Misplacement of a Psoas Compartment Catheter in the Subarachnoid Space

Litz, R. J.; Vicent, O.; Wiessner, D.; Heller, Axel R.

doi:10.1097/00115550-200401000-00013

Cited by 36 publications

(19 citation statements)

References 15 publications

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“…hydrocodone tablets) was compiled for the first and second postoperative days. Analgesic consumption for the first postoperative 48 h was significantly lower in Group L (6.5, range [4][5][6][7][8] tabs) and in Group H (5.5, range [4][5][6][7] tabs) than in Group C (9.5, range [8][9][10][11][12] tabs) (p \ 0.01). Although there was a trend for lower opioid consumption in Group H when compared to Group L, this difference did not reach statistical significance.…”

Section: Resultsmentioning

confidence: 99%

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Adjuvant dexamethasone with bupivacaine prolongs the duration of interscalene block: a prospective randomized trial

et al. 2011

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Section: Resultsmentioning

confidence: 99%

“…These techniques have generally failed to gain popularity in outpatient settings due to a higher incidence of catheter migration, anesthetic leakage, pump malfunction, and the utilization of health care personnel for follow-ups [4,5].…”

Section: Introductionmentioning

confidence: 99%

Adjuvant dexamethasone with bupivacaine prolongs the duration of interscalene block: a prospective randomized trial

et al. 2011

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“…Continuous peripheral nerve blocks have been used to provide extended analgesia. However, these techniques have generally failed to gain popularity due to the need for technical proficiency and complications such as catheter migration, anaesthetic leakage and pump malfunction [3][4][5][6]. For single-shot techniques, various adjuvants have been used to improve the quality and increase the duration of the local anaesthetic action in different peripheral nerves and regional blockade techniques.…”

Section: Introductionmentioning

confidence: 99%

Low-dose dexamethasone with levobupivacaine improves analgesia after supraclavicular brachial plexus blockade

Peršec

Kopljar

et al. 2013

International Orthopaedics (SICOT)

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Purpose We conducted ultrasound-guided single-shot supraclavicular blockade and investigated the analgesic effect of dexamethasone added to levobupivacaine. The aim of this study was to determine whether the addition of low-dose dexamethasone to levobupivacaine would prolong the duration of analgesia sufficiently to avoid additional intravenous analgesic use for the first 24 hours postoperatively. Methods This randomised controlled study assessed 70 patients undergoing upper-extremity surgery. Patients were eligible if there 18 years or over with American Society of Anaesthesiologists (ASA) physical status I, II or III. Patients were randomly assigned to receive 25 ml 0.5 % levobupivacaine plus four milligrams dexamethasone (group 1) or 25 ml 0.5 % levobupivacaine plus one millilitre saline (group 2). Pain scores, analgesic consumption and time estimation at which they perceived that sensory and motor blockade started and resolved were recorded.

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“…The mechanism of epidural block development is related to the local anesthetic dispersion over the proximal segment of the paravertebral area rather than the direct injection through the epidural space. A volume not exceeding 30-40mL should be used in order to prevent the epidural spread [21,22]. The other potential complications involve total spinal block, intravenous administrations, renal injuries and retroperitoneal hematoma [23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Our anesthesia experiences with geriatric patients at high risk group undergoing hip surgery under combined psoas compartment-sciatic nerve block

Tuzcu¹,

Gökahmetoğlu²,

Sılay³

et al. 2013

CMJ

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Aim. The effect of psoas compartment and sciatic nerve block combination on hemodynamic parameters in high risk geriatric patients with hip fracture surgeries was evaluated. Methods. In this study, high risk old patients who underwent psoas compartment block and sciatic nerve block for hip surgery anesthesia were evaluated retrospectively. In Group 1 there were 14 patients with levobupivacaine and lidocaine combination and in Group 2 there were 10 patients with levobupivacaine and prilocaine combination. In our study we evaluated the heart rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure levels and sedation need between groups, between age over and below 85 years and in all patients. Results. There were no statistically significant difference in heart rate and mean arterial blood pressure levels between groups and age groups (p˃0.05). There were a 6.18% and 16.52% decrease in mean arterial blood pressure in Group 1 and 2 respectively. When we evaluated the whole patients there was a 10.06% decrease in mean arterial blood pressure. Conclusion. We consider that the combination of psoas and sciatic block as an anesthetic method may be a proper option especially in the elderly and high-risk patients who were underwent the hip surgery.Keywords: Psoas compartment block, geriatrics, hip surgery Özet Amaç. Kalça kırığı cerrahisi geçiren yüksek risk grubu yaşlı hastalarda psoas kompartman bloğu ve siyatik sinir blok kombinasyonunun hemodinamik parametrelere etkisi araştırıldı. Yöntem. Bu çalışmada kalça cerrahisi anestezisi için psoas kompartman bloğu ve siyatik sinir bloğu ikilisi yapılan yüksek risk grubu, yaşlı hastalar retrospektif olarak değerlendirildi. Lokal anestezik olarak levobupivakain ve lidokain kombinasyonu verilen 14 yaşlı hasta Grup 1 olarak, levobupivakain ve prilokain kombinasyonu verilen 10 yaşlı hasta Grup 2 olarak adlandırıldı. Çalışmamızda hastaların tümünde, gruplar arasında ve 85 yaşın üstünde olanlarla altında olanların kalp atım hızı, ortalama kan basıncı değerleri ve sedasyon ihtiyacı incelendi. Bulgular. Gruplar arasında ve yaş grupları arasında ortalama kan basıncı değerleri ve kalp atım hızları karşılaştırıldığında istatiksel olarak anlamlı bir fark saptanmadı (p˃0,05). Grup 1'de ortalama kan basıncında %6,18 düşüş olurken Grup 2'de %16,52 düşüş oldu. Tüm hastalar değerlendirildiğinde ortalama kan basıncında %10,06 oranında düşüş gözlendi. Sonuç. Kalça cerrahisi uygulanan yaşlı ve yüksek risk grubu hastalarda anestezik yöntem olarak psoas ve siyatik blok kombinasyonunun uygun bir seçenek olabileceğini düşünüyoruz.Anahtar sözcükler: Psoas kompartman bloğu, geriatri, kalça cerrahisi Geliş tarihi

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Misplacement of a Psoas Compartment Catheter in the Subarachnoid Space

Cited by 36 publications

References 15 publications

Adjuvant dexamethasone with bupivacaine prolongs the duration of interscalene block: a prospective randomized trial

Adjuvant dexamethasone with bupivacaine prolongs the duration of interscalene block: a prospective randomized trial

Low-dose dexamethasone with levobupivacaine improves analgesia after supraclavicular brachial plexus blockade

Our anesthesia experiences with geriatric patients at high risk group undergoing hip surgery under combined psoas compartment-sciatic nerve block

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