A 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.
Using two targeted injections of local anesthetic medication may provide a comprehensive, effective means of pain control during breast cancer surgery, found a study by researchers at Western University, London, Ontario, Canada.
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.
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%.