthetics, there has been a corresponding response from the industry, resulting in over a dozen of various units being present on the market. Thus, it comes as a no surprise that we are often asked which nerve stimulator would we recommend....
Block Tray Set-Up
A thorough and ergonomically prepared regional block tray is a prerequisite for successful and time-efficient administration of regional blocks. Unless the operator has all equipment prepared and ready to use, the performance of regional blocks will be quite laborious. Regional anesthesia trays can obviously be set-up in many different ways, to accommodate local practice settings and commonly used techniques. However, here we just suggest a basic setup which is quick to prepare and works very well in our practice. ...
Organization of the Regional Anesthesia Cart
Proper organization of the regional anesthesia cart provides the clinician with a powerful tool to make blocks more effective and efficient....
Local Anesthetic Solutions For Continuous Nerve Blocks
In the past few years progress has been made in understanding the mechanisms and pathways involved in the modulation of pain, as well as in developing new therapeutic tools to provide satisfactory pain relief after surgery. The relationship between the intensity of acute postoperative pain and the duration of the patient’s recovery and functional outcome has been well established....Nerve Localization
The debate over which technique, paresthesia or nerve stimulation, is safer and more effica-cious is moot. The debate must be limited only to brachial plexus ...
