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Regional Anaesthesia

Tutorial 422

Nerve Injury in Regional Anaesthesia

Ben Carey1†, Michael Barrington2

1Provisional Fellow, St. Vincents’ Hospital, Melbourne, Australia

2Consultant, St. Vincents’ Hospital and University of Melbourne, Melbourne, Australia

Edited by: Dr. Gill Foxall, Consultant Anaesthetist, Royal Surrey County Hospital, Guildford, UK, and Dr. Su Cheen Ng, Consultant in Anaesthetics, University College Hospital, London, UK

Corresponding author e-mail: bencarey81@yahoo.co.uk

Published 14 April 2020

Abstract

Although nerve injuries associated with peripheral nerve blockade (PNB) are often temporary, the potential long-term consequences of nerve injury following PNB include sensory and motor deficits, neuropathic pain, and permanent disability, with an associated decrease in a patients’ quality of life. This article aims to explore the pathophysiology of nerve injury from PNB, suggest preventative strategies therein, and provide a common sense approach to their management.