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Article: Regional anaesthesia for orthopaedic procedures
Title | Regional anaesthesia for orthopaedic procedures |
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Authors | |
Keywords | Analgesia nerve injury orthopaedic surgery peripheral nerve block regional anaesthesia |
Issue Date | 2018 |
Publisher | Elsevier Ltd. The Journal's web site is located at https://www.anaesthesiajournal.co.uk/ |
Citation | Anaesthesia and Intensive Care Medicine, 2018, v. 19 n. 4, p. 164-170 How to Cite? |
Abstract | Regional anaesthesia is apposite for orthopaedic surgery for anatomical reasons and to reduce complications from general anaesthesia. A reduction in pain scores, drowsiness and nausea can improve postoperative mobility and facilitate earlier hospital discharge. Disadvantages include block failure, nerve injury, possible loss of motor function and proprioception and local anaesthetic toxicity. Complications are rare but may be reduced by the use of ultrasound and nerve stimulation, performing the block on a conscious patient and stopping injection if there is pain or high resistance. Patients should be assessed preoperatively to rule out contraindications such as local infection or coagulopathy, and clear explanations of the procedure and any possible complications should be given. Patients should also be assessed postoperatively and any suspicious findings investigated promptly and followed up until there is complete resolution. |
Persistent Identifier | http://hdl.handle.net/10722/272815 |
ISSN | 2023 Impact Factor: 0.2 2023 SCImago Journal Rankings: 0.151 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Liu, SE | - |
dc.contributor.author | Irwin, MG | - |
dc.date.accessioned | 2019-08-06T09:17:05Z | - |
dc.date.available | 2019-08-06T09:17:05Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | Anaesthesia and Intensive Care Medicine, 2018, v. 19 n. 4, p. 164-170 | - |
dc.identifier.issn | 1472-0299 | - |
dc.identifier.uri | http://hdl.handle.net/10722/272815 | - |
dc.description.abstract | Regional anaesthesia is apposite for orthopaedic surgery for anatomical reasons and to reduce complications from general anaesthesia. A reduction in pain scores, drowsiness and nausea can improve postoperative mobility and facilitate earlier hospital discharge. Disadvantages include block failure, nerve injury, possible loss of motor function and proprioception and local anaesthetic toxicity. Complications are rare but may be reduced by the use of ultrasound and nerve stimulation, performing the block on a conscious patient and stopping injection if there is pain or high resistance. Patients should be assessed preoperatively to rule out contraindications such as local infection or coagulopathy, and clear explanations of the procedure and any possible complications should be given. Patients should also be assessed postoperatively and any suspicious findings investigated promptly and followed up until there is complete resolution. | - |
dc.language | eng | - |
dc.publisher | Elsevier Ltd. The Journal's web site is located at https://www.anaesthesiajournal.co.uk/ | - |
dc.relation.ispartof | Anaesthesia and Intensive Care Medicine | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Analgesia | - |
dc.subject | nerve injury | - |
dc.subject | orthopaedic surgery | - |
dc.subject | peripheral nerve block | - |
dc.subject | regional anaesthesia | - |
dc.title | Regional anaesthesia for orthopaedic procedures | - |
dc.type | Article | - |
dc.identifier.email | Irwin, MG: mgirwin@hku.hk | - |
dc.identifier.authority | Irwin, MG=rp00390 | - |
dc.description.nature | postprint | - |
dc.identifier.doi | 10.1016/j.mpaic.2018.01.006 | - |
dc.identifier.scopus | eid_2-s2.0-85043479504 | - |
dc.identifier.hkuros | 299971 | - |
dc.identifier.volume | 19 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 164 | - |
dc.identifier.epage | 170 | - |
dc.identifier.isi | WOS:000428297500004 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1472-0299 | - |