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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(2):267-274.
The Characteristics of Nerve Stimulators in Peripheral Nerve Block.
Sung, Duk Hyun , Lee, Kang Woo , Han, Tae Hyung , Chang, Doo Yeul
1Department of Physical Medicine and Rehabilitation, Sungkyunkwan University School of Medicine, Samsung Medical Center.
2Department of Anesthesiology, Sungkyunkwan University School of Medicine, Samsung Medical Center.
경피적 말초신경차단술에서의 신경자극기기 특성
성덕현, 이강우, 한태형1, 장두열
성균관대학교 의과대학 재활의학교실, 1성균관대학교 의과대학 마취과학교실
Abstract

Objective
To find the characteristics of the nerve stimulator for the peripheral nerve blockade.


Method
We studied four different nerve stimulators currently available in the clinical setting. The output characteristics(wave shape, voltage and duration of the stimulus impulse) were measured for each stimulator using an oscilloscope. Target current from 0 mA to 5 mA and load resistances from 200 Ω to 10 kΩ were selected to model the normal ranges of operating current and tissue impedance when performing peripheral nerve block technique.


Results
There was a marked variation in performance of nerve stimulators depending on the target current value and resistances. Measured pulse width was not identical to the target pulse width in three nerve stimulators. Measured voltage with a fixed resistance was smaller in two nerve stimulators than the target voltage which was supposed to be produce in target current value of same resistance. One nerve stimulator showed the differences of calculated current value according to the used resistances.


Conclusion
For the successful nerve block, it is important for the operator to be aware of the design and functional limitations of the nerve stimulator being used in clinical practice.

Key Words: Nerve stimulator, Nerve block, Electric current


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