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Psoas compartment block

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https://www.readbyqxmd.com/read/27212766/real-time-ultrasound-guided-comparison-of-adductor-canal-block-and-psoas-compartment-block-combined-with-sciatic-nerve-block-in-laparoscopic-knee-surgeries
#1
Medhat M Messeha
BACKGROUND: Lumbar plexus block, combined with a sciatic nerve block, is an effective locoregional anesthetic technique for analgesia and anesthesia of the lower extremity. The aim of this study was to compare the clinical results outcome of the adductor canal block versus the psoas compartment block combined with sciatic nerve block using real time ultrasound guidance in patients undergoing elective laparoscopic knee surgeries. PATIENTS AND METHODS: Ninety patients who were undergoing elective laparoscopic knee surgeries were randomly allocated to receive a sciatic nerve block in addition to lumbar plexus block using either an adductor canal block (ACB) or a posterior psoas compartment approach (PCB) using 25 ml of bupivacine 0...
May 2016: Anesthesia, Essays and Researches
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
#2
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/25414593/continuous-spinal-anaesthesia-versus-ultrasound-guided-combined-psoas-compartment-sciatic-nerve-block-for-hip-replacement-surgery-in-elderly-high-risk-patients-a-prospective-randomised-study
#3
RANDOMIZED CONTROLLED TRIAL
Mehmet Aksoy, Aysenur Dostbil, Ilker Ince, Ali Ahiskalioglu, Hacı Ahmet Alici, Ali Aydin, Osman Ozgur Kilinc
BACKGROUND: Our aim is to compare the hemodynamic effects of combined psoas compartment-sciatic nerve block (PCSNB) with continuous spinal anaesthesia (CSA) in elderly high-risk patients undergoing hip replacement surgery. METHODS: Seventy patients over the age of 60 with ASA III or IV physical status were randomly allocated to two groups: In the PCSNB group, ultrasound-guided psoas compartment block was performed with modified Winnie technique using 30 mL of 0...
2014: BMC Anesthesiology
https://www.readbyqxmd.com/read/25303987/early-pharmacokinetic-of-ropivacaine-without-epinephrine-after-injection-into-the-psoas-compartment
#4
M Hübler, M C Planitz, O Vicent
BACKGROUND: Large amounts of local anaesthetics (LA) are used during psoas compartment block (PCB), especially if combined with sciatic nerve block. Data regarding early pharmacokinetics of ropivacaine for PCB are lacking, notably when a vasoconstrictive agent has not been added. METHODS: PCB was established in 11 patients using 150 mg ropivacaine without epinephrine. Free and total arterial plasma concentrations of ropivacaine were measured at nine time points during the following 30 min...
January 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/25041326/ct-guided-chemonucleolysis-combined-with-psoas-compartment-block-in-lumbar-disc-herniation-a-randomized-controlled-study
#5
RANDOMIZED CONTROLLED TRIAL
Bing Li, Xiao X Xu, Yong Du, Han F Yang, Yang Li, Qing Zhang, Ya Y Huang, Jun Meng
OBJECTIVES: The study was designed to evaluate the effectiveness of the combination of chemonucleolysis and psoas compartment block (PCB) for the treatment of lumbar disc herniations (LDHs) and to explore the role of PCB in managing postoperative pain of collagenase injection. METHODS: Two groups of patients (N = 192) were treated in different ways, respectively. Group A (N = 95) was treated with chemonucleolysis only (the injection of oxygen-ozone combined with collagenase into the lumbar disc and the epidural space); group B (N = 97) was treated with chemonucleolysis and PCB...
September 2014: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/24794455/total-spinal-block-after-lumbar-plexus-block-a-case-report
#6
Zafer Dogan, Mefkur Bakan, Kadir Idin, Asim Esen, Fatma Betul Uslu, Erdogan Ozturk
Lumbar plexus block (LPB) is a suitable method for elder patients for lower extremity surgery. Many complications could be seen during LPB, but not as many as central block. In this case report, we aimed to report a total spinal block, an unusual complication. LPB with sciatic block was planned for a male patient, 76 years old, scheduled for total knee replacement due to gonarthrosis. The patient became unconscious after psoas compartment block with Chayen technique for LPB. The operation ended at 145th minute...
March 2014: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/24763888/comparison-of-unilateral-spinal-anesthesia-and-l%C3%A2-paravertebral-block-combined-with-psoas-compartment-and-sciatic-nerve-block-in-patients-to-undergo-partial-hip-prosthesis
#7
RANDOMIZED CONTROLLED TRIAL
I Demirel, A B Ozer, O Duzgol, M K Bayar, L Karakurt, O L Erhan
OBJECTIVES: Just as hip prosthesis, most of the patients undergoing orthopedic lower extremity surgery (OLES) belong to the advanced age group. Sciatic nerve block combined with psoas compartment block is used as a technique alternative to central neuraxial block and GA. In geriatric patients that will undergo partial hip prosthesis, the effects of the methods of unilateral spinal anesthesia (SA) and L1 paravertebral block combined with psoas compartment block (PCB) and sciatic nerve block (PCSL) on peroperative hemodynamic parameters and the duration of need for postoperative analgesia were studied...
