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Obturator nerve block

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https://www.readbyqxmd.com/read/27871553/fascia-iliaca-block-associated-only-with-deep-sedation-in-high-risk-patients-taking-p2y12-receptor-inhibitors-for-intramedullary-femoral-fixation-in-intertrochanteric-hip-fracture-a-series-of-3-cases
#1
Carlos Rodrigues Almeida, Emília Milheiro Francisco, Vítor Pinho-Oliveira, José Pedro Assunção
OBJECTIVE: We present a series of 3 cases in which the impact in outcome was, first of all, related to the capacity to offer early and safer treatment to some hip fracture high-risk patients using a fascia iliaca block (FIB; ropivacaine 0,5% 20 cc and mepivacaine 1,3% 15 cc, given 30 minutes before incision) associated only with deep sedation, contributing to better practice and outcome. CASE REPORTS: All elderly patients were American Society of Anesthesiologists IV patients, under P2Y12 receptor inhibitors, suffering from an intertrochanteric fracture, and purposed for intramedullary femoral fixation (IMF)...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27852382/-effect-comparison-of-ultrasound-guided-lower-extremity-nerve-block-and-spinal-anesthesia-in-ankle-surgery
#2
L L Yang, J S Ji, Z W Zhao, W Wang, S Luo, Y C Mo, J L Wang
Objective: To compare the anesthesia effect between ultrasound-guided lower extremity nerve block and spinal anesthesia in ankle surgery. Methods: Upon the approval of institutional Ethics Committee and informed consent, 80 patients American Society of Anesthesiology (ASA)Ⅰ-Ⅱaged 18-70 yr, undergoing ankle surgery from December 2014 to May 2015 in the Fifth Affiliated Hospital of Wen Zhou Medical College, were randomly divided by random numbers into two groups (n=40): nerve block group (group N) and spinal anesthesia (group S)...
November 8, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27673197/poster-448-obturator-neuropathy-after-lumbar-fusion-and-resolution-with-ultrasound-guided-obturator-nerve-block-a-case-report
#3
Jeremy L Stanek, Mohammad Agha
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27618322/ct-guided-perineural-injections-for-chronic-pelvic-pain
#4
Vibhor Wadhwa, Kelly M Scott, Shai Rozen, Adam J Starr, Avneesh Chhabra
Chronic pelvic pain is a disabling condition that affects a large number of men and women. It may occur after a known inciting event, or it could be idiopathic. A common cause of pelvic pain syndrome is neuropathy of the pelvic nerves, including the femoral and genitofemoral nerves, ilioinguinal and iliohypogastric nerves, pudendal nerve, obturator nerve, lateral and posterior femoral cutaneous nerves, inferior cluneal nerves, inferior rectal nerve, sciatic nerve, superior gluteal nerve, and the spinal nerve roots...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27583851/quadratus-lumborum-block-for-femoral-femoral-bypass-graft-placement-a-case-report
#5
Kunitaro Watanabe, Shingo Mitsuda, Joho Tokumine, Alan Kawarai Lefor, Kumi Moriyama, Tomoko Yorozu
INTRODUCTION: Atherosclerosis has a complex etiology that leads to arterial obstruction and often results in inadequate perfusion of the distal limbs. Patients with atherosclerosis can have severe complications of this condition, with widespread systemic manifestations, and the operations undertaken are often challenging for anesthesiologists. CASE REPORT: A 79-year-old woman with chronic heart failure and respiratory dysfunction presented with bilateral gangrene of the distal lower extremities with obstruction of the left common iliac artery due to atherosclerosis...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27375382/arthroscopic-medial-meniscus-trimming-or-repair-under-nerve-blocks-which-nerves-should-be-blocked
#6
A M Taha, A M Abd-Elmaksoud
BACKGROUND: This study aimed to determine the role of the sciatic and obturator nerve blocks (in addition to femoral block) in providing painless arthroscopic medial meniscus trimming/repair. MATERIALS AND METHODS: One hundred and twenty patients with medial meniscus tear, who had been scheduled to knee arthroscopy, were planned to be included in this controlled prospective double-blind study. The patients were randomly allocated into three equal groups; FSO, FS, and FO...
July 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27341450/perineural-dexmedetomidine-as-an-adjuvant-reduces-the-median-effective-concentration-of-lidocaine-for-obturator-nerve-blocking-a-double-blinded-randomized-controlled-trial
#7
Yuechun Lu, Jian Sun, Xinqi Zhuang, Guoyi Lv, Yize Li, Haiyun Wang, Guolin Wang
UNLABELLED: Research suggests that the addition of dexmedetomidine to local anesthetics can prolong peripheral nerve blocks; however, it is not known whether dexmedetomidine can reduce the quantity of local anesthetic needed. We hypothesized that adding dexmedetomidine as an adjuvant to an obturator nerve block could reduce the median effective concentration of lidocaine. In this double-blinded randomized trial, 60 patients scheduled for elective transurethral resection of bladder tumors on the lateral wall were randomly divided into two groups: the control group (C group, n = 30) and the dexmedetomidine group (D group, n = 30)...
