WANG Jia. Peripheral Nerve Block in Patients with Diabetic Peripheral Neuropathy[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 1064-1068. DOI: 10.12290/xhyxzz.2022-0043
Citation: WANG Jia. Peripheral Nerve Block in Patients with Diabetic Peripheral Neuropathy[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 1064-1068. DOI: 10.12290/xhyxzz.2022-0043

Peripheral Nerve Block in Patients with Diabetic Peripheral Neuropathy

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Beijing Jishuitan Hospital Nova Program XKXX201806

More Information
  • Corresponding author:

    WANG Jia, E-mail: wjwjwj_wjwjwj831@163.com

  • Received Date: January 31, 2022
  • Accepted Date: March 14, 2022
  • Available Online: August 29, 2022
  • Issue Publish Date: November 29, 2022
  • Diabetes is one of the most common metabolic conditions worldwide. Regional anesthesia has benefits in promoting the restoration of function and may avoid worse outcomes compared to general anesthesia and intravertebral anesthesia. However, patients with diabetes are susceptible to peripheral neuropathy. The incidence of complications of regional anesthesia in patients with diabetes is supposed to be higher. The aim of this review is to explore the strategies of regional anesthesia implementation, the selection of adjuvant, and the way to reduce the risk of complications. This, in turn, will allow practitioners to undertake more informed decision-making and potentially modify their anesthetic technique for patients with diabetes.
  • [1]
    Li Y, Teng D, Shi X, et al. Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study[J]. BMJ, 2020, 369: m997.
    [2]
    中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 中华糖尿病杂志, 2021, 13: 315-409. https://www.cnki.com.cn/Article/CJFDTOTAL-SYNK202108007.htm
    [3]
    Lai HY, Foo LL, Lim SM, et al. The hemodynamic and pain impact of peripheral nerve block versus spinal anesthesia in diabetic patients undergoing diabetic foot surgery[J]. Clin Auton Res, 2020, 30: 53-60. DOI: 10.1007/s10286-017-0485-8
    [4]
    Francia P, Anichini R, Seghieri G, et al. History, prevalence and assessment of limited joint mobility, from stiff hand syndrome to diabetic foot ulcer prevention: a narrative review of the literature[J]. Curr Diabetes Rev, 2018, 14: 411-426. DOI: 10.2174/1573399813666170816142731
    [5]
    Stevanovic K, Sabljak V, Toskovic A, et al. Anaesthesia and the patient with diabetes[J]. Diabetes Metab Syndr, 2015, 9: 177-179. DOI: 10.1016/j.dsx.2015.04.001
    [6]
    Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults[J]. Br J Anaesth, 2015, 115: 827-848. DOI: 10.1093/bja/aev371
    [7]
    Krishnasamy S, Abell TL. Diabetic gastroparesis: principles and current trends in management[J]. Diabetes Ther, 2018, 9: 1-42.
    [8]
    Hutton M, Brull R, Macfarlane AJR. Regional anaesthesia and outcomes[J]. BJA Educ, 2018, 18: 52-56. DOI: 10.1016/j.bjae.2017.10.002
    [9]
    Li X, Wang J, Chen K, et al. Effect of different types of anesthesia on intraoperative blood glucose of diabetic patients: a PRISMA-compliant systematic review and meta-analysis[J]. Medicine (Baltimore), 2017, 96: e6451. DOI: 10.1097/MD.0000000000006451
    [10]
    Kim NY, Lee KY, Bai SJ, et al. Comparison of the effects of remifentanil-based general anesthesia and popliteal nerve block on postoperative pain and hemodynamic stability in diabetic patients undergoing distal foot amputation: A retrospective observational study[J]. Medicine (Baltimore), 2016, 95: e4302. DOI: 10.1097/MD.0000000000004302
    [11]
    何文政, 林成新, 刘敬臣. 两种神经阻滞方法用于老年糖尿病患者下肢手术的临床观察[J]. 临床麻醉学杂志, 2011, 25: 483. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201105031.htm
    [12]
    Gerrard AD, Brooks B, Asaad P, et al. Meta-analysis of epidural analgesia versus peripheral nerve blockade after total knee joint replacement[J]. Eur J Orthop Surg Traumatol, 2017, 27: 61-72. DOI: 10.1007/s00590-016-1846-z
    [13]
    Lee HH, Kwon HM, Lee WS, et al. Effectiveness of ERAS (Enhanced Recovery after Surgery) Protocol via Peripheral Nerve Block for Total Knee Arthroplasty[J]. J Clin Med, 2022, 11: 3354. DOI: 10.3390/jcm11123354
    [14]
    Brussee V, Guo G, Dong Y, et al. Distal degenerative sensory neuropathy in a long-term type 2 diabetes rat model[J]. Diabetes, 2008, 57: 1664-1673. DOI: 10.2337/db07-1737
    [15]
    Zhang GY, Chen YF, Dai WX, et al. Diabetic Peripheral Neuropathy Increases Electrical Stimulation Threshold of Sciatic Nerve: A Prospective Parallel Cohort Study[J]. Diabetes Metab Syndr Obes, 2020, 13: 4447-4455. DOI: 10.2147/DMSO.S277473
    [16]
    Heschl S, Hallmann B, Zilke T, et al. Diabetic neuro-pathy increases stimulation threshold during popliteal sciatic nerve block[J]. Br J Anaesth, 2016, 116: 538-545. DOI: 10.1093/bja/aew027
    [17]
    Gebhard RE, Nielsen KC, Pietrobon R, et al. Diabetes mellitus, independent of body mass index, is associated with a"higher success"rate for supraclavicular brachial plexus blocks[J]. Reg Anesth Pain Med, 2009, 34: 404-407. DOI: 10.1097/AAP.0b013e3181ada58d
    [18]
    Baeriswyl M, Taffé P, Kirkham KR, et al. Comparison of peripheral nerve blockade characteristics between non-diabetic patients and patients suffering from diabetic neuropathy: a prospective cohort study[J]. Anaesthesia, 2018, 73: 1110-1117. DOI: 10.1111/anae.14347
    [19]
    Salviz EA, Onbasi S, Ozonur A, et al. Comparison of Ultrasound-Guided Axillary Brachial Plexus Block Properties in Diabetic and Nondiabetic Patients: A Prospective Observational Study[J]. J Hand Surg Am, 2017, 42: 190-197. DOI: 10.1016/j.jhsa.2017.01.009
    [20]
    Ten Hoope W, Hollmann MW, de Bruin K, et al. Pharmacodynamics and Pharmacokinetics of Lidocaine in a Rodent Model of Diabetic Neuropathy[J]. Anesthesiology, 2018, 128: 609-619. DOI: 10.1097/ALN.0000000000002035
    [21]
    Sertoz N, Deniz MN, Ayanoglu HO. Relationship between glycosylated hemoglobin level and sciatic nerve block performance in diabetic patients[J]. Foot Ankle Int, 2013, 34: 85-90. DOI: 10.1177/1071100712460366
    [22]
    Lavand'homme PM, Eisenach JC. Perioperative administra-tion of the alpha2-adrenoceptor agonist clonidine at the site of nerve injury reduces the development of mechanical hypersensitivity and modulates local cytokine expression[J]. Pain, 2003, 105: 247-254. DOI: 10.1016/S0304-3959(03)00221-5
    [23]
    Yu ZY, Geng J, Li ZQ, et al. Dexmedetomidine enhances ropivacaine-induced sciatic nerve injury in diabetic rats[J]. Br J Anaesth, 2019, 122: 141-149. DOI: 10.1016/j.bja.2018.08.022
    [24]
    Markova L, Umek N, Horvat S, et al. Neurotoxicity of bupivacaine and liposome bupivacaine after sciatic nerve block in healthy and streptozotocin-induced diabetic mice[J]. BMC Vet Res, 2020, 16: 247. DOI: 10.1186/s12917-020-02459-4
    [25]
    朱东阳, 李平. 局麻药物对糖尿病和非糖尿病患者围手术期氧化应激损伤及神经传导功能对影响[J]. 海南医学院学报, 2016, 22: 2056-2059. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYY201617037.htm

