Publikationsserver der Universitätsbibliothek Marburg

Titel:Nerventrauma in der peripheren Regionalanästhesie: Histologische Untersuchung nach Nadel-Nerv-Perforation mit „Tuohy“ - oder „Pencil-Point“ -Schliff im Tiermodell
Autor:Werner, Matthias Tilmann
Weitere Beteiligte: Wulf, Hinnerk F. W. (Prof. Dr.)
Veröffentlicht:2011
URI:https://archiv.ub.uni-marburg.de/diss/z2011/0040
DOI: https://doi.org/10.17192/z2011.0040
URN: urn:nbn:de:hebis:04-z2011-00408
DDC: Medizin
Publikationsdatum:2011-03-03
Lizenz:https://rightsstatements.org/vocab/InC-NC/1.0/

Dokument

Schlagwörter:
Tuohy-Kanüle, Komplikation, Lokalanästhesie, Perforation <Medizin>, Kanüle, Trauma, Anästhesie, Tuohy needle, Pencil-Point-Kanüle, Needle-nerve-perforation, Tiermodell, Pencil-point needle, Nerv, Nerve injury, Schwein, Peripherer Nerv, Regionalanästhesie

Zusammenfassung:
Bei akzidentieller Nervenperforation durch eine Pencil-Point oder Tuohy Kanüle, kommt es unter Anwendung des histologischen Trauma-Scores im Tiermodell zu keinem signifikanten Vorteil für einen Nadeltyp. Diese Beobachtung impliziert, dass auch die vermeintlich atraumatische Pencil-Point Kanüle einen relevanten Schaden im Falle einer Nadel-Nerven Perforation hervorrufen kann.

Bibliographie / References

  1. 84 Perkins, N. M. and Tracey, D. J. Hyperalgesia due to nerve injury: role of neutrophils. Neuroscience 2000;101:745-757.
  2. 14 Capdevila, X., Pirat, P., Bringuier, S., Gaertner, E., Singelyn, F., Bernard, N., Choquet, O., Bouaziz, H., and Bonnet, F. Continuous peripheral nerve blocks in hospital wards after orthopedic surgery: a multicenter prospective analysis of the quality of postoperative analgesia and complications in 1,416 patients. Anesthesiology 2005;103:1035-1045.
  3. Rice, A. S. Peripheral nerve damage and regional anaesthesia. Br. J. Anaesth. 1995;75:116
  4. 88 Redford, E. J., Hall, S. M., and Smith, K. J. Vascular changes and demyelination induced by the intraneural injection of tumour necrosis factor. Brain 1995;118 ( Pt 4):869-878.
  5. 100 Singelyn, F. J., Deyaert, M., Joris, D., Pendeville, E., and Gouverneur, J. M. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth. Analg. 1998;87:88- 92.
  6. 16 Casati, A., Danelli, G., Baciarello, M., Corradi, M., Leone, S., Di, Cianni S., and Fanelli, G. A prospective, randomized comparison between ultrasound and nerve stimulation guidance for multiple injection axillary brachial plexus block. Anesthesiology 2007;106:992-996.
  7. Leskovar, A., Moriarty, L. J., Turek, J. J., Schoenlein, I. A., and Borgens, R. B. The macrophage in acute neural injury: changes in cell numbers over time and levels of cytokine production in mammalian central and peripheral nervous systems. J Exp. Biol. 2000;203:1783-1795.
  8. 58 Klein, S. M., Evans, H., Nielsen, K. C., Tucker, M. S., Warner, D. S., and Steele, S. M. Peripheral nerve block techniques for ambulatory surgery. Anesth. Analg. 2005;101:1663-1676.
  9. 110 Yuan, Q., Xie, Y., So, K. F., and Wu, W. Inflammatory response associated with axonal injury to spinal motoneurons in newborn rats. Dev. Neurosci. 2003;25:72- 78.
  10. 60 Kluver, H. and Barrera, E. A method for the combined staining of cells and fibers in the nervous system. J Neuropathol. Exp. Neurol. 1953;12:400-403.
