Total Spinal Anesthetic after Continuous Posterior Lumbar Plexus Block

Pousman, Robert M.; Mansoor, Zia; Sciard, Didier

doi:10.1097/00000542-200305000-00034

Cited by 55 publications

(33 citation statements)

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“…This has been achieved by using nerve stimulator [15] and by the use of X-ray examination of catheter position post-implantation. In performing cPCB, incorrect positioning of catheter to sites in the abdominal cavity, retroperitoneal cavity, subarachnoid space, intervertebral disk or paravertebral space has been described [20,22,23]. The use of a stimulating catheter [24] in the current study has allowed successful perineural positioning of the catheter tip.…”

Section: Discussionmentioning

confidence: 88%

Opioid-free analgesia by continuous psoas compartment block after total hip arthroplasty. A randomized study

Becchi¹,

Malyan²,

Coppini³

et al. 2008

European Journal of Anaesthesiology

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Section: Discussionmentioning

confidence: 88%

Opioid-free analgesia by continuous psoas compartment block after total hip arthroplasty. A randomized study

Becchi¹,

Malyan²,

Coppini³

et al. 2008

European Journal of Anaesthesiology

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“…In our cases, general anaesthesia with lumbar and sacral plexus block was adopted as, spinal anaesthesia was contraindicated due to its vasodilatory effects and we were keen to avoid the side effects of morphine owing to the patients co-existing poor respiratory function. The option of a continuous catheter technique is not without potential side effects and therefore was not considered in these cases [8,9] . The duration of analgesia from single shot lumbar and sacral plexus lasts for at least 14-18 hours in most patients and more than 24hrs in the elderly.…”

Section: Discussionmentioning

confidence: 99%

Safety of combined lumbar and sacral plexus block in high risk patients undergoing fractured neck of femur repair under general anaesthesia

Dixit

Banerjee

Singh

2014

CRIM

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In this case series we present three high-risk patients with multiple co-morbidities listed for repair of fractured neck of femur with hemiarthroplasty under general anaesthesia. All three were administered combined unilateral lumbar plexus block (LPB) and sacral plexus block (SPB) for intra and post-operative analgesia. One patient presented with severe chronic obstructive pulmonary disease in combination with severe aortic stenosis. The second one had extensive medical history, was in fast atrial fibrillation (AF) and was actively taking clopidogrel. The last patient had an automatic implantable cardioverter defibrillator (AICD) for dilated cardiomyopathy secondary to ischaemic heart disease and was in left ventricular failure. All three patients had uneventful recovery and were discharged to the ward following their initial stay in the critical care unit. We discuss the evidence and controversies surrounding the techniques employed in these three difficult cases.

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“…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]. It is recommended to have complete knowledge about anatomy; to perform the local anesthetic injections slowly with frequent aspirations, and to see the contractions clearly in the quadriceps muscle by using a nerve stimulator in order to avoid the complications [21].…”

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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Total Spinal Anesthetic after Continuous Posterior Lumbar Plexus Block

Cited by 55 publications

References 0 publications

Opioid-free analgesia by continuous psoas compartment block after total hip arthroplasty. A randomized study

Opioid-free analgesia by continuous psoas compartment block after total hip arthroplasty. A randomized study

Safety of combined lumbar and sacral plexus block in high risk patients undergoing fractured neck of femur repair under general anaesthesia

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

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