Journal of Anesthesia

, Volume 30, Issue 1, pp 138–147 | Cite as

Development of technologies for placement of perineural catheters

  • Hesham Elsharkawy
  • Ankit Maheshwari
  • Ehab Farag
  • Edward R. Mariano
  • Richard W. Rosenquist
Review Article


Continuous peripheral nerve block (CPNB) success is largely dependent on placement of the catheter close enough to the nerve to allow effective and sustained analgesia following painful surgeries with a minimum volume of local anesthetic. One of the most common problems associated with CPNB involves accurate placement of the catheter tip, migration, and dislodgement of the catheter. This is of increasing importance now that catheters are left in place for prolonged periods of time to provide postoperative analgesia, and patients with peripheral nerve catheters are being discharged home with ambulatory pumps. In response to the challenges of providing safe, effective, and consistently reliable analgesia, research and development in this field is expanding rapidly. This review article presents results from recent publications addressing the subject of peripheral nerve catheter localization.


Peripheral nerve catheter Ultrasound-guided nerve block Catheter localization Development of technologies 


Compliance with ethical standards

Conflict of interest



Dr. Mariano has received unrestricted funding for educational programs paid to his institution from I-Flow/Kimberly-Clark and B Braun.


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Copyright information

© Japanese Society of Anesthesiologists 2015

Authors and Affiliations

  • Hesham Elsharkawy
    • 1
  • Ankit Maheshwari
    • 2
  • Ehab Farag
    • 1
  • Edward R. Mariano
    • 3
  • Richard W. Rosenquist
    • 1
  1. 1.Departments of General Anesthesiology and Pain Management, Outcomes Research Anesthesiology Institute, Cleveland ClinicCCLCM of Case Western Reserve UniversityClevelandUSA
  2. 2.Pain MedicineLouis Stokes Cleveland VA Medical CenterClevelandUSA
  3. 3.Department of Anesthesiology, Perioperative and Pain MedicineStanford University School of MedicineStanfordUSA

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