A Comparison of Psoas Compartment Block and Spinal and General Anesthesia for Outpatient Knee Arthroscopy

Jankowski, Christopher J.; Hebl, James R.; Stuart, Michael; Rock, Michael G.; Pagnano, Mark W.; Beighley, Christopher; Schroeder, Darrell R.; Horlocker, Terese T.

doi:10.1213/01.ane.0000081798.89853.e7

Cited by 99 publications

(71 citation statements)

References 18 publications

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“…22,23,24,25 The result is similar to our study result. Sansone and others in their study showed 82% patients undergoing ACL reconstruction getting sciatic femoral block bypassed post-anaesthetic care unit.…”

Section: Resultssupporting

confidence: 91%

A Comparative Study of Clinical Effects of Spinal Bupivacaine Versus Sciatic-Femoral Nerve Block (Anterior Approach) in High Risk Geriatric Patient for Lower Limb Orthopaedic Procedures

Maiti¹,

Gharami²,

Bhattacharya³

et al. 2017

jemds

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BACKGROUNDSpinal anaesthesia is widely used for lower limb orthopaedic procedure in all age groups. The procedure is safe, but may lead to cardiovascular instability in high risk geriatric patient. Recently, sciatic-femoral nerve block is being used with satisfactory result.The aim of the study was to compare the onset and duration of sensory and motor blockade, intensity and duration of postoperative analgesia, intraoperative and postoperative haemodynamics in between two groups, one receiving spinal anaesthesia and the other sciatic-femoral block (Anterior approach) in high risk geriatric age group.

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Section: Resultssupporting

confidence: 91%

A Comparative Study of Clinical Effects of Spinal Bupivacaine Versus Sciatic-Femoral Nerve Block (Anterior Approach) in High Risk Geriatric Patient for Lower Limb Orthopaedic Procedures

Maiti¹,

Gharami²,

Bhattacharya³

et al. 2017

jemds

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“…Little is known about the factors that could favor epidural spread at the thoracic level. For psoas block, keeping the injection pressure below 15 psi and placing the side to be blocked dependent are two measures that have been proposed to decrease this phenomenon (Gadsden et al, 2008;Jankowski et al, 2003). In our study, we deliberately placed the side to be blocked up while keeping the injection pressure low so as to evaluate epidural spread of the solution in these conditions.…”

Section: Discussionmentioning

confidence: 99%

A cadaver study to determine the minimum volume of methylene blue or black naphthol required to completely color the nerves relevant for anesthesia during breast surgery

Guay

Grabs

2010

Clinical Anatomy

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Regional anesthesia for breast surgery may require