Neurologic deficit after peripheral nerve block: what to do?

Abstract:

:Regional nerve injury is a recognized complication of plexus anesthesia. Nerve damage after regional anesthesia is the most frightening complication for the patient, the anesthetist and the surgeon too. In order to limit possible medico-legal issues, the anesthetist has to follow an algorithm. The indication and information obtained from the ultrasonography, the sudomotor test, the electromyogram, the elctroneuromyogram and the evoked potentials are discussed. The principles to avoid anesthetic-related nerve damage during regional anesthesia are given. Finally treatment and surveillance, after nerve damage has occurred, are explained.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Borgeat A

keywords:

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

353-5

issue

6

eissn

0375-9393

issn

1827-1596

journal_volume

71

pub_type

杂志文章,评审
  • [Validity of the V/Q index in the monitoring of critical patients].

    abstract::The Authors have controlled the validity of VQI to quantify pulmonary shunt (Qs/Qt). The survey involved (group A) patients who had undergone major surgery and (group B) patients hospitalized in ICU for cardiorespiratory failure. Four subgroups were identified in both the groups according to different values of SaO2. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Donati A,Orsetti G,Bini G,Luzi A,Valente M,Giovannini C,De Ritis GC,Pietropaoli P

    更新日期:1992-01-01 00:00:00

  • Neuraxial blocks and anticoagulant therapy.

    abstract::Spinal and peridural anaesthesia has several advantages over general anaesthesia due to their low influence to endocrine and metabolic activity and their capacity to reduce postoperative surgical complications, intraoperative bleeding and deep venous thromboembolism incidence. Nevertheless, these anaesthesiologic tech...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Colò F,Martinez López de Arroyabe B,Divella M

    更新日期:2003-10-01 00:00:00

  • Presurgical cognitive impairment is associated with postoperative delirium and postoperative cognitive dysfunction.

    abstract:BACKGROUND:Presurgical cognitive impairment (PreCI) is frequently seen in older age, but the influence on postoperative delirium (POD) and postoperative cognitive dysfunction (POCD) remains unclear. The present study sought to determine the association between PreCI, POD and POCD with special focus to different PreCI d...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.13903-8

    authors: Knaak C,Brockhaus WR,Spies C,Borchers F,Piper SK,Radtke FM,Lachmann G

    更新日期:2020-04-01 00:00:00

  • [Variations of esophageal temperature during general anesthesia with a low-flow circuit].

    abstract:BACKGROUND:Anaesthesia drugs cause the cutaneous vasodilatation that produces core temperature lowering at the beginning of general anaesthesia; when the thermal threshold for vasoconstriction is reached the cutaneous heat losses are decreased. Furthermore, the soda lime begins to produce water and heat after 40 minute...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Di Filippo A,Minoni C,Bonetti L,Rizzo L,Novelli GP

    更新日期:1995-09-01 00:00:00

  • Comparison of the serial surveillance with quantitative and non-quantitative tracheal aspirate in predicting ventilator-associated pneumonia etiology in patients receiving antibiotic therapy.

    abstract:BACKGROUND:The aim of this study was to investigate the value of serial quantitative (QC) and non-quantitative (NQC) endotracheal aspirate (ETA) surveillance cultures in predicting the causative pathogen of ventilator associated pneumonia (VAP) in patients receiving antibiotic therapy and the factors associated with th...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Aydogdu M,Gursel G,Hizel K,Ozis TN

    更新日期:2010-08-01 00:00:00

  • Reduced compliance of left ventricle.

    abstract::Diastolic function is essential for efficient systolic performance. A normal diastole allows left ventricle (LV) filling to occur under normal intracavitary pressure. It is an energy dependent process, as such affected by ischemia. Several factors influence diastolic function of the LV: the mitral valve area, the grad...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Guarracino F,Lapolla F,Danella A,Stefani M,Volpe ML,Gemignani R

    更新日期:2004-04-01 00:00:00

  • A reorientation strategy for reducing delirium in the critically ill. Results of an interventional study.

    abstract:BACKGROUND:A wide variability in the approach towards delirium prevention and treatment in the critically ill results from the dearth of prospective randomised studies. METHODS:We launched a two-stage prospective observational study to assess delirium epidemiology, risk factors and impact on patient outcome, by enroll...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Colombo R,Corona A,Praga F,Minari C,Giannotti C,Castelli A,Raimondi F

