López-Ruiz VG

Idioma: Español
Referencias bibliográficas: 10
Paginas: 187-188
Archivo PDF: 131.26 Kb.

FRAGMENTO

La lesión de un nervio periférico puede ser transitoria o condicionar una discapacidad permanente. La incidencia de síntomas neurológicos por bloqueo de nervio periférico (BNP) varía dependiendo de la localización anatómica, puede ir desde 0.03% para los bloques supraclaviculares a 0.3% para los bloques femoral, hasta 3% para los bloqueos interescalénicos. Afortunadamente, la gran mayoría de estas neuropatías parece ser temporal en lugar de permanente y resolverse durante semanas o meses.

REFERENCIAS (EN ESTE ARTÍCULO)

1. — Abdallah FW, Macfarlane AJ, Brull R. The requisites of needle to nerve proximity for ultrasoundguided regional anesthesia: a scoping review of the evidence. Reg Anesth Pain Med. 2016;41:221-228.

2. — Orebaugh SL, McFadden K, Skorupan H, Bigeleisen PE. Subepineurial injection in ultrasoundguided interscalene needle tip placement. Reg Anesth Pain Med. 2010;35:450-454.

3. — Neal JM, Barrington MJ, Brull R, et al. The second ASRA practice advisory on neurologic complications associated with regional anesthesia and pain medicine: executive summary. 2015. Reg Anesth Pain Med. 2015;40:401-430.

4. — Altermatt FR, Cummings TJ, Auten KM, Baldwin MF, Belknap SW, Reynolds JD. Ultrasonographic appearance of intraneural injections in the porcine model. Reg Anesth Pain Med. 2010;35:203-206.

5. — Hara K, Sakura S, Yokokawa N, Tadenuma S. Incidence and effects of unintentional intraneural injection during ultrasound-guided subgluteal sciatic nerve block. Reg Anesth Pain Med. 2012;37:289-293.

6. — Brull R, Hadzic A, Reina MA, Barrington MJ. Pathophysiology and etiology of nerve injury following peripheral nerve blockade. Reg Anesth Pain Med. 2015;40:479-490.

7. — Sala-Blanch X, López AM, Pomés J, Valls-Sole J, García AI, Hadzic A. No clinical or electrophysiologic evidence of nerve injury after intraneural injection during sciatic popliteal block. Anesthesiology. 2011;115:589-595.

8. — Cohen JM, Gray AT. Functional deficits after intraneural injection during interscalene block. Reg Anesth Pain Med. 2010;35:397-399.

9. — Neal JM, Wedel DJ. Ultrasound guidance and peripheral nerve injury. Is our vision as sharp as we think it is? Reg Anesth Pain Med. 2010;35:335-337.

10. — Sites BD, Taenzer AH, Herrick MD, et al. Incidence of local anesthetic systemic toxicity and postoperative neurologic symptoms associated with 12,668 ultrasound-guided nerve blocks. An analysis from a prospective clinical registry. Reg Anesth Pain Med. 2012;37:478-482.