Neurological Complications Related to Elective Orthopedic Surgery

Veljkovic, Andrea; Dwyer, Tim; Lau, Johnny; Abbas, Kaniza Zahra; Salat, Peter; Brull, Richard

doi:10.1097/aap.0000000000000199

Cited by 14 publications

(10 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Manuscripts were first peer reviewed internally by at least 3 members of the advisory panel and subsequently peer reviewed externally using this journal's standard peer review process. 4 Individual supporting articles [10][11][12][13][14][15][16] describe the specific search methodology used to research that topic. In general, standard search engines and cross-referenced citations provided the literature basis for the updated material contained within this review.…”

Section: Methodsmentioning

confidence: 99%

“…Practitioners are encouraged to read the supporting articles that accompany this summary; they contain the details on which individual recommendations are based. [10][11][12][13][14][15][16] "Consistent with a recent editorial call to focus practice advisory and consensus conference updates on new material, 17 most supporting articles for individual topics considered by this advisory are built on 2 components. First, to provide perspective, those topics and associated recommendations for which no substantially new knowledge has emerged are reviewed briefly.…”

mentioning

confidence: 99%

“…13 Completely new to the second practice advisory is an in-depth presentation of baseline nerve injury risk inherent to common elective orthopedic surgical procedures. 11,12,14 With the growth of registries and their impact on determining accurate and contemporary incidences of complications, the panel added expertise in large epidemiologic studies. Similarly, emerging concerns relating to various ischemia-related neuraxial injuries led to the addition of expert neuroanesthesiologists.…”

mentioning

confidence: 99%

See 2 more Smart Citations

The Second ASRA Practice Advisory on Neurologic Complications Associated With Regional Anesthesia and Pain Medicine

Neal¹,

Barrington

Brull

et al. 2015

Regional Anesthesia and Pain Medicine

Self Cite

377

240

View full text Add to dashboard Cite

The Second American Society of Regional Anesthesia and Pain Medicine Practice Advisory on Neurologic Complications Associated With Regional Anesthesia and Pain Medicine updates information that was originally presented at the Society's first open forum on this subject (2005) and published in 2008. Portions of the second advisory were presented in an open forum (2012) and are herein updated, with attention to those topics subject to evolving knowledge since the first and second advisory conferences. The second advisory briefly summarizes recommendations that have not changed substantially. New to this iteration of the advisory is information related to the risk of nerve injury inherent to common orthopedic surgical procedures. Recommendations are expanded regarding the preventive role of various monitoring technologies such as ultrasound guidance and injection pressure monitoring. New clinical recommendations focus on emerging concerns including spinal stenosis and vertebral canal pathologies, blood pressure management during neuraxial anesthesia, administering blocks in anesthetized or deeply sedated patients, patients with preexisting neurologic disease, and inflammatory neuropathies. An updated diagnostic and treatment algorithm is presented.

show abstract

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

The Second ASRA Practice Advisory on Neurologic Complications Associated With Regional Anesthesia and Pain Medicine

Neal¹,

Barrington

Brull

et al. 2015

Regional Anesthesia and Pain Medicine

Self Cite

377

240

View full text Add to dashboard Cite

show abstract

“…Because ankle arthroscopy is performed via anterior and posterior approaches, damage to cutaneous nerves may result from the placement of arthroscopic portals. The tibial nerve can be particularly vulnerable during posteromedial portal insertion 366. An anterior approach for total ankle replacement can lead to injury of the peroneal nerve.…”

Section: Complications Of Lower Extremity Nerve Blocksmentioning

confidence: 99%

Lower extremity regional anesthesia: essentials of our current understanding

Tran

Salinas

Benzon

et al. 2019

Regional Anesthesia &Amp; Pain Medicine

138

View full text Add to dashboard Cite

The advent of ultrasound guidance has led to a renewed interest in regional anesthesia of the lower limb. In keeping with the American Society of Regional Anesthesia and Pain Medicine’s ongoing commitment to provide intensive evidence-based education, this article presents a complete update of the 2005 comprehensive review on lower extremity peripheral nerve blocks. The current review article strives to (1) summarize the pertinent anatomy of the lumbar and sacral plexuses, (2) discuss the optimal approaches and techniques for lower limb regional anesthesia, (3) present evidence to guide the selection of pharmacological agents and adjuvants, (4) describe potential complications associated with lower extremity nerve blocks, and (5) identify informational gaps pertaining to outcomes, which warrant further investigation.

show abstract

“…This finding is surprising and makes one wonder whether other factors unrelated to the regional technique may have contributed to the results. Foot surgery itself along with the use of an ankle tourniquet is commonly associated with subclinical nerve injury, 21,22 which might have masked the deleterious effect of intraneural injection. Furthermore, the fact that this study was not powered to show a difference in electrophysiological criteria or demonstrate the safety of intraneural injection, but rather an "efficacy" outcome in the form of faster onset, makes it difficult to interpret these findings.…”

mentioning

confidence: 99%