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Anaesthesia


Title:An objective assessment of nerve stimulators used for peripheral nerve blockade*
Author(s):Jochum, D. Iohom, G. Diarra, D. P. Loughnane, F. Dupre, L. J. Bouaziz, H.
Address:Groupe Hospitalier Prive du Centre Alsace, Colmar, France. jochumd@calixo.net
Year:2006 Jun
Journal Title:Anaesthesia
Page Number:557-64
Language:eng
Volume:61
Issue:6
ISSN/ISBN:0003-2409 (Print). 0003-2409 (Linking)
Abstract:Nerve stimulation is considered by many to be the current 'gold standard' for locating peripheral nerves. Thirteen nerve stimulators were subjected to a battery of tests performed by two independent observers under standardised conditions using a digital oscilloscope, a calibrated resistance and a novel scoring system. Individual scores were assigned for the signal waveform, current intensity, impulse duration, maximum load output and functionality of each nerve stimulator; the maximum score achievable was 20. A score of > or = 15/20 was achieved by six nerve stimulators: Stimuplex HNS 12 (B Braun); MultiStim Vario (Pajunk); Plexival (Medival, Vygon); MultiStim Sensor (Pajunk); Plexygon (Aryon, Vygon); Stimuplex HNS 11 (B Braun). Seven nerve stimulators scored < 15/20. Anaesthetists should be aware of the limitations of the nerve stimulator being used. Standardisation of features is desirable when manufacturing nerve stimulators.

 
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