  11. 15 Carles, M., Pulcini, A., Macchi, P., Duflos, P., Raucoules-Aime, M., and Grimaud, D. An evaluation of the brachial plexus block at the humeral canal using a neurostimulator (1417 patients): the efficacy, safety, and predictive criteria of failure. Anesth. Analg. 2001;92:194-198.
  12. 17 Chambers, W. A. Peripheral nerve damage and regional anaesthesia. Br. J. Anaesth. 1992;69:429-430.
  13. block for shoulder/upper arm surgery: the association of patient, anesthetic, and surgical factors to the incidence and clinical course. Anesth.
  14. Kulenkampff, D. and Persky, M. A. Brachial Plexus Anesthesia: Its Indications, Technic, and Dangers. Ann. Surg. 1928;87:883
  15. 59 Klein, S. M. and Nielsen, K. C. Brachial plexus blocks: infusions and other mechanisms to provide prolonged analgesia. Curr. Opin. Anaesthesiol. 2003;16:393-399.
  16. 85 Perlas, A., Chan, V. W., and Simons, M. Brachial plexus examination and localization using ultrasound and electrical stimulation: a volunteer study. Anesthesiology 2003;99:429-435.
  17. 40 Grill, M. F. and Maganti, R. Cephalosporin-induced neurotoxicity: clinical manifestations, potential pathogenic mechanisms, and the role of electroencephalographic monitoring. Ann. Pharmacother. 2008;42:1843-1850.
  18. 43 Hartung, H. P., Archelos, J. J., Zielasek, J., Gold, R., Koltzenburg, M., Reiners, K. H., and Toyka, K. V. Circulating adhesion molecules and inflammatory mediators in demyelination: a review. Neurology 1995;45:S22-S32.
  19. Creange, A., Belec, L., Clair, B., Raphael, J. C., and Gherardi, R. K. Circulating tumor necrosis factor (TNF)-alpha and soluble TNF-alpha receptors in patients with Guillain-Barre syndrome. J. Neuroimmunol. 1996;68:95-99.
  20. 41 Hadzic, A., Dilberovic, F., Shah, S., Kulenovic, A., Kapur, E., Zaciragic, A., Cosovic, E., Vuckovic, I., Divanovic, K. A., Mornjakovic, Z., Thys, D. M., and Santos, A. C. Combination of intraneural injection and high injection pressure leads to fascicular injury and neurologic deficits in dogs. Reg Anesth. Pain Med. 2004;29:417-423.
  21. Lee, L. A., Posner, K. L., Cheney, F. W., Caplan, R. A., and Domino, K. B. Complications associated with eye blocks and peripheral nerve blocks: an american society of anesthesiologists closed claims analysis. Reg Anesth. Pain Med 2008;33:416-422.
  22. Liguori, G. A. Complications of regional anesthesia: nerve injury and peripheral neural blockade. J. Neurosurg. Anesthesiol. 2004;16:84-86.
  23. 111 Zhu, J., Bai, X. F., Mix, E., and Link, H. Cytokine dichotomy in peripheral nervous system influences the outcome of experimental allergic neuritis: dynamics of mRNA expression for IL-1 beta, IL-6, IL-10, IL-12, TNF-alpha, TNF-beta, and cytolysin. Clin. Immunol. Immunopathol. 1997;84:85-94.
  24. 81 Olsson, Y. Degranulation of mast cells in peripheral nerve injuries. Acta Neurol. Scand. 1967;43:365-374.
  25. 47 Hirata, K., Mitoma, H., Ueno, N., He, J. W., and Kawabuchi, M. Differential response of macrophage subpopulations to myelin degradation in the injured rat sciatic nerve. J. Neurocytol. 1999;28:685-695.
  26. 93 Richman, J. M., Liu, S. S., Courpas, G., Wong, R., Rowlingson, A. J., McGready, J., Cohen, S. R., and Wu, C. L. Does continuous peripheral nerve block provide superior pain control to opioids? A meta-analysis. Anesth. Analg. 2006;102:248- 257.
  27. Wu, C. L., Cohen, S. R., Richman, J. M., Rowlingson, A. J., Courpas, G. E., Cheung, K., Lin, E. E., and Liu, S. S. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology 2005;103:1079-1088.
