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Peripheral Nerve Blocks

  • Nantthasorn Zinboonyahgoon
  • Christopher R. Abrecht
  • Sanjeet Narang
Chapter

Abstract

Peripheral nerve blocks are useful interventions in managing malignant pain, including in patients with disease that is not yet end stage. Given the multifactorial nature of malignant pain (somatic, visceral, neuropathic, or mixed), peripheral nerve blocks can be both diagnostic and therapeutic. This chapter discusses the pharmacology of agents commonly used in these interventions: local anesthetics, steroids, phenol, and alcohol. It addresses commonly used peripheral nerve blocks in terms of the related anatomy, indications for treatment, evidence supporting outcomes, technique, and potential complications.

In this section, we will discuss methods used to target peripheral and cranial nerves in addition to nerve plexuses known as common pain generators.

Keywords

Malignant pain Peripheral nerve block Autonomic block Neurolysis Paravertebral block Intercostal block Brachial plexus block Stellate plexus Celiac plexus Superior hypogastric plexus Ganglion impar 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Nantthasorn Zinboonyahgoon
    • 1
    • 2
  • Christopher R. Abrecht
    • 2
  • Sanjeet Narang
    • 3
  1. 1.Department of AnesthesiologyFaculty of Medicine Siriraj Hospital, Mahidol UniversityBangkokThailand
  2. 2.Department of Anesthesiology, Perioperative and Pain MedicineBrigham and Women’s Hospital, Harvard Medical SchoolBostonUSA
  3. 3.Department of Anesthesiology, Perioperative and Pain MedicineThe Pain Management Center at Brigham and Women’s Hospital, Harvard Medical SchoolChestnut HillUSA

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