Lower-Extremity Peripheral Nerve Blockade: Essentials of Our Current Understanding

From: Regional Anesthesia and Pain Medicine | Date: January 1, 2005| Author: Chan, Vincent; Et al; Greger, Jenny; Hadzic, Admir; Enneking, F Kayser | Copyright information

The American Society of Regional Anesthesia and Pain Medicine introduced an intensive workshop focused on lower-extremity peripheral nerve blockade in 2002. This review is the compilation of that work. Details concerning the techniques described in this text are available at the web site ASRA.com, including video demonstrations of the blocks. Lower-extremity peripheral nerve blocks (PNBs) have never been as widely taught or used as other forms of regional anesthesia. Unlike the upper extremit...

Read all of this article with a FREE trial to HighBeam Research

Related newspaper, magazine, and journal articles from HighBeam Research

Ultrasound-Guided Femoral Nerve Block, the Safest Way to Proceed?
Regional Anesthesia and Pain Medicine ; To the Editor: Ultrasound has become a reliable means of facilitating regional anesthesia and has several advantages when compared with nerve stimulation for femoral nerve block.1,2 The ability to visualizc perineural structures suggests that the use of ultrasound guidance may improve the safely
Aspects of Femoral Nerve Block/Reply to Drs. Roboubi and Schafhalter-Zoppoth
Regional Anesthesia and Pain Medicine ; To the Editor: We congratulate Dr. Schulz-Stubner and colleagues on their innovative study.1 They used cun (the diameter of the first interphalangeal joint of the thumb), a measurement used in acupuncture, to approximate the injection distance lateral to the femoral artery for femoral nerve block.
Knotted Femoral Nerve Catheter
Anaesthesia and Intensive Care ; SUMMARY We describe a case of knotting of a femoral nerve catheter which prevented removal by traction after knee replacement surgery. In this context, early surgical removal should be performed as bacterial colonization of femoral catheters is common. Radiological imaging of the catheter may
Prospective Comparison of Continuous Femoral Nerve Block With Nonstimulating Catheter Placement Versus Stimulating Catheter-Guided Perineural Placement in Volunteers
Regional Anesthesia and Pain Medicine ; Background and Objectives: Stimulating catheter-guided perineural placement may potentially increase the success rate and quality of continuous femoral nerve block as compared with a nonstimulating catheter technique. These hypotheses have not been rigorously tested. Methods: Twenty volunteers
Delayed onset femoral nerve block following an inguinal field block for hernia repair
Anaesthesia and Intensive Care ; A 63-year-old ASA 1 man presented to outpatient theatre for repair of his right inguinal hernia. Following preoperative evaluation, it was decided to perform this procedure under a combination of general anaesthesia and inguinal field block. Anaesthesia was induced with a propofol target controlled
The Importance of Transducer Angle to Ultrasound Visibility of the Femoral Nerve
Regional Anesthesia and Pain Medicine ; To the Editor: Anisotropy is a property of muscles, nerves, and tendons that relates to the change in ultrasound appearance with the angle of insonation. This means that the amplitudes of their received echoes, hence image visibility, depend on the tilt angle of the scan head.1 This phenomenon
Effectiveness of 3-in-1 Continuous Femoral Block of Differing Concentrations Compared to Patient Controlled Intravenous Morphine for Post Total Knee Arthroplasty Analgesia and Knee Rehabilitation
Anaesthesia and Intensive Care ; SUMMARY We assessed the effectiveness of the 3-in-1 continuous femoral block as a form of postoperative pain relief for unilateral total knee arthroplasty (TKA). Sixty patients undergoing elective unilateral TKA under subarachnoid block were randomized into three groups. Postoperative analgesia was
26. The CUN-system (a proportional measurement system used in Chinese acupuncture) is superior to conventional cm-measurements to locate the femoral nerve in adults
Regional Anesthesia and Pain Medicine ; The CUN-system (a proportional measurement system used in Chinese acupuncture) is superior to conventional cm-measurements to locate the femoral nerve in adults Background: Acupuncture plays a major role in the practice of Traditional Chinese Medicine for more than two millennia (1). Traditional
A New Rule for Femoral Nerve Blocks
Regional Anesthesia and Pain Medicine ; Background and Objectives: Acupuncture points are described by use of a proportional system that is based on the width of the thumb at the level of the distal interphalangeal joint, defined as 1 CUN. Our study tested first the correlation between the CUN and weight and height in 500 Americans and
Prolonged Femoral Nerve Palsy After Ilio-Inguinal Nerve Block
Regional Anesthesia and Pain Medicine ; To the Editor: A 63-year-old male presented for a right inguinal hernia repair as a day case. After induction of general anesthesia, 20 mL of 0.5% plain bupivacaine was injected at a point medial and inferior to the right anterior superior iliac spine. Gentle pressure superior to the injection