2014: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/24694849/local-anesthetic-systemic-toxicity-after-combined-psoas-compartment-sciatic-nerve-block-analysis-of-decision-factors-and-diagnostic-delay
#8
Marissa G Vadi, Neesa Patel, Marjorie Podraza Stiegler
No abstract text is available yet for this article.
April 2014: Anesthesiology
https://www.readbyqxmd.com/read/24481582/ultrasound-guided-psoas-compartment-block-and-general-anesthesia-for-arthroscopic-knee-surgery-a-case-report
#9
Emine Aysu Salvız, Yavuz Gürkan, Murat Tekin, Levent Buluç
Anesthetizing the lumbar plexus at its origin facilitates a more "complete" psoas compartment block compared to peripheral approaches. It is usually performed using surface anatomical landmarks, and the site for local anesthetic injection is confirmed by observing quadriceps muscle contraction to peripheral nerve stimulation. Ultrasound may provide guidance alone or together with the aid of nerve stimulation during nerve blocks. We present a 48-year-old male patient, American Society of Anesthesiologists (ASA) physical status II, who refused spinal anesthesia, and underwent knee arthroscopy with ultrasound-guided psoas compartment block and general anesthesia...
2014: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/23974865/sonoanatomy-relevant-for-lumbar-plexus-block-in-volunteers-correlated-with-cross-sectional-anatomic-and-magnetic-resonance-images
#10
Manoj Kumar Karmakar, Jia Wei Li, Wing Hong Kwok, Edmund Soh, Admir Hadzic
BACKGROUND: Ultrasound imaging of the anatomy relevant for lumbar plexus block (LPB) is challenging because of its deep anatomic location and the "acoustic shadow" of the overlying transverse processes. A paramedian transverse scan (PMTS) of the lumbar paravertebral region with the ultrasound beam being insonated through the intertransverse space (ITS) and directed medially toward the intervertebral foramen (PMTS-ITS) may overcome the problem of the "acoustic shadow" and allow clear visualization of the anatomy relevant for LPB...
September 2013: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/23937924/surgeon-delivered-psoas-compartment-block-in-total-hip-arthroplasty
#11
RANDOMIZED CONTROLLED TRIAL
Connor Green, Ann Maria Byrne, Padhraig O'Loughlin, Diarmuid Molony, Dominic Harmon, Eric Masterson
Total hip arthroplasty is associated with significant postoperative pain. A psoas compartment block is superior to other regional techniques in analgesia post THA. However, traditional methods of delivery are associated with serious complications. We present a technique of a surgeon delivered lumbar plexus block through injection at the portion of the iliopsoas seen intraoperatively. We randomised fifty-three consecutive patients into two groups. The group that received the block had an increased period prior to requesting supplementary analgesia and lower overall pain scores...
February 2014: Journal of Arthroplasty
https://www.readbyqxmd.com/read/23901277/anesthesia-and-postoperative-analgesia-during-unilateral-lower-extremity-fracture-surgeries-using-multiple-injections-through-catheters-beside-the-lumbar-plexus-or-sciatic-nerve
#12
Xuezheng Zhang, Ying Zhou, Limei Chen, Quanguang Wang, Jianwu Ni, Le Liu, Chenggang Hu, Xuzhong Xu
OBJECTIVE: To compare the clinical effects of anesthesia and postoperative analgesia for patients with unilateral lower-extremity fracture between multiple injections through catheters beside the lumbar plexus or sciatic nerve and continuous epidural analgesia. METHODS: Seventy patients with unilateral lower-extremity fracture scheduled for internal fixation were randomly divided into group N (n = 35) and group E (n = 35). Patients in group N received combined lumbar plexus and sciatic nerve block, then a catheter was inserted into the psoas compartment or beside the sciatic nerve, according to the surgical site, and 25 mL 0...
2013: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/23087476/psoas-compartment-block-for-intramedullary-supracondylar-nailing-for-fracture-shaft-femur-in-an-80-year-old-patient-with-severe-ischaemic-heart-disease-hypertension-copd-and-anaemia
#13
Shruti Sangani, Kavita Lalchandani, Vn Swadia
No abstract text is available yet for this article.
July 2012: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/22765834/femoral-nerve-block-a-novel-psoas-compartment-lateral-pre-iliac-approach-in-dogs
#14
Diego A Portela, Pablo E Otero, Angela Briganti, Marta Romano, Federico Corletto, Gloria Breghi
OBJECTIVE: To describe a new approach to block the femoral nerve and to evaluate the distribution of a dye injected into the psoas compartment using a new femoral nerve block approach; to assess its clinical application, when combined with a sciatic nerve block, for surgical anaesthesia/analgesia of the pelvic limb in dogs. STUDY DESIGN: Prospective anatomical, research and clinical study. ANIMALS: Two dog cadavers; two dogs that had to be euthanized for reasons unrelated to this study, and 15 dogs undergoing pelvic limb orthopaedic surgery...
