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Mechanisms of Neurologic Complications with Peripheral Nerve Blocks

  • Alain Borgeat
  • Stephan Blumenthal
  • Admir Hadžić

Abstract

Although there are relatively few published reports of anesthesia-related nerve injury associated with the use of peripheral nerve blocks (PNBs), it is likely that the commonly cited incidence (0.4%) of severe injury is underestimated because of underreporting.1, 2, 3 The less frequent clinical application of lower-extremity nerve blocks may be the main reason that there are even fewer reports of anesthesia-related nerve injury associated with lower-extremity PNBs as compared with upper-extremity PNBs. Although neurologic complications after PNBs can be related to a variety of factors related to the block (e.g., needle trauma, intraneuronal injection, neuronal ischemia, and toxicity of local anesthetics), a search for other common causes should also include surgical factors (e.g., positioning, stretching, retractor injury, ischemia, and hematoma formation). In some instances, the neurologic injury may be a result of a combination of these factors.

Keywords

Peripheral Nerve Nerve Injury Sciatic Nerve Nerve Block Neurologic Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Alain Borgeat
    • 1
  • Stephan Blumenthal
    • 1
  • Admir Hadžić
    • 2
  1. 1.Department of AnesthesiologyOrthopedic University Hospital BalgristZurichSwitzerland
  2. 2.Department of Anesthesiology, St. Luke’s-Roosevelt Hospital CenterColumbia UniversityNew YorkUSA

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