Ultrasound-Guided Continuous Femoral Nerve Block for Analgesia After Total Knee Arthroplasty

Abstract

In CFNB under ultrasound guidance, using the catheter perpendicular to the nerve technique can shorten the time of catheter insertion while providing a similar quality of analgesia after total knee arthroplasty as compared with the catheter parallel to the nerve technique.

Lower extremity regional anesthesia: essentials of our current understanding

“…In both groups, the desired position of the catheter tip (within 0.3 cm of the femoral nerve) was inferred by the injection of saline151 or air 152. Catheter placement required significantly less time (45% reduction) in the SAX-IP perpendicular group.…”

An Ultrasound-Guided Lateral Approach for Proximal Sciatic Nerve Block

“…13,14 A catheter (Perifix ONE Catheter; B. Braun AG, Melsungen, Germany) was placed for a continuous femoral nerve block in all patients except those undergoing high tibial osteotomy. All femoral nerve blocks were performed by anesthesiology fellows under the supervision of an experienced regional anesthesiologist (T.Y.…”

Ultrasound-Guided Perineural Catheter Insertion

“…However, only by prospectively comparing various approaches will their relative benefits and drawbacks be truly revealed and the science of perineural infusion advanced. To this end, we applaud the recent publication by Wang et al 27 and eagerly await the results of additional well-designed, randomized, controlled clinical trials, allowing the transition from an editorial highlighting a lack of answers, to practice guidelines based on prospectively collected data.…”