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      Peripheral nerve injury arising in anaesthesia practice

      1 , 1 , 2
      Anaesthesia
      Wiley

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          Abstract

          In this article, we will discuss the pathophysiology of peripheral nerve injury in anaesthetic practice, including factors which increase the susceptibility of nerves to damage. We will describe a practical and evidence-based approach to the management of suspected peripheral nerve injury and will go on to discuss major nerve injury patterns relating to intra-operative positioning and to peripheral nerve blockade. We will review the evidence surrounding particular strategies to reduce the incidence of peripheral nerve injury during nerve blockade, including nerve localisation methods, timing of blocks, needle techniques and design, injection pressure-monitoring and local anaesthetic and adjunct choice.

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          Author and article information

          Journal
          Anaesthesia
          Anaesthesia
          Wiley
          00032409
          January 2018
          January 2018
          January 03 2018
          : 73
          : 51-60
          Affiliations
          [1 ]Department of Anaesthesia; Nottingham University Hospitals NHS Trust; Nottingham UK
          [2 ]Anaesthesia and Critical Care; Division of Clinical Neuroscience; School of Medicine; University of Nottingham; UK
          Article
          10.1111/anae.14140
          29313904
          6e4fb2ef-c6a5-4a32-a469-99993a7c4ee5
          © 2018

          http://doi.wiley.com/10.1002/tdm_license_1.1

          http://onlinelibrary.wiley.com/termsAndConditions#vor

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