Regional Anesthesia in Anesthetized or Heavily Sedated Patients

Christopher M. Bernards*, Admir Hadzic, Santhanam Suresh, Joseph M. Neal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

105 Scopus citations

Abstract

The American Society of Regional Anesthesia and Pain Medicine (ASRA) Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine includes an evidence- and expert opinion-based section on performing procedures on anesthetized or heavily sedated patients. This practice advisory is based on existing scientific literature, pathophysiological principles, and expert opinion. The advisory panel examined the ability of anesthetized or heavily sedated patients to recognize and report intravascular injection of local anesthetic or impending neurologic injury. The advisory panel also considered whether or not the ability to recognize and report symptoms could actually affect the occurrence of nerve injury or local anesthetic systemic toxicity. The advisory contains recommendations pertaining to both adult and pediatric patients.

Original languageEnglish (US)
Pages (from-to)449-460
Number of pages12
JournalRegional anesthesia and pain medicine
Volume33
Issue number5
DOIs
StatePublished - Sep 1 2008

Keywords

  • Local anesthetic toxicity
  • Nerve injury
  • Pain medicine
  • Peripheral nerve block
  • Regional anesthesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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