Rachianesthésie totale après bloc du plexus lombaire par voie postérieure

Gentili, M; Aveline, Christophe; Bonnet, Francis

doi:10.1016/s0750-7658(98)80112-3

Cited by 48 publications

(6 citation statements)

References 7 publications

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“…The most common injection site among the included studies is the L3-L4 space. The L3-L4 space is one of the possible areas of injection that falls under the category of lumbar epidural steroid injection [10][11]. Most commonly, as is the case for hip replacements, the lumbar region is effective in providing medications to the epidural space behind the spinal nerves of patients.…”

Section: Discussionmentioning

confidence: 99%

“…There has also been evidence that suggests epidural analgesia is advantageous in reducing the frequency of nausea and vomiting in relation to systemic analgesia. While additional studies are required to conclusively determine the most effective and safe injection site for hip replacements, the combination of factors discussed are the most probable factors in the decision for the patients to receive lidocaine through the L3-L4 space [10][11].…”

Section: Discussionmentioning

confidence: 99%

“…If this is the case, there can be a standardized protocol for lidocaine administration during hip replacement surgeries. Furthermore, experiments in this study found that lidocaine injections were beneficial for postoperative pain compared to more conservative treatments such as non-steroidal anti-inflammatory drugs (NSAIDs) [8][9][10][11][12][13][14]. Physicians can also create standardized procedures for lidocaine use for conditions in hip arthroplasty candidates.…”

Section: Lidocaine Administrationmentioning

confidence: 95%

“…However, there is currently no standardized procedure for its administration. During total or hemiarthroplasty hip procedures, lidocaine is commonly used as part of the general anesthesia protocol [9][10][11]. After the surgery, lidocaine is often administered locally as an analgesic to alleviate postoperative pain.…”

Section: Lidocaine Administrationmentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review of the Usage of Lidocaine in Hip Replacement Surgery

Lu¹,

Reddy²,

Fei³

et al. 2023

Cureus

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Hip replacement procedures, professionally known as hip arthroplasty, are one of the most common orthopedic procedures. Due to the variation in this procedure, the use and types of anesthetics differ. One such commonly used anesthetic is lidocaine. Since there are currently no standardized or general procedures for the application of lidocaine for perioperative hip arthroplasty procedures, this review aims to delve into this topic. A literature review surrounding the key terms "hip replacement" and "lidocaine" was performed on PubMed. After reviewing 24 randomized control trials, statistical analyses between groups that had no lidocaine versus groups that did were performed. The results showed that there was no statistical significance between various age groups and the use of lidocaine. One percent (1%) and 2% injected into the lumbar region were the most commonly reported doses of lidocaine, with 2% often being the first test dose. Other conclusions were that lidocaine was used for general anesthesia for individuals that underwent hip arthroplasty due to an underlying condition (cauda equina syndrome, ankylosing spondylitis, etc.). Lidocaine was also used for postoperative pain relief, which is a potential concern from its addictive qualities. This investigation outlines the current stance and usage of lidocaine in perioperative hip arthroplasty while noting its limitations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Lidocaine Administrationmentioning

confidence: 95%

Section: Lidocaine Administrationmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of the Usage of Lidocaine in Hip Replacement Surgery

Lu¹,

Reddy²,

Fei³

et al. 2023

Cureus

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show abstract

“…In spite of more effectiveness of the PCB, the inguinal paravascular and ACB is still commonly performed for fear of side effects of PCB. [ 18 19 20 21 ] One of the most common and most serious side effects are the epidural/spinal spread of local anesthetic solution, which is mainly due to a proximal movement into the paravertebral space rather than a direct placement of the needle into the epidural space,[ 19 ] delayed bilateral spread of local anesthetic,[ 22 ] intravascular injections can cause seizure, cardiac arrest, and death,[ 23 24 25 ] delayed toxic reactions, unilateral sympathectomy,[ 5 ] and renal subcapsular hematoma. [ 20 21 ] To decrease the incidence of these complications associated with lumbar plexus block, ultrasound guidance has been introduced which allows direct visualization of the needle, anatomy, neural structures, and the spread of local anesthetics.…”

Section: Discussionmentioning

confidence: 99%

Real-time ultrasound-guided comparison of adductor canal block and psoas compartment block combined with sciatic nerve block in laparoscopic knee surgeries

Messeha

2016

Anesth Essays Res

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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 0.5% with adrenaline 1:400,000 injection over 2-3 minutes while observing the distribution of the local anesthetic in real time. Successful nerve block was defined as a complete loss of pinprick sensation in the region that is supplied by the three nerves along with adequate motor block, 30 minutes after injection. The degree of motor block was evaluated 30 minutes after the block procedure. The results of the present study showed that the real time ultrasound guidance of PCB is more effective than ACB approach. Although the sensory blockade of the femoral nerve achieved equally by both techniques, the LFC and OBT nerves were faster and more effectively blocked with PCB technique. Also PCB group showed significant complete sensory block without need for general anesthesia, significant decrease in the post-operative VAS and significant increase time of first analgesic requirement as compared to the ACB group.Result and Conclusion:The present study demonstrates that blockade of lumber plexus by psoas compartment block is more effective in complete sensory block without general anesthesia supplementation in addition to decrease post-operative analgesic requirement than adductor canal block.

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Landmark-Guided Technique for Regional Anesthesia of the Lower Limb

Jankovic¹,

Borghi

2022

Regional Nerve Blocks in Anesthesia and Pain Therapy

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Rachianesthésie totale après bloc du plexus lombaire par voie postérieure

Cited by 48 publications

References 7 publications

A Systematic Review of the Usage of Lidocaine in Hip Replacement Surgery

A Systematic Review of the Usage of Lidocaine in Hip Replacement Surgery

Real-time ultrasound-guided comparison of adductor canal block and psoas compartment block combined with sciatic nerve block in laparoscopic knee surgeries

Landmark-Guided Technique for Regional Anesthesia of the Lower Limb

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