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UrduA retrospective chart review found a 3.7% occurrence rate of transient neurologic symptoms (TNS) in patients receiving 1.5% mepivacaine during Holmium Laser Enucleation of the Prostate (HoLEP) surgery and suggested a possible association of TNS development with quicker procedures, smaller prostates, lithotomy positioning, and younger age.
Tag: Acute pain Medicine
Infection Risk Is Rare With Epidural and Spinal Blocks, Higher With Peripheral Nerve Block Catheters
A review of medical literature found that infections following epidural and spinal blocks are rare. Infections following peripheral nerve block catheters are more common but have been less frequently studied; this may necessitate a review of patient and procedural aspects to lower the risk associated with these procedures.
Use of Nerve Stimulation During Adductor Canal Block Could Help Identify and Avoid Injury to Nerve to Vastus Medialis
A study using lower limbs from two cadavers to demonstrate the technique of adductor canal (AC) block found that the needle trajectory of the traditional approach led to impalement of the nerve to vastus medialis (NVM) in 33% of cases and direct contact with the nerve in another 22%.