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Peripheral Nerve Blocks

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Essentials of Interventional Cancer Pain Management

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Abstract

Peripheral nerve blocks are useful interventions in managing malignant pain, including in patients with disease that is not yet end stage. Given the multifactorial nature of malignant pain (somatic, visceral, neuropathic, or mixed), peripheral nerve blocks can be both diagnostic and therapeutic. This chapter discusses the pharmacology of agents commonly used in these interventions: local anesthetics, steroids, phenol, and alcohol. It addresses commonly used peripheral nerve blocks in terms of the related anatomy, indications for treatment, evidence supporting outcomes, technique, and potential complications.

In this section, we will discuss methods used to target peripheral and cranial nerves in addition to nerve plexuses known as common pain generators.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

    Nantthasorn Zinboonyahgoon

  2. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Nantthasorn Zinboonyahgoon & Christopher R. Abrecht

  3. Department of Anesthesiology, Perioperative and Pain Medicine, The Pain Management Center at Brigham and Women’s Hospital, Harvard Medical School, Chestnut Hill, MA, USA

    Sanjeet Narang

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  1. Nantthasorn Zinboonyahgoon
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  2. Christopher R. Abrecht
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  3. Sanjeet Narang
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology and Critical Care, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Amitabh Gulati

  2. Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Vinay Puttanniah

  3. Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA

    Brian M. Bruel

  4. Midwest Neuroscience Institute, Center for the Relief of Pain, Kansas City, MO, USA

    William S. Rosenberg

  5. Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Joseph C. Hung

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Zinboonyahgoon, N., Abrecht, C.R., Narang, S. (2019). Peripheral Nerve Blocks. In: Gulati, A., Puttanniah, V., Bruel, B., Rosenberg, W., Hung, J. (eds) Essentials of Interventional Cancer Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-319-99684-4_18

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  • DOI: https://doi.org/10.1007/978-3-319-99684-4_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-99682-0

  • Online ISBN: 978-3-319-99684-4

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