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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...

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Related Experiment Video

Updated: Jul 1, 2026

An Ultrasonic Tool for Nerve Conduction Block in Diabetic Rat Models
10:27

An Ultrasonic Tool for Nerve Conduction Block in Diabetic Rat Models

Published on: October 20, 2017

Ultrasound-guided peripheral nerve blockade.

Ki Jinn Chin1, Vincent Chan

  • 1Department of Anesthesia, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada. kijinn.chin@uhn.on.ca

Current Opinion in Anaesthesiology
|September 12, 2008
PubMed
Summary

Ultrasound-guided regional anesthesia improves nerve block performance and success rates. However, proper training is essential to ensure the efficacy and safety of this evolving technique.

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Electrophysiological Methods to Assess Peripheral Pain Block in an Anesthetized Rat
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Area of Science:

  • Anesthesiology
  • Medical Imaging
  • Regional Anesthesia

Background:

  • Ultrasound-guided nerve blockade is increasingly utilized in regional anesthesia.
  • While feasibility is established, its role as a new standard of care regarding efficacy and safety remains under investigation.

Purpose of the Study:

  • To review the current status and impact of ultrasound guidance in peripheral nerve blockade.
  • To assess the benefits and challenges associated with ultrasound-guided regional anesthesia.

Main Methods:

  • Review of recent findings on ultrasound-guided peripheral nerve blockade.
  • Analysis of studies evaluating block performance, success rates, and complications.

Main Results:

  • Ultrasound visualization enhances nerve identification, needle guidance, and local anesthetic distribution.
  • Improved ease of block performance, higher success rates, and reduced complications are reported.
  • Proficiency in ultrasound-guided regional anesthesia requires specific training and experience.

Conclusions:

  • Ultrasound is a valuable tool for regional anesthesiologists, becoming a standard practice.
  • It offers particular benefits for less experienced practitioners.
  • Ensuring efficacy and safety necessitates proper training, with formal standards and guidelines anticipated.