Nerve Block

In this video, Enrique A. Goytizolo, MD, discussed the use of a mid-calf nerve block for patients undergoing foot and ankle surgery, specifically total ankle replacement.

In this video, Stavros G. Memtsoudis, MD, PhD, MBA, FCCP, discussed the use of peripheral nerve blocks for older patients undergoing total joint arthroplasty.

In patients with juvenile idiopathic arthritis, genicular nerve block achieved “equivalent, longer-term improvement,” after 12 weeks compared with steroid therapy, according to data published in Clinical Rheumatology.

Despite higher pain scores at 8 hours postoperatively and increased opioid use, local infiltration analgesia was less costly and yielded similar pain scores at 24 hours after shoulder arthroplasty compared with an interscalene block.

Results showed the addition of a single-injection proximal sciatic nerve block to an adductor canal block significantly reduced pain and opioid requirements in pediatric patients undergoing medial patellofemoral ligament reconstruction.

According to published results, peripheral nerve blocks may effectively reduce postoperative pain in patients undergoing arthroscopic rotator cuff repair and may be an alternative to general anesthesia alone.

Use of liposomal bupivacaine in an interscalene nerve block effectively controlled pain after outpatient shoulder surgery, according to results presented at the American Shoulder and Elbow Surgeons Annual Meeting.

According to published results, use of a peripheral nerve block prior to distal radius repair yielded better pain control and shortened length of stay compared with use of general anesthesia.

Results showed 10 mL of normal saline washout did not yield clinically significant reversal of phrenic nerve blockade in patients undergoing shoulder surgery.