    更新日期:2012-09-01 00:00:00

  • [The use of propofol in a female patient predisposed to malignant hyperthermia (central core disease)].

    abstract::In this paper the Authors describe the anesthetic techniques used for abdominal surgery in a 19 year-old woman with "central-core disease". This uncommon congenital neuromuscular disorder is frequently related to malignant hyperthermia syndrome. Total intravenous anesthesia with the association propofol-fentanyl was w...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Rivolta M,Riedo R,Ostaldo M,Fontana G,Motta F

    更新日期:1992-04-01 00:00:00

  • Effects of intracisternal tramadol on cerebral and spinal neuronal cells in rat.

    abstract:BACKGROUND:The aim was to investigate whether tramadol had toxic effect on cerebral neurons and/or spinal cord neurons when it was administered into the cerebrospinal fluid. Due to lipid peroxidation (LPO) and myeloperoxidation (MPO) levels are not specific predictors of neuronal damage, these biochemical markers of ti...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Kose EA,Bakar B,Ayva SK,Kilinc K,Apan A

    更新日期:2014-08-01 00:00:00

  • Enhanced visual acuity with echogenic needles in ultrasound-guided axillary brachial plexus block: a randomized, comparative, observer-blinded study.

    abstract:BACKGROUND:We prospectively evaluated the effect of insertion angle on the visibility of echogenic and nonechogenic needles in phantoms and in axillary nerve blocks in patients. METHODS:Conventional and echogenic needles were studied in phantoms at insertion angles of 0-30°, 30-45°, and ≥ 45°. Operators rated comfort ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Abbal B,Choquet O,Gourari A,Bouic N,Massone A,Biboulet P,Bringuier S,Capdevila X

    更新日期:2015-04-01 00:00:00

  • [Propanidid as an antagonist: competitive inhibitor of neuromuscular plaque acetylcholinesterase].

    abstract::Propanidid is a competitive inhibitor not only of serum cholinesterase, but of neuromuscular plaque and brain acetylcholinesterase also. The I50 of plaque acetylcholinesterase occurs at much higher concentrations of anaesthetic than for serum enzyme, this may depend on the environmental conditions under which propanid...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Pesando OT,Piazza L,Berruti G,Sciandra G

    更新日期:1980-06-01 00:00:00

  • Metabolic treatment of critically ill patients: energy expenditure and energy supply.

    abstract::Nutrition in critically ill patients should be considered as therapy: assessing the energy expenditure and the termogenic effect of food, and knowing the differences among composition and amount of given substrates, it is possible restore, maintain, or at least limit the derangement of energy equilibrium. Energy metab...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Iapichino G,Radrizzani D,Giacomini M,Pezzi A,Zaniboni M,Mistraletti G

    更新日期:2006-06-01 00:00:00

  • [Comparison of 2 low molecular weight heparins in patients undergoing major abdominal surgery].

    abstract:INTRODUCTION AND AIMS:Thromboembolic disease can, in a large number of cases, be prevented in patients undergoing major surgery by using low molecular weight heparin (LMWH). These molecules extracted from standard heparin using a variety of cleavage methods possess different physical and chemical characteristics. The a...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Mabilia MA,Minicucci S,Pettiti G,Tamponi G,Bogli F

    更新日期:1996-12-01 00:00:00

  • The measurement of the pressure-volume curves with computerized methods.

    abstract::The authors analyze the physiological basis, technical aspects and clinical usefulness of several methods for pressure-volume curves determinations in mechanically ventilatory, acute respiratory failure patients. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Servillo G,Coppola M,Blasi F,Tufano R

    更新日期:2000-05-01 00:00:00

  • [Comparison of ketorolac/buprenorphine in the treatment of post-cholecystectomy pain].

    abstract::The authors compared the efficacy of ketorolac trometamin (30 mg i.m. every 6 hours) and buprenorphine (0.3 mg i.m. every 12 hours) in the treatment of pain following cholecystectomy. Ketorolac was found to be equally efficacious in comparison to buprenorphine and caused fewer side effects. ...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Crimi G,Fusto A,Asaro L,Bentivegna S,Castiglione G,Pappalardo G

