A Clinical Comparison of Psoas Compartment and Inguinal Paravascular Blocks Combined with Sciatic Nerve Block

The extent of inguinal paravascular blockade and psoas compartment blockade with sciatic nerve block was evaluated in 60 patients. Volumes of 30 ml and 20 ml 0.35% bupivacaine with 1/200 000 epinephrine were injected for lumbar plexus and sciatic nerve block, respectively. Complete lumbar plexus blockade was achieved in 73% of the group who were treated with the psoas compartment technique and 43% of the group who were treated with the inguinal paravascular technique. Sensory blockade of the femoral, lateral femoral cutaneous and obturator nerves was obtained in 100%, 97% and 77% of the patients in the psoas compartment group, and 93%, 63% and 47% of the patients in the inguinal paravascular group, respectively. Sensory blockade of the lateral femoral cutaneous and obturator nerves was more rapid with psoas compartment block. The study suggests that the psoas compartment block is effective in blocking the femoral, lateral femoral cutaneous and obturator nerves, but the inguinal paravascular block is only effective in blocking the femoral nerve.

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The use of lumbar plexus block with Shamrock technique and continuous sciatic nerve block for thigh amputation in high risk patients

Minerva Anestesiologica ◽

10.23736/s0375-9393.20.14585-1 ◽

2020 ◽

Vol 86 (9) ◽

Author(s):

Fabio Gobbi ◽

Pierfrancesco Fusco ◽

Stefano Di Carlo ◽

Anna Giachetti

Keyword(s):

High Risk ◽

Sciatic Nerve ◽

Nerve Block ◽

Sciatic Nerve Block ◽

Lumbar Plexus ◽

High Risk Patients ◽

Lumbar Plexus Block ◽

Risk Patients ◽

Plexus Block

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Comparison of continuous femoral nerve block with and without combined sciatic nerve block after total hip arthroplasty: a prospective randomized study

Orthopedic Reviews ◽

10.4081/or.2017.7063 ◽

2017 ◽

Vol 9 (2) ◽

Cited By ~ 2

Author(s):

Shoji Nishio ◽

Shigeo Fukunishi ◽

Tomokazu Fukui ◽

Yuki Fujihara ◽

Shohei Okahisa ◽

...

Keyword(s):

Postoperative Pain ◽

Sciatic Nerve ◽

Total Hip Arthroplasty ◽

Nerve Block ◽

Hip Arthroplasty ◽

Femoral Nerve Block ◽

Femoral Nerve ◽

Sciatic Nerve Block ◽

Nerve Blockade ◽

Continuous Femoral Nerve Block

In association with the growing interests in pain management, several modalities to control postoperative pain have been proposed and examined for the efficacy in the recent studies. Various modes of peripheral nerve block have been proposed and the effectiveness and safety have been examined for each of those techniques. We have described our clinical experiences, showing that continuous femoral nerve block could provide a satisfactory analgesic effect after total hip arthroplasty (THA) procedure. In this study, we compared the effectiveness and safety of continuous femoral nerve block with and without sciatic nerve blockade on pain control after THA. Forty patients scheduled for THA were included in the study and randomly divided into 2 groups. Postoperative analgesic measure was continuous femoral nerve block alone, while the identical regimen of continuous femoral nerve block was combined with sciatic nerve block. The amount of postoperative pain was evaluated in the immediate postoperative period, 6 hours, and 12 hours after surgery. Moreover, postoperative complications as well as requirement of supplemental analgesics during the initial 12 hours after surgery were reviewed in the patient record. The obtained study results showed that the supplemental sciatic nerve blockade provided no significant effect on arrival at the postoperative recovery room, while the NRS pain score was significantly reduced by the combined application of sciatic nerve blockade at 6 and 12 hours after surgery. In the investigation of postoperative analgesiarelated complications, no major complication was encountered without significant difference in complication rate between the groups.

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