  28. 96 Sauter, A. R., Dodgson, M. S., Stubhaug, A., Halstensen, A. M., and Klaastad, O. Electrical nerve stimulation or ultrasound guidance for lateral sagittal infraclavicular blocks: a randomized, controlled, observer-blinded, comparative study. Anesth. Analg. 2008;106:1910-1915.
  29. 106 Urban, M. K. and Urquhart, B. Evaluation of brachial plexus anesthesia for upper extremity surgery. Reg Anesth. 1994;19:175-182.
  30. 46 Hirasawa, Y., Katsumi, Y., Kusswetter, W., and Sprotte, G. Experimental studies on peripheral nerve injuries caused by injection needles. Reg Anaesth. 1990;13:11-15.
  31. Moalem, G. and Tracey, D. J. Immune and inflammatory mechanisms in neuropathic pain. Brain Res. Rev. 2006;51:240-264.
  32. 83 Pelidou, S. H., Deretzi, G., Zou, L. P., Quiding, C., and Zhu, J. Inflammation and severe demyelination in the peripheral nervous system induced by the intraneural injection of recombinant mouse interleukin-12. Scand. J. Immunol. 1999;50:39-44.
  33. 107 Vora, A. R., Bodell, S. M., Loescher, A. R., Smith, K. G., Robinson, P. P., and Boissonade, F. M. Inflammatory cell accumulation in traumatic neuromas of the human lingual nerve. Arch. Oral Biol. 2007;52:74-82.
  34. Lee, L. A., Posner, K. L., Domino, K. B., Caplan, R. A., and Cheney, F. W. Injuries associated with regional anesthesia in the 1980s and 1990s: a closed claims analysis. Anesthesiology 2004;101:143-152.
  35. 76 Mueller, M., Leonhard, C., Wacker, K., Ringelstein, E. B., Okabe, M., Hickey, W. F., and Kiefer, R. Macrophage response to peripheral nerve injury: the quantitative contribution of resident and hematogenous macrophages. Lab Invest 2003;83:175-185.
  36. 39 Griffin, J. W., George, R., and Ho, T. Macrophage systems in peripheral nerves. A review. J. Neuropathol. Exp. Neurol. 1993;52:553-560.
  37. Metcalfe, D. D., Baram, D., and Mekori, Y. A. Mast cells. Physiol Rev. 1997;77:1033-1079.
  38. 82 Olsson, Y. Mast cells in the nervous system. Int. Rev. Cytol. 1968;24:27-70.
  39. 20 Cheney, F. W., Domino, K. B., Caplan, R. A., and Posner, K. L. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology 1999;90:1062-1069.
  40. Steinfeldt, T., Nimphius, W., Werner, T., Vassiliou, T., Kill, C., Karakas, E., Wulf, H., and Graf, J. Nerve injury by needle nerve perforation in regional anaesthesia: does size matter? Br. J Anaesth. 2010;104:245-253.
  41. 90 Reiss, W., Kurapati, S., Shariat, A., and Hadzic, A. Nerve injury complicating ultrasound/electrostimulation-guided supraclavicular brachial plexus block. Reg Anesth. Pain Med 2010;35:400-401.
  42. 68 Liguori, G. A., Zayas, V. M., YaDeau, J. T., Kahn, R. L., Paroli, L., Buschiazzo, V., and Wu, A. Nerve localization techniques for interscalene brachial plexus blockade: a prospective, randomized comparison of mechanical paresthesia versus electrical stimulation. Anesth. Analg. 2006;103:761-767.
  43. De Andres, J., Onso-Inigo, J. M., Sala-Blanch, X., and Reina, M. A. Nerve stimulation in regional anesthesia: theory and practice. Best. Pract. Res. Clin. Anaesthesiol. 2005;19:153-174.
  44. 78 Myers, R. R., Kalichman, M. W., Reisner, L. S., and Powell, H. C. Neurotoxicity of local anesthetics: altered perineurial permeability, edema, and nerve fiber injury. Anesthesiology 1986;64:29-35.
