Percutaneous peripheral nerve stimulation and other alternatives for perineural catheters for postoperative analgesia

被引：13
作者：
Gabriel, Rodney A. [1 ,2 ]
Ilfeld, Brian M. [1 ,2 ]
机构：
[1] Univ Calif San Diego, Dept Anesthesiol, 200 West Arbor Dr,MC 8770, San Diego, CA 92103 USA
[2] Cleveland Clin, Outcomes Res Consortium, Cleveland, OH 44106 USA
来源：
BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY | 2019年 / 33卷 / 01期
关键词：
acute pain; liposomal bupivacaine; post-surgical analgesia; cryoneurolysis; liposome bupivacaine; THORACIC EPIDURAL ANALGESIA; OPIOID USE; TOTAL KNEE; LIPOSOMAL BUPIVACAINE; SPINAL-CORD; POSTSURGICAL ANALGESIA; POSTTHORACOTOMY PAIN; CRYOANALGESIA; NEUROSTIMULATION; BLOCKS;
D O I：
10.1016/j.bpa.2019.02.002
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A perineural catheter with a continuous infusion of local anesthetic is an excellent option for postoperative analgesia; however, its limitations include limited duration of action (i.e., 3-7 days) as well as a risk of infection and dislodgement. Furthermore, these blocks may cause dense sensory and motor blockades that under certain circumstances may not be ideal. There is novel evidence that ultrasound-guided percutaneous peripheral nerve stimulation (pPNS) may serve as an alternative approach free of the limitations associated with peripheral nerve blocks. In this review, we discuss the evidence for pPNS on postoperative acute pain management. Subsequently, we briefly discuss additional alternatives to continuous peripheral nerve blocks, including cryoanalgesia and liposomal bupivacaine. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码：37 / 46
页数：10
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