2016: PloS One
https://www.readbyqxmd.com/read/27225611/-ultrasound-guided-obturator-block-experience-from-past-year-at-kocaeli-university-hospital
#8
Can Aksu, Yavuz Gürkan, Alparslan Kuş, Kamil Toker, Mine Solak
OBJECTIVES: Obturator nerve block is recommended to prevent obturator nerve reflex during transurethral resection. However, alternate techniques have been developed. The aim of the present study was to examine outcomes of interadductor approach. METHODS: After obtaining approval from the ethics committee, files of patients who underwent transurethral resection surgery between October 2013 and October 2014 were reviewed. RESULTS: A total of 137 transurethral resection patients were identified, in 69 (2 women, 67 men) of whom a combination of spinal anesthesia and obturator nerve block was used...
January 2016: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/27177051/the-vertical-obturator-nerve-block-a-randomised-controlled-double-blind-pilot-trial
#9
Holger Simonis, Helmar Bornemann-Cimenti, Bernhard Röschel, Andreas Sandner-Kiesling
No abstract text is available yet for this article.
August 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/27171822/the-analgesic-effect-of-obturator-nerve-block-added-to-a-femoral-triangle-block-after-total-knee-arthroplasty-a-randomized-controlled-trial
#10
Charlotte Runge, Jens Børglum, Jan Mick Jensen, Tina Kobborg, Anette Pedersen, Jon Sandberg, Lone Ramer Mikkelsen, Morten Vase, Thomas Fichtner Bendtsen
BACKGROUND AND OBJECTIVES: Total knee arthroplasty (TKA) is associated with severe pain, and effective analgesia is essential for the quality of postoperative care and ambulation. The analgesic effects of adding an obturator nerve block (ONB) to a femoral triangle block (FTB) after TKA have not been tested previously. We hypothesized that combined ONB and FTB will reduce opioid consumption and pain compared with those of a single FTB or local infiltration analgesia (LIA). METHODS: Seventy-eight patients were randomized to combined ONB and FTB, single FTB, or LIA after primary unilateral TKA...
July 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27015545/the-nerves-of-the-adductor-canal-and-the-innervation-of-the-knee-an-anatomic-study
#11
David Burckett-St Laurant, Philip Peng, Laura Girón Arango, Ahtsham U Niazi, Vincent W S Chan, Anne Agur, Anahi Perlas
BACKGROUND AND OBJECTIVES: Adductor canal block contributes to analgesia after total knee arthroplasty. However, controversy exists regarding the target nerves and the ideal site of local anesthetic administration. The aim of this cadaveric study was to identify the trajectory of all nerves that course in the adductor canal from their origin to their termination and describe their relative contributions to the innervation of the knee joint. METHODS: After research ethics board approval, 20 cadaveric lower limbs were examined using standard dissection technique...
May 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27000417/a-case-series-of-peripheral-nerve-blocks-in-pediatrics-and-young-adults-with-skeletal-dysplasia
#12
James R Eiszner, Alfred Atanda, Ashwin Rangavajjula, Mary Theroux
AIM: The purpose of this study was to report our experience with peripheral nerve blockade in pediatric and young adult patients with skeletal dysplasia undergoing knee arthroscopy. BACKGROUND: The incidence of skeletal dysplasia is 1:4000 live births. These patients have biomechanical predispositions to knee joint degeneration, which is often palliated by arthroscopic surgery. Regional anesthesia has been proven to improve the cost and quality of care in adults undergoing arthroscopic knee surgery...
May 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/26620274/a-new-ultrasound-guided-pubic-approach-for-proximal-obturator-nerve-block-clinical-study-and-cadaver-evaluation
#13
T Yoshida, T Onishi, K Furutani, H Baba
We evaluated an alternative technique for ultrasound-guided proximal level obturator nerve block that might facilitate needle visualisation using in-plane ultrasound guidance. Twenty patients undergoing transurethral bladder tumour resection requiring an obturator nerve block were enrolled into a prospective observational study. With the patient in the lithotomy position, the transducer was placed on the medial thigh along the extended line of the inguinal crease, and aimed cephalad to view a thick fascia between the pectineus and obturator externus muscles that contains the obturator nerve...
March 2016: Anaesthesia
https://www.readbyqxmd.com/read/26600884/impact-of-nerve-stimulator-guided-obturator-nerve-block-on-the-short-term-outcomes-and-complications-of-transurethral-resection-of-bladder-tumour-a-prospective-randomized-controlled-study
#14
Deniz Bolat, Ozgu Aydogdu, Zeki Tuncel Tekgul, Salih Polat, Tarik Yonguc, Ibrahim Halil Bozkurt, Volkan Sen, Onur Okur
INTRODUCTION: In this prospective randomized controlled study, we investigated the efficacy of obturator nerve block (ONB) on adductor muscle spasm and related short-term outcomes and complications in patients who underwent transurethral resection of lateral wall-located bladder tumours (TURBT). METHODS: Between July 2014 and February 2015, 70 patients scheduled to undergo TUR of lateral bladder wall tumours were enrolled in the study. All patients were preoperatively evaluated by cystoscopy and imaging tools and selected according to localized tumours on the lateral bladder wall...