    更新日期:1993-03-01 00:00:00

  • Levobupivacaine plus fentanyl versus racemic bupivacaine plus fentanyl in epidural anaesthesia for lower limb surgery.

    abstract:BACKGROUND:To compare the anaesthetic epidural effects of levobupivacaine plus fentanyl versus bupivacaine plus fentanyl in patients undergoing lower limb surgery. METHODS:A single blind, randomised, prospective, multicentre study was designed to compare both therapies. The study was conducted in 10 tertiary hospitals...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:

    authors: Casimiro C,Rodrigo J,Mendiola MA,Rey F,Barrios A,Gilsanz F

    更新日期:2008-07-01 00:00:00

  • Long-term extracorporeal membrane oxygenation with minimal ventilatory support: a new paradigm for severe ARDS?

    abstract::Pulmonary tuberculosis can lead to acute respiratory distress syndrome (ARDS) which is associated with high mortality. We report the case of a patient with pulmonary tuberculosis and severe ARDS (PaO2/FiO2<100 mmHg) who was initially managed with advanced up-to-date treatments (protective ventilation and extracorporea...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Mauri T,Foti G,Zanella A,Bombino M,Confalonieri A,Patroniti N,Bellani G,Pesenti A

    更新日期:2012-03-01 00:00:00

  • [Continuous infusion of enoximone in the treatment of acute myocardial ischemia with low output syndrome].

    abstract:OBJECTIVE:To evaluate efficacy and tolerability of enoximone, a phosphodiesterase inhibitor, in the treatment of cardiogenic shock. DESIGN:A prospective non randomized, non comparative study. SETTING:A general intensive care unit of a university hospital. PATIENTS:Six patients with cardiogenic shock (cardiac index <...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Sicignano A,Bellato V,Riboni A,Vesconi S

    更新日期:1994-03-01 00:00:00

  • [Propofol, fentanyl, nitrous oxide: useful and current combination?].

    abstract::The introduction of use of propofol in the anesthetists' pharmacopoeia has reinvigorated the research for a totally intravenous anaesthesia, for which the Authors propose a diagram. However, in experience related to the supplementary use of N2O, in virtue of its analgesic power, demonstrates yet another utility, permi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Taddia G,Affuso A,Navi A,Orlandi C,Pompei F,Damanzo A

    更新日期:1992-04-01 00:00:00

  • [Hormone evaluation in brain death].

    abstract:BACKGROUND:In this study, the level and the variation of a number of hormone and metabolic parameters during brain death treatment in potential organ donors have been monitored. METHODS:Thirty-nine consecutive brain-dead patients were enrolled in 3 Intensive Care Units of Regional Hospitals of the North of Italy. All ...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Gravame V,Porretti L,Cardillo M,Marchesi G,Rizzi M,Sacchi C,Candiani A,Chiaranda M,Gualandris L,Taioli E,Scalamogna M

    更新日期:1999-10-01 00:00:00

  • Thoracic epidural anesthesia decreases C-reactive protein levels in patients undergoing elective coronary artery bypass graft surgery with cardiopulmonary bypass.

    abstract:BACKGROUND:Coronary artery bypass graft surgery with cardiopulmonary bypass induces a systemic inflammatory response. However, when thoracic epidural anaesthesia is administered as part of a combined anesthetic technique, the stress response associated with the cardiopulmonary bypass (CPB) may be attenuated. METHODS:T...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Palomero Rodríguez MA,Suarez Gonzalo L,Villar Alvarez F,Varela Crespo C,Moreno Gomez Limon I,Criado Jimenez A

    更新日期:2008-11-01 00:00:00

  • [Vecuronium in pediatric anesthesia. Repeated bolus vs continuous infusion].

    abstract::Vecuronium bromide was employed in 26 pediatric patients; 18 received vecuronium infusion and 11 intermittent bolus administration. The aim of the study was to evaluate the pharmacodynamics of the drug, the lack of cumulative properties, the best infusion rate, the possible advantage of the infusion technique. Neuromu...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Barbone G,Longo G,Bruno F

    更新日期:1992-03-01 00:00:00

  • Can visual inspection of the electrical activity of the diaphragm improve the detection of patient-ventilator asynchronies by pediatric critical care physicians?