  45. Witko-Sarsat, V., Rieu, P., scamps-Latscha, B., Lesavre, P., and Halbwachs- Mecarelli, L. Neutrophils: molecules, functions and pathophysiological aspects. Lab Invest 2000;80:617-653.
  46. 99 Selander, D., Edshage, S., and Wolff, T. Paresthesiae or no paresthesiae? Nerve lesions after axillary blocks. Acta Anaesthesiol. Scand. 1979;23:27-33.
  47. 53 Kalichman, M. W., Powell, H. C., and Myers, R. R. Pathology of local anesthetic- induced nerve injury. Acta Neuropathol. 1988;75:583-589.
  48. Hove, L. D., Nielsen, H. B., and Christoffersen, J. K. Patient injuries in response to anaesthetic procedures: cases evaluated by the Danish Patient Insurance Association. Acta Anaesthesiol. Scand. 2006;50:530-535.
  49. 21 Cooper, K., Kelley, H., and Carrithers, J. Perceptions of side effects following axillary block used for outpatient surgery. Reg Anesth. 1995;20:212-216.
  50. Rice, A. S. and McMahon, S. B. Peripheral nerve injury caused by injection needles used in regional anaesthesia: influence of bevel configuration, studied in a rat model. Br. J. Anaesth. 1992;69:433-438.
  51. 98 Selander, D., Dhuner, K. G., and Lundborg, G. Peripheral nerve injury due to injection needles used for regional anesthesia. An experimental study of the acute effects of needle point trauma. Acta Anaesthesiol. Scand. 1977;21:182-188.
  52. De Andres, J. and Sala-Blanch, X. Peripheral nerve stimulation in the practice of brachial plexus anesthesia: a review. Reg Anesth. Pain Med. 2001;26:478-483.
  53. Kalichman, M. W. Physiologic mechanisms by which local anesthetics may cause injury to nerve and spinal cord. Reg Anesth. 1993;18:448-452.
  54. 89 Reina, M. A., Lopez, A., De Andres, J. A., and Maches, F. [Possibility of nerve lesions related to peripheral nerve blocks. A study of the human sciatic nerve using different needles]. Rev. Esp. Anestesiol. Reanim. 2003;50:274-283.
  55. 94 Rosenblatt, M. A. and Fishkind, D. Proficiency in interscalene anesthesia-how many blocks are necessary? J. Clin. Anesth. 2003;15:285-288.
  56. 75 Moayeri, N., Bigeleisen, P. E., and Groen, G. J. Quantitative architecture of the brachial plexus and surrounding compartments, and their possible significance for plexus blocks. Anesthesiology 2008;108:299-304.
  57. 54 Kalichman, M. W., Powell, H. C., and Myers, R. R. Quantitative histologic analysis of local anesthetic-induced injury to rat sciatic nerve. J. Pharmacol. Exp. Ther. 1989;250:406-413.
  58. 49 Horlocker, T. T., Wedel, D. J., Benzon, H., Brown, D. L., Enneking, F. K., Heit, J. A., Mulroy, M. F., Rosenquist, R. W., Rowlingson, J., Tryba, M., and Yuan, C. S. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation). Reg Anesth. Pain Med. 2003;28:172-197.
  59. 45 Hebl, J. R., Horlocker, T. T., Sorenson, E. J., and Schroeder, D. R. Regional anesthesia does not increase the risk of postoperative neuropathy in patients undergoing ulnar nerve transposition. Anesth. Analg. 2001;93:1606-11, table.
  60. Chapman, G. M. Regional nerve block with the aid of a nerve stimulator. Anaesthesia 1972;27:185-193.
  61. Kalichman, M. W., Moorhouse, D. F., Powell, H. C., and Myers, R. R. Relative neural toxicity of local anesthetics. J. Neuropathol. Exp. Neurol. 1993;52:234-240.
  62. Koda, H. and Mizumura, K. Sensitization to mechanical stimulation by inflammatory mediators and by mild burn in canine visceral nociceptors in vitro. J. Neurophysiol. 2002;87:2043-2051.
  63. 79 Na Marcos, H. J., Ferrari, C. C., Benitez, I., and Affanni, J. M. Standardization of fixation, processing and staining methods for the central nervous system of vertebrates. Biocell 1996;20:265-272.
