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Nerve Root Cuff Lesions After “In Vitro” Needle Puncture and Model of “In Vitro” Nerve Stimuli Caused by Epidural Catheters

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Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine

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Abstract

The tip of a spinal or epidural needle may stimulate a nerve or even cause nerve lesions, leading to paresthesias during the performance of spinal or epidural anesthetic blockade. Similarly, the tip of an epidural catheter may affect nerves, causing paresthesias after continuous anesthetic blockade techniques, in which the catheter may be placed adjacent to the nerve for prolonged periods.

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References

  1. Reina MA, De Andres J, Hernández JM, Navarro RA, Pastor J, Prats-Galino A. Looking for the development of paresthesias in the subarachnoid and epidural anaesthesia. A clinical and anatomical analysis. Reg Anesth Pain Med. 2011;36(Suppl):E17–22.

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  2. Reina MA, Villanueva MC, Machés F, Carrera A, López A, De Andrés JA. Ultrastructure of human spinal root cuffs in lumbar spine. Anesth Analg. 2008;106:339–44.

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  3. Reina MA, Palacio F, Pastor J, Fernández P. Las parestesias en la anestesia regional. In: Wikinski J, Reina MA, Bollini C, et al., editors. Diagnóstico, prevensión y tratamiento de las complicaciones neurológicas asociadas con la anestesia regional periférica y central. Buenos Aires: Editorial Médica Panamericana; 2011. p. 205–18.

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Author information

Authors and Affiliations

  1. Department of Clinical Medical Sciences and Institute of Applied Molecular Medicine, School of Medicine, University of CEU San Pablo, Madrid, Spain

    Miguel Angel Reina MD, PhD

  2. Department of Anesthesiology, Madrid-Montepríncipe University Hospital, Madrid, Spain

    Miguel Angel Reina MD, PhD

  3. Research Unit, Anesthesia Reina Colman SLP, Madrid, Spain

    Emilse Colman Peyrano BS

Authors
  1. Miguel Angel Reina MD, PhD
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  2. Emilse Colman Peyrano BS
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Corresponding author

Correspondence to Miguel Angel Reina MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Department of Clinical Medical Sciences and Institute of Applied Molecular Medicine, School of Medicine, University of CEU San Pablo, Madrid, Spain, and Madrid-Montepríncipe University Hospital, Madrid, Spain

    Miguel Angel Reina

  2. Department of Surgical Specialties, Department of Anesthesia, Critical Care, and Pain Management, General University Hospital, School of Medicine, University of Valencia, Valencia, Spain

    José Antonio De Andrés

  3. College of Physicians and Surgeons, Department of Anesthesiology, St. Luke’s-Roosevelt Hospital Center, New York School of Regional, Anesthesia (NYSORA), New York, NY, USA, and Columbia University, New York, New York, USA

    Admir Hadzic

  4. Laboratory of Surgical NeuroAnatomy, Human Anatomy and Embryology Unit, School of Medicine, University of Barcelona, Barcelona, Spain

    Alberto Prats-Galino

  5. Department of Anesthesiology and Critical Care, Human Anatomy and Embryology Unit, School of Medicine, University of Barcelona, Barcelona, Spain, and Clinic Hospital, Barcelona, Spain

    Xavier Sala-Blanch

  6. Discipline of Anesthesiology, The University of Queensland and Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia

    André A.J. van Zundert

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© 2015 Springer International Publishing Switzerland

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Reina, M.A., Peyrano, E.C. (2015). Nerve Root Cuff Lesions After “In Vitro” Needle Puncture and Model of “In Vitro” Nerve Stimuli Caused by Epidural Catheters. In: Reina, M., De Andrés, J., Hadzic, A., Prats-Galino, A., Sala-Blanch, X., van Zundert, A. (eds) Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-09522-6_31

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  • DOI: https://doi.org/10.1007/978-3-319-09522-6_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09521-9

  • Online ISBN: 978-3-319-09522-6

  • eBook Packages: MedicineMedicine (R0)

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