March 2013: Veterinary Anaesthesia and Analgesia
https://www.readbyqxmd.com/read/22514781/psoas-compartment-blockade-in-a-laterally-herniated-disc-compressing-the-psoas-muscle-a-case-report
#15
Hye Young Kim, Jin Woo Park, Soo Young Park, Jee Youn Moon, Jae Hyuck Shin, Sang Hyun Park
A psoas compartment block has been used to provide anesthesia for orthopedic surgical procedures and analgesia for post-operative pain. Currently, this block is advocated for relieving pain in the lower extremity and pelvic area resulting from various origins. We report a case of a 69-year-old male patient who had gait abnormality with posterior pelvic and hip pain, which were both aggravated by hip extension. From the magnetic resonance image, the patient was found to have a laterally herniated intervertebral disc at the L2/3 level, which compressed the right psoas muscle...
April 2012: Korean Journal of Pain
https://www.readbyqxmd.com/read/22323954/effect-of-continuous-psoas-compartment-block-and-intravenous-patient-controlled-analgesia-on-postoperative-pain-control-after-total-knee-arthroplasty
#16
Jae Jin Lee, Sang Sik Choi, Mi Kyoung Lee, Byung Gun Lim, Wonseok Hur
BACKGROUND: Total knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Because inadequate postoperative pain control can hinder early physiotherapy and rehabilitation, it is the most influential factor dictating a good outcome. The purpose of this study was to evaluate the effectiveness of continuous psoas compartment block (PCB) in comparison to intravenous patient-controlled analgesia (IVPCA) in TKA patients. METHODS: 40 TKA patients were randomly divided into 2 groups...
January 2012: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/21952595/the-nerve-stimulation-technique-versus-the-loss-of-resistance-technique-for-the-posterior-approach-to-lumbar-plexus-block-a-randomized-prospective-observer-blinded-pilot-study
#17
RANDOMIZED CONTROLLED TRIAL
G Danelli, D Ghisi, F Bellinghieri, B Borghi, G Fanelli, J Chelly
BACKGROUND: This prospective, randomized, observer-blinded, pilot study compares the effects of the nerve stimulation guidance technique (NS) with the loss of resistance technique (LOR) on readiness for surgery during the posterior approach to lumbar plexus block. METHODS: Thirty ASA status I-III patients who were 18-85 years old and who were undergoing hip fracture repair were enrolled. After parasacral sciatic nerve block, patients were randomly allocated to receive a continuous posterior lumbar plexus block using nerve stimulation (n=15) or a continuous psoas compartment block using the loss of resistance technique (n=15) with 20 ml of 1...
October 2011: Minerva Anestesiologica
https://www.readbyqxmd.com/read/21716721/the-psoas-compartment-block-for-hip-surgery-the-past-present-and-future
#18
M A de Leeuw, W W A Zuurmond, R S G M Perez
A posterior lumbar plexus block or psoas compartment block (PCB) is an effective locoregional anesthetic technique for analgesia and anesthesia of the entire lower extremity including the hip. Since the first description in the early seventies, this technique has been modified based on advanced knowledge of the anatomical localization of the lumbar plexus and the improvement of technical equipment. This paper provides an overview of the history, clinical efficacy, and risk profile of the PCB focused on hip surgery...
2011: Anesthesiology Research and Practice
https://www.readbyqxmd.com/read/21663816/psoas-compartment-block-for-operative-reduction-of-hip-fracture-in-a-patient-with-increased-intracranial-pressure-due-to-inoperable-brain-tumor
#19
Alexander Avidan, Keren Cohen
General and neuraxial anesthesia in patients with increased intracranial pressure (ICP) who present for non-neurosurgical surgery may cause life-threatening changes in ICP, with possible fatal outcome. Peripheral nerve blocks may be a safe alternative technique for limb surgery. The successful use of psoas compartment block for operative reduction of a hip fracture in a patient with increased ICP due to an inoperable brain tumor is presented.
June 2011: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/21412857/a-cadaveric-study-of-injectate-spread-in-the-psoas-compartment-with-a-direct-iliopsoas-injection-suggested-for-use-during-surgery
#20
Connor Green, Olivia Flannery, Jim Crotty, Patrick Felle, Dominic Harmon, Eric Masterson
Total hip replacement produces significant postoperative pain. Psoas compartment block is the most effective block of the lumbar plexus in terms of pain relief and reduced blood loss. It is a proven regional technique for analgesia and anaesthesia during and after total hip replacement conferring a number of benefits to the patient. However, traditional techniques used to produce this block require increased theatre time and are associated with a number of serious complications. We present a surgeon-delivered technique for producing a lumbar plexus block using direct injection into the iliopsoas muscle when it is visible intraoperatively...
September 2011: Clinical Anatomy
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