French clinical guidelines for peripheral motor nerve blocks in a PRM setting

Annals of Physical and Rehabilitation Medicine(2019)

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摘要
•French guidelines for the practice of motor nerve blocks with anesthetic drug in Physical and Rehabilitation Medicine (PRM) from the French PRM (SOFMER) and Anesthesia and Intensive care (SFAR) societies are presented.•Eight issues are addressed: which blocks and indications; drugs and contraindications; medical survey; attitude in case of any adverse event; injection and guidance material; patient’ preparation and pain relief; efficacy assessment; patient’ information; PRM physiatrist education.•The main question deals with the recommendation about doses for each drug: for lidocaine – up to 2mg/kg – “check contraindications, emergency truck available, no need of previous anesthetic consultation nor presence of an anesthetist”; for ropivacaine – up to 1.5mg/kg, with a maximum of 100mg – the same but after intravenous line. Beyond these doses, SFAR guidelines should be applied with the aid of an anaesthetist.
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关键词
Motor nerve block,Physical and rehabilitation medicine,Spasticity,Rehabilitation
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