Regional Anesthesia for Orthobiologic Procedures

Phys Med Rehabil Clin N Am. 2023 Feb;34(1):291-309. doi: 10.1016/j.pmr.2022.08.018. Epub 2022 Oct 17.

Abstract

Peripheral nerve blocks (PNB) can lessen procedural pain and eliminate the known detrimental effects of our local anesthetics on our orthobiologic target tissues. Local nerve damage and local anesthetic systemic toxicity are risks of PNBs that can be minimized with meticulous injection technique and an understanding of why these complications can occur. Herein, several PNB techniques are described in an effort to enhance procedural safety, efficacy, and comfort.

Keywords: Orthobiologics; Peripheral nerve block; Platelet-rich plasma; Regenerative medicine; Regional anesthesia; Stem cell.

Publication types

  • Review

MeSH terms

  • Anesthesia, Conduction* / methods
  • Anesthetics, Local
  • Humans
  • Nerve Block* / adverse effects
  • Nerve Block* / methods
  • Peripheral Nerves
  • Peripheral Nervous System Diseases*

Substances

  • Anesthetics, Local