  64. Sala-Blanch, X., Ribalta, T., Rivas, E., Carrera, A., Gaspa, A., Reina, M. A., and Hadzic, A. Structural injury to the human sciatic nerve after intraneural needle insertion. Reg Anesth. Pain Med 2009;34:201-205.
  65. 104 Swindle, M. M., Smith, A. C., and Hepburn, B. J. Swine as models in experimental surgery. J. Invest Surg. 1988;1:65-79.
  66. 56 Kerr, A. T. The brahial plexus of nerves in man, the variations in its formation and branches. Am J Anat. 1918;23:285-395.
  67. 102 Stan, T. C., Krantz, M. A., Solomon, D. L., Poulos, J. G., and Chaouki, K. The incidence of neurovascular complications following axillary brachial plexus block using a transarterial approach. A prospective study of 1,000 consecutive patients. Reg Anesth. 1995;20:486-492.
  68. 86 Perry, V. H., Brown, M. C., and Gordon, S. The macrophage response to central and peripheral nerve injury. A possible role for macrophages in regeneration. J. Exp. Med. 1987;165:1218-1223.
  69. 48 Horlocker, T. T., Kufner, R. P., Bishop, A. T., Maxson, P. M., and Schroeder, D. R. The risk of persistent paresthesia is not increased with repeated axillary block. Anesth. Analg. 1999;88:382-387.
  70. 57 Kiefer, R., Kieseier, B. C., Stoll, G., and Hartung, H. P. The role of macrophages in immune-mediated damage to the peripheral nervous system. Prog. Neurobiol. 2001;64:109-127.
  71. 112 Zink, W. and Graf, B. M. The toxicity of local anesthetics: the place of ropivacaine and levobupivacaine. Curr. Opin. Anaesthesiol. 2008;21:645-650.
  72. 55 Kapral, S., Greher, M., Huber, G., Willschke, H., Kettner, S., Kdolsky, R., and Marhofer, P. Ultrasonographic guidance improves the success rate of interscalene brachial plexus blockade. Reg Anesth. Pain Med. 2008;33:253-258.
  73. 101 Sites, B. D., Beach, M. L., Spence, B. C., Wiley, C. W., Shiffrin, J., Hartman, G. S., and Gallagher, J. D. Ultrasound guidance improves the success rate of a perivascular axillary plexus block. Acta Anaesthesiol. Scand. 2006;50:678-684.
  74. Peterson, M. K., Millar, F. A., and Sheppard, D. G. Ultrasound-guided nerve blocks. Br. J. Anaesth. 2002;88:621-624.
  75. Koscielniak-Nielsen, Z. J. Ultrasound-guided peripheral nerve blocks: what are the benefits? Acta Anaesthesiol. Scand. 2008;52:727-737.
  76. 44 Hebl, J. R. Ultrasound-guided regional anesthesia and the prevention of neurologic injury: fact or fiction? Anesthesiology 2008;108:186-188.
  77. Macaire, P., Singelyn, F., Narchi, P., and Paqueron, X. Ultrasound-or nerve stimulation-guided wrist blocks for carpal tunnel release: a randomized prospective comparative study. Reg Anesth. Pain Med. 2008;33:363-368.
  78. 77 Mueller, M., Wacker, K., Ringelstein, E. B., Hickey, W. F., Imai, Y., and Kiefer, R. Rapid response of identified resident endoneurial macrophages to nerve injury. Am J Pathol. 2001;159:2187-2197.
  79. Neal, J. M., Gerancher, J. C., Hebl, J. R., Ilfeld, B. M., McCartney, C. J., Franco, C. D., and Hogan, Q. H. Upper extremity regional anesthesia: essentials of our current understanding, 2008. Reg Anesth. Pain Med. 2009;34:134-170.
  80. 18 Chan, V. W., Perlas, A., McCartney, C. J., Brull, R., Xu, D., and Abbas, S. Ultrasound guidance improves success rate of axillary brachial plexus block. Can. J. Anaesth. 2007;54:176-182.


* Das Dokument ist im Internet frei zugänglich - Hinweise zu den Nutzungsrechten