November 2015: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/26442429/-usefulness-of-acuson-freestyle-siemens-wireless-ultrasound-system
#15
Kei Takahashi, Takashi Asai, Mutsuhisa Shimazaki, Takero Arai, Yasuhisa Okuda
The ACUSON Freestyle, the world's first wireless ultrasound system, was released in April 2014. We assessed its usefulness, using it for central venous cannulation, spinal anesthesia, brachial plexus or obturator nerve block, and for the surgery of metastatic liver cancer as well as the spine. Generally, we could use it smoothly in all situations. Comparing with the conventional ultrasound system, the machine is big, heavy, with many buttons to operate. The main problem with the conventional ultrasound system is the wire connecting probe and the main system, which can interfere with procedures...
August 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26426575/the-shamrock-lumbar-plexus-block-a-dose-finding-study
#16
Axel R Sauter, Kyrre Ullensvang, Geir Niemi, Håvard T Lorentzen, Thomas Fichtner Bendtsen, Jens Børglum, Are Hugo Pripp, Luis Romundstad
BACKGROUND: The Shamrock technique is a new method for ultrasound-guided lumbar plexus blockade. Data on the optimal local anaesthetic dose are not available. OBJECTIVE: The objective of this study is to estimate the effective dose of ropivacaine 0.5% for a Shamrock lumbar plexus block. DESIGN: A prospective dose-finding study using Dixon's up-and-down sequential method. SETTING: University Hospital Orthopaedic Anaesthesia Unit...
November 2015: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/26277873/local-anesthetic-injection-deep-to-the-fascia-iliaca-at-the-level-of-the-inguinal-ligament-the-pattern-of-distribution-and-effects-on-the-obturator-nerve
#17
RANDOMIZED CONTROLLED TRIAL
Jeffrey D Swenson, Jennifer J Davis, Joshua O Stream, Julia R Crim, Robert T Burks, Patrick E Greis
STUDY OBJECTIVE: The femoral, lateral femoral cutaneous, and obturator nerves (ONs) can reportedly be blocked using a single-injection deep to the fascia iliaca (FI) at the level of the inguinal ligament. Two commonly used methods (the FI compartment and 3-in-1 blocks) have produced inconsistent results with respect to local anesthetic distribution and effect on the ON. To date, no study of either method has been performed using advanced imaging techniques to document both needle placement and local anesthetic distribution...
December 2015: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/26152618/adductor-accessorius-an-unusual-supernumerary-adductor-muscle-of-thigh
#18
S Goel, J Arora, V Mehta, M Sharma, R K Suri, G Rath, S Das
The knowledge of variant anatomy of medial compartment of thigh is extremely important in surgical procedures requiring obturator nerve block. The nerve block is also recommended for providing additional analgesia following major knee surgeries and for relieving painful adductor muscle spasm. The interfascial injection technique is commonly followed in ultrasound guided obturator nerve block. For this procedure it is imperative to identify the adductor muscles on sonography to inject the anesthetic solution in the intermuscular fascial planes...
2015: La Clinica Terapeutica
https://www.readbyqxmd.com/read/26060610/usefulness-of-ultrasound-guided-lower-extremity-nerve-blockade-in-surgery-for-patellar-fracture
#19
Young-Mo Kim, Chan Kang, Yong-Bum Joo, Kyu-Ung Yeon, Dong-Hun Kang, Il-Young Park
PURPOSE: To evaluate the usefulness of ultrasound-guided nerve blockade in patellar fracture surgery. MATERIALS AND METHODS: Twenty-three patients who underwent metal fixation under ultrasound-guided lower extremity blockade after diagnosis of patellar fracture from July 2011 to June 2012 were enrolled in this study. Under ultrasound guidance, femoral nerve, lateral femoral cutaneous nerve, obturator nerve, and sciatic nerve blockades were performed. For evaluation of anesthesia, interference with overall surgery, such as intraoperative knee pain and tourniquet pain, was checked...
June 2015: Knee Surgery & related Research
https://www.readbyqxmd.com/read/25929915/painful-lumbosacral-plexopathy-a-case-report
#20
Edvard Ehler, Oldřich Vyšata, Radek Včelák, Ladislav Pazdera
Patients frequently suffer from lumbosacral plexus disorder. When conducting a neurological examination, it is essential to assess the extent of muscle paresis, sensory disorder distribution, pain occurrence, and blocked spine. An electromyography (EMG) can confirm axonal lesions and their severity and extent, root affliction (including dorsal branches), and disorders of motor and sensory fiber conduction. Imaging examination, particularly gadolinium magnetic resonance imaging (MRI) examination, ensues. Cerebrospinal fluid examination is of diagnostic importance with radiculopathy, neuroinfections, and for evidence of immunoglobulin synthesis...
May 2015: Medicine (Baltimore)
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