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Ultrasound-Guided Continuous Peripheral Nerve Blocks

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Atlas of Ultrasound-Guided Procedures in Interventional Pain Management

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Abstract

Continuous peripheral nerve block (CPNB) catheters, also known as “perineural” catheters, extend the potential duration of anesthesia and analgesia provided by peripheral nerve block techniques. In the ambulatory setting, the use of CPNB has been shown to increase the quality of pain control experienced by patients at home and to reduce the incidence of side effects produced by conventional opioid analgesics [1–3]. For hospitalized patients, CPNB techniques have similarly demonstrated postoperative analgesia efficacy following major surgery [4–7], facilitating early rehabilitation [4, 8], and shortening the time to achieve hospital discharge criteria in arthroplasty patients [6, 7, 9]. In select patients, joint replacement with only overnight hospitalization and outpatient management of perineural infusions is feasible [10–12] and offers potential economic benefits [13].

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Authors and Affiliations

  1. VA Palo Alto Health Care System, Anesthesiology and Perioperative Care Service, Palo Alto, CA, USA

    Edward R. Mariano

  2. Department of Anesthesiology, University California San Diego, San Diego, CA, USA

    Brian M. Ilfeld

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  1. Edward R. Mariano
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  2. Brian M. Ilfeld
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Correspondence to Edward R. Mariano .

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Editors and Affiliations

  1. Professor of Anesthesiology and Pain Medicine, Center for Pain Medicine, Western Reserve Hospital, Cuyahoga Falls, Ohio, USA

    Samer N. Narouze

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Mariano, E.R., Ilfeld, B.M. (2018). Ultrasound-Guided Continuous Peripheral Nerve Blocks. In: Narouze, S. (eds) Atlas of Ultrasound-Guided Procedures in Interventional Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7754-3_21

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