Perineural Ultrasound-Guided Catheter Bacterial Colonization

Aveline, Christophe; Hétêt, Hubert Le; Roux, Alain; Vautier, Pierre; Gautier, J.-F.; Cognet, Fabrice; Auger, Philippe; Bonnet, Francis

doi:10.1097/aap.0b013e31822e665a

Cited by 35 publications

(27 citation statements)

References 25 publications

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“…Independent risk factors for catheter colonization include duration of catheter placement (>24 hours), diabetes, and antibiotic administration the month before surgery 306. Fortunately, the incidence of true infection requiring antibiotic or surgical therapy is much lower (0%–3%) and, expectedly, increases with the duration of catheter placement (table 4).…”

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

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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.

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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

show abstract

“…The American Society of Regional Anesthesia and Pain Medicine (ASRA) recommends antiseptic hand washing, sterile gloves, surgical mask and hats, and the use of alcohol-based chlorhexidine antiseptic solutions [40]. Further sterile protection of the ultrasound probe is essential [41]. The catheter dressing after insertion has to be sterile and transparent to avoid and recognize catheter infection (Figures 1 and 2).…”

Section: Cpnb Insertion Techniquesmentioning

confidence: 99%

The Role of Continuous Peripheral Nerve Blocks

Aguirre

Moral

Cobo

et al. 2012

Anesthesiology Research and Practice

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A continuous peripheral nerve block (cPNB) is provided in the hospital and ambulatory setting. The most common use of CPNBs is in the peri- and postoperative period but different indications have been described like the treatment of chronic pain such as cancer-induced pain, complex regional pain syndrome or phantom limb pain. The documented benefits strongly depend on the analgesia quality and include decreasing baseline/dynamic pain, reducing additional analgesic requirements, decrease of postoperative joint inflammation and inflammatory markers, sleep disturbances and opioid-related side effects, increase of patient satisfaction and ambulation/functioning improvement, an accelerated resumption of passive joint range-of-motion, reducing time until discharge readiness, decrease in blood loss/blood transfusions, potential reduction of the incidence of postsurgical chronic pain and reduction of costs. Evidence deriving from randomized controlled trials suggests that in some situations there are also prolonged benefits of regional anesthesia after catheter removal in addition to the immediate postoperative effects. Unfortunately, there are only few data demonstrating benefits after catheter removal and the evidence of medium- or long-term improvements in health-related quality of life measures is still lacking. This review will give an overview of the advantages and adverse effects of cPNBs.

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“…clonidine), midazolam or corticosteroides -dexamethasone [8,9]. The perineural catheter techniques can be very effective and can provide analgesia for several days, but this technique is limited with difficulties in placement and removal of the catheter, or rarely, with infection [9,10].…”

Section: Introductionmentioning

confidence: 99%

Effect of Adding Dexamethasone as a Ropivacaine Adjuvant in Ultrasound-Guided Transversus Abdominis Plane Block for Inguinal Hernia Repair

Карталов¹,

Јankulovski

Кузмановска³

et al. 2015

Prilozi

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Background: The transverses abdominals plane block (TAP) is a regional anesthesia technique that provided analgesia to the parietal peritoneum, skin and muscles of the anterior abdominal wall. The aim of this randomized double-blind study was to evaluate postoperative analgesia on patients undergoing open inguinal hernia repair under general anesthesia (GA), (GA + TAP) block preformed with ropivacaine and (GA + TAP-D) block preformed with ropivacaine and 4 mg dexamethasone. Methods: 90 (ASA I-II) adult patients for unilateral open inguinal hernia repair were included in this study. In group I (n = 30) patents received only general anesthesia (GA). Patients in group II (n = 30) received GA and unilateral TAP block with 25 ml of 0.5% ropivacaine and the patients in group III (n = 30) received GA and unilateral TAP-D block with 25 ml of 0.5% ropivacaine + 4 mg Dexamethadsone. In this study we assessed the pain score -VAS at rest at 2, 4, 6, 12 and 24 hours after the operation and the total analgesic consumption of morphine over 24 hours. Results: There were statistically significant differences in the VAS scores between group I, group II and group III at all postoperative time points -2 hr , 4 hr , 6 hr , 12 hr and 24 hr. (p < 0.00001). The cumulative 24 hours morphine consumption after the operation was significantly lower in group III (5.53 1.21 mg) than in group II (6.16 2.41 mg) and group I (9.26 2.41 mg). This difference is statistically significant (p < 0.00001). Conclusion: Concerning the inguinal hernia repair we found better postoperative pain scores and 24 hours reduction of the morphine consumption in group III (GA and TAP-D block) compared with group I (GA) and group II (GA + TAP block).

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Perineural Ultrasound-Guided Catheter Bacterial Colonization

Abstract: Although infection rate is low, there is a risk of ultrasound-guided catheter colonization that deserves careful monitoring of the insertion site in the postoperative period.

Cited by 35 publications

References 25 publications

Lower extremity regional anesthesia: essentials of our current understanding

Lower extremity regional anesthesia: essentials of our current understanding

The Role of Continuous Peripheral Nerve Blocks

Effect of Adding Dexamethasone as a Ropivacaine Adjuvant in Ultrasound-Guided Transversus Abdominis Plane Block for Inguinal Hernia Repair

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