    abstract:BACKGROUND:Patient-ventilator asynchronies are challenging during pediatric mechanical ventilation. We hypothesized that monitoring the electrical activity of the diaphragm (EAdi) together with the "standard" airway opening pressure (Pao) and flow-time waveforms during pressure support ventilation would improve the abi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14543-7

    authors: Di Nardo M,Lonero M,Staffieri F,Di Mussi R,Murgolo F,Lorusso P,Pham T,Picardo SG,Perrotta D,Cecchetti C,Ravà L,Grasso S

    更新日期:2020-08-04 00:00:00

  • Why should I change my practice of anesthesia? Opioids.

    abstract::The selection of opioid drugs for anesthesia is often based on empirical judgment such as the selection of opioids with rapid elimination half-life for short surgical procedures (e.g. alfentanil), while opioids with longer elimination half-life (e.g. fentanyl, sufentanil) are used for longer procedures. A better insig...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Camu F

    更新日期:2000-05-01 00:00:00

  • Epidural analgesia in children: planning, organization and development of a new program.

    abstract:BACKGROUND:The goal of the present work is to describe the development and results of the pediatric epidural analgesia program at the ''Hospital Nacional de Pediatria Prof. Dr. J. P. Garrahan'' in Argentina. METHODS:Patients with thoracotomy, abdominal surgery, osteotomy, amputations or severe trauma were included in ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Ingelmo PM,Gelsumino C,Acosta AP,Lopez V,Gimenez C,Halac A,Lira P,Schon A,Spagnolo B,Pignataro A,Nunez G,Gamboa M,Buquicchio I,Astuto M,Fumagalli R

    更新日期:2007-11-01 00:00:00

  • [Post-operative analgesia with sub-arachnoid fentanyl: ventilatory effects in elderly patients].

    abstract::Twenty eight elderly patients scheduled for urologic surgery were randomly assigned to receive in a double blind fashion subarachnoid hyperbaric bupivacaine 15 mg with the addition of 50 micrograms (group A, n = 7), 25 micrograms (group B, n = 7), 12.5 micrograms (group C, n = 7), of fentanyl or 1 ml of saline (group ...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Celleno D,Muratori F,Capogna G,Cipriani G,Emanuelli M,Sebastiani M,Costantino P,Varrassi G

    更新日期:1991-04-01 00:00:00

  • Anesthesiological management and outcome of 100 ''beating heart'' coronary artery bypass grafting.

    abstract:AIM:The aim of this paper is to describe the anesthesiological management and the outcome of beating heart revascularization. METHODS:A prospective study has been performed in a tertiary teaching hospital on 100 consecutive patients undergoing off-pump coronary artery revascularization. The main features of anesthetic...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Zangrillo A,Gerli C,Landoni G,Sparicio D,Roberti A,Sottocorna O,Mantovani L,Scandroglio AM,Crescenzi G

    更新日期:2006-10-01 00:00:00

  • [Anesthesia problems of the multiply-injured patient].

    abstract::Anaesthesia in the case of subjects with multiple injuries is commonly a short-term emergency measure, in which a certain time is available for the implementation of intensive antishock therapy, or else anaesthesia for deferred emergency situations. Since the introduction of ketamine and althesin, the anaesthesiologic...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Zaffiri O,Perani R,Scenna S,Musso L,Cerati MC

    更新日期:1980-02-01 00:00:00

  • Effect of epinephrine on survival after cardiac arrest: a systematic review and meta-analysis.

    abstract::The use of epinephrine is currently recommended as a treatment option for patients with cardiac arrest. The primary objective of this systematic review was to determine if epinephrine use during cardiac arrest is associated with improved survival to hospital discharge. MEDLINE, EMBASE, The Cochrane Library (Cochrane D...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Patanwala AE,Slack MK,Martin JR,Basken RL,Nolan PE

    更新日期:2014-07-01 00:00:00

  • [A new approach to the brachial plexus].

    abstract::In order to avoid complications such as pneumothorax or subarachnoid injection, the paper proposes a new approach to brachial plexus using a supraclavear route based on the pulse of the subclavian artery and 7th cervical vertebra. Complications are unlikely using this route. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Alemanno F

    更新日期:1992-06-01 00:00:00