2008
DOI: 10.1097/01.anes.0000299433.25179.70 View full text |Buy / Rent full text
|
|

Abstract: Marked differences in neural architecture and size of surrounding adipose tissue compartments are demonstrated between proximal and distal parts of the brachial plexus. These differences may explain why some injections within the epineurium do not result in neural injury and affect onset times of BP blocks.

Help me understand this report

Search citation statements

Order By: Relevance
Select...
2
1
4
88
0
2

Year Published

2008
2008
2014
2014

Publication Types

Select...
5

Relationship

0
5

Authors

Journals

4
88
0
2
Order By: Relevance
“…Cadaver studies indicate that the amount of connective tissue within the epineurium of the brachial plexus is least at proximal sites (55% for interscalene and 52% for supraclavicular) compared with distal sites (66% for subcoracoid) [3]. However, even at proximal brachial plexus block sites, the majority of the intraneural space typically consists of connective tissue.…”
Section: ó 2011 the Authorsmentioning
Create an account to read the remaining citation statements from this report. You will also get access to:
  • Search over 1.2b+ citation statments to see what is being said about any topic in the research literature
  • Advanced Search to find publications that support or contrast your research
  • Citation reports and visualizations to easily see what publications are saying about each other
  • Browser extension to see Smart Citations wherever you read research
  • Dashboards to evaluate and keep track of groups of publications
  • Alerts to stay on top of citations as they happen
  • Automated reference checks to make sure you are citing reliable research in your manuscripts
  • 7 day free preview of our premium features.

Trusted by researchers and organizations around the world

Over 130,000 students researchers, and industry experts at use scite

See what students are saying

rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…Cadaver studies indicate that the amount of connective tissue within the epineurium of the brachial plexus is least at proximal sites (55% for interscalene and 52% for supraclavicular) compared with distal sites (66% for subcoracoid) [3]. However, even at proximal brachial plexus block sites, the majority of the intraneural space typically consists of connective tissue.…”
Section: ó 2011 the Authorsmentioning
“…When nerves are impaled, the needle may pass harmlessly into or through connective tissue, which constitutes up to 70% of a nerve's cross-sectional area. 28 However, if the fascicle is penetrated, neurons are exposed to local anesthetics that can cause time-and concentration-dependent injury. Vasoconstrictors play a role by limiting local anesthetic clearance and thereby enhancing the time-dependent component of injury.…”
Section: Pathophysiology Of Peripheral Nerve Injurymentioning
“…This explains why a simple penetration of the suprascapular nerve epineurium does not necessarily lead to nerve damage. 37,38 Local anesthetic infusion in the perineurium is associated with high injection pressure, subsequent fascicular lesion and neurologic injury, but the infusion within the epineurium occurs at low pressure, with motor function returning to normal. 39 Therefore, intraneural infusion outside the perineurium does not invariably lead to neurological damage.…”
Section: Peripheral Nerve Injurymentioning