Document Detail


The use of peripheral nerve blocks at the elbow for carpal tunnel release.
MedLine Citation:
PMID:  16427534     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This case report illustrates that median, radial, and ulnar nerve blocks at the elbow provides anesthesia for ambulatory carpal tunnel release surgery. This report discusses 3 patients with medical conditions, including vascular access problems and morbid obesity, which made nerve blocks at the elbow advantageous compared with other anesthetic techniques. Peripheral nerve blocks at the elbow were done before surgery in a block room, so the patients spent less time in the operating room. Nerve blocks at the elbow are effective anesthesia for hand procedures with no patient requiring further local anesthetic injection and opioids for pain or expressing any discomfort during surgery. The blocks are easy to perform and set up quickly, and using long-acting local anesthetics, elbow blocks provide postoperative pain control for approximately 10 hours. The nerve blocks at the elbow facilitate the perioperative process by being done out of the operating room and providing prolonged pain control without the need for opioids, so nausea may be avoided.
Authors:
John A Dilger; Robert E Wells
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Publication Detail:
Type:  Case Reports    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  17     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-23     Completed Date:  2006-04-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  621-3     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. dilger.john@mayo.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anesthetics, Intravenous / administration & dosage
Anesthetics, Local / administration & dosage
Bronchodilator Agents / administration & dosage
Carpal Tunnel Syndrome / surgery*
Elbow / innervation*
Epinephrine / administration & dosage
Humans
Mepivacaine / administration & dosage
Midazolam / administration & dosage
Nerve Block / methods*
Peripheral Nerves / drug effects*
Tetracaine / administration & dosage
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anesthetics, Intravenous; 0/Anesthetics, Local; 0/Bronchodilator Agents; 51-43-4/Epinephrine; 59467-70-8/Midazolam; 94-24-6/Tetracaine; 96-88-8/Mepivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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