eISSN: 1731-2531
ISSN: 1642-5758
Anaesthesiology Intensive Therapy
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4/2020
vol. 52
 
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abstract:
Review paper

Adjuvants in peripheral nerve blocks – the current state of knowledge

Wojciech Gola
1
,
Marek Zając
1
,
Adam Cugowski
1

1.
Department of Anaesthesiology and Intensive Therapy, St. Lukas Specialist Hospital in Końskie, Poland
Anaesthesiol Intensive Ther 2020; 52, 4: 323–329
Online publish date: 2020/10/23
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Regional anaesthetic techniques are an indispensable element of acute and postoperative pain management. The benefits of regional blocks are particularly noticeable in trauma and orthopaedic, joint reconstruction or thoracic surgical procedures. Depending on the local anaesthetic (LA) used, the duration of analgesia is limited to a maximum of 12–16 hours. There are several methods affecting the prolongation of analgesia, e.g. continuous techniques with catheters, liposomal forms of LAs or adjuvants. Due to numerous limitations and problems associated with the use of continuous techniques, lack of approval or availability of liposomal LAs, the optimal measure to prolong the duration of postoperative analgesia is the use of adjuvants. The present study aims to collect and systematise the current knowledge about the most common adjuvants used for nerve / plexus blockades and intravenous regional anaesthesia.
keywords:

adjuvants, regional blocks, intravenous regional anaesthesia

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