    Zhu DY, Li P. Effect of local anesthetics on perioperative oxidative stress injury and nerve conduction func-tion in diabetic or non-diabetic patients[J]. Hainan Yixueyuan Xuebao, 2016, 22: 2056-2059. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYY201617037.htm
    [26]
    Ji ZH, Liu ZJ, Liu ZT, et al. Diphenyleneiodonium Mitigates Bupivacaine-Induced Sciatic Nerve Damage in a Diabetic Neuropathy Rat Model by Attenuating Oxidative Stress[J]. Anesth Analg, 2017, 125: 653-661. DOI: 10.1213/ANE.0000000000002186
    [27]
    Nicolotti D, Iotti E, Fanelli G, et al. Perineural catheter infection: a systematic review of the literature[J]. J Clin Anesth, 2016, 35: 123-128. DOI: 10.1016/j.jclinane.2016.07.025
    [28]
    Bomberg H, Kubulus C, List F, et al. Diabetes: a risk factor for catheter-associated infections[J]. Reg Anesth Pain Med, 2015, 40: 16-21. DOI: 10.1097/AAP.0000000000000196
    [29]
    Aveline C, Le Hetet H, Le Roux A, et al. Perineural ultrasound-guided catheter bacterial colonization: a prospective evaluation in 747 cases[J]. Reg Anesth Pain Med, 2011, 36: 579-584. DOI: 10.1097/AAP.0b013e31822e665a
    [30]
    Kamel I, Ahmed MF, Sethi A. Regional anesthesia for orthopedic procedures: What orthopedic surgeons need to know[J]. World J Orthop, 2022, 13: 11-35. DOI: 10.5312/wjo.v13.i1.11
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