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Structure of Nerve Lesions After “In Vitro” Punctures

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Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine

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Abstract

The neurologic consequences of an intraneural needle insertion and injection of local anesthetic depend on many factors, such as the design of the needle tip, the injection force, and the chemical structure and concentration of the injectate. However, the anatomic specifics of a given nerve and how its organization can protect it against external injury may be the most significant factor determining the likelihood of injury. Finally, any preexisting pathology of the peripheral nerve also contributes to the risk of postblock neurologic symptoms.

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References

  1. Sala-Blanch X, Vandepitte C, Laur J, Horan P, Xu D, Reina MA, Hadzic A. A practical review of perineural versus intraneural injections: a call for standard nomenclature. Int Anesthesiol Clin. 2011;49:1–12.

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  2. Sala-Blanch X. Nerve injury. How can risk be minimized? Reg Anesth Pain Med. 2013;38:E8–11.

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Authors and Affiliations

  1. Human Anatomy and Embryology Unit, School of Medicine, University of Barcelona, Barcelona, Spain

    Xavier Sala-Blanch MD

  2. Department of Anesthesiology and Critical Care, Clinic Hospital, Barcelona, Spain

    Xavier Sala-Blanch MD

  3. Department of Clinical Medical Sciences and Institute of Applied Molecular Medicine, School of Medicine, University of CEU San Pablo, Madrid, Spain

    Miguel Angel Reina MD, PhD

  4. Department of Anesthesiology, Madrid-Montepríncipe University Hospital, Madrid, Spain

    Miguel Angel Reina MD, PhD

  5. Department of Pathology, Clinic Hospital, University of Barcelona, Barcelona, Spain

    Teresa Ribalta MD, PhD

  6. Department of Anesthesiology, St. Luke’s-Roosevelt Hospital Center, New York School of Regional Anesthesia (NYSORA), New York, NY, USA

    Admir Hadzic MD, PhD

  7. College of Physicians and Surgeons Columbia University, New York, NY, USA

    Admir Hadzic MD, PhD

  8. Neuroscience, Embriology, Molecular Oncology and Clinical Anatomy Group (NEOMA), School of Medicine, University of Girona, Girona, Spain

    Anna Carrera MD, PhD

Authors
  1. Xavier Sala-Blanch MD
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  2. Miguel Angel Reina MD, PhD
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  3. Teresa Ribalta MD, PhD
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  4. Admir Hadzic MD, PhD
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  5. Anna Carrera MD, PhD
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Corresponding author

Correspondence to Xavier Sala-Blanch MD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Department of Clinical Medical Sciences and Institute of Applied Molecular Medicine, School of Medicine, University of CEU San Pablo, Madrid, Spain, and Madrid-Montepríncipe University Hospital, Madrid, Spain

    Miguel Angel Reina

  2. Department of Surgical Specialties, Department of Anesthesia, Critical Care, and Pain Management, General University Hospital, School of Medicine, University of Valencia, Valencia, Spain

    José Antonio De Andrés

  3. College of Physicians and Surgeons, Department of Anesthesiology, St. Luke’s-Roosevelt Hospital Center, New York School of Regional, Anesthesia (NYSORA), New York, NY, USA, and Columbia University, New York, New York, USA

    Admir Hadzic

  4. Laboratory of Surgical NeuroAnatomy, Human Anatomy and Embryology Unit, School of Medicine, University of Barcelona, Barcelona, Spain

    Alberto Prats-Galino

  5. Department of Anesthesiology and Critical Care, Human Anatomy and Embryology Unit, School of Medicine, University of Barcelona, Barcelona, Spain, and Clinic Hospital, Barcelona, Spain

    Xavier Sala-Blanch

  6. Discipline of Anesthesiology, The University of Queensland and Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia

    André A.J. van Zundert

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© 2015 Springer International Publishing Switzerland

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Sala-Blanch, X., Reina, M.A., Ribalta, T., Hadzic, A., Carrera, A. (2015). Structure of Nerve Lesions After “In Vitro” Punctures. In: Reina, M., De Andrés, J., Hadzic, A., Prats-Galino, A., Sala-Blanch, X., van Zundert, A. (eds) Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-09522-6_15

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  • DOI: https://doi.org/10.1007/978-3-319-09522-6_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09521-9

  • Online ISBN: 978-3-319-09522-6

  • eBook Packages: MedicineMedicine (R0)

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