Continuous techniques of nerve conduction blockade
(2001) Bailliere’s Best Practice & Research: Clinical Anaesthesiology — Vol. 15, n° 1, p. 113-126 (2001)
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- Post-operative pain is a major concern after orthopaedic limb surgery. It not only causes the patient discomfort but also compromises early physical therapy, which is the most influential factor for post-operative rehabilitation and ambulation. Post-operative pain relief can be achieved by a number of techniques, such as parenteral opioids or central neural blockade. However, intra-venous patient controlled analgesia (PCA) with morphine does not provide efficient analgesia on movement and induces side effects such as nausea/vomiting or sedation. Epidural analgesia is more effective in relieving pain on movement, but is associated with catheter-related problems and a high incidence of side effects such as urinary retention or arterial hypotension. This chapter demonstrates that, because of an improved efficacy: side effects ratio, continuous peripheral nerve (interscalene or axillary brachial plexus, '3-in-1', fascia iliaca, psoas compartment, sciatic) blocks are the most appropriate analgesic techniques available after orthopaedic limb surgery.
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Singelyn, F. (2001). Continuous techniques of nerve conduction blockade. Bailliere’s Best Practice & Research: Clinical Anaesthesiology, 15(1), 113-126. https://doi.org/10.1053/bean.2000.0139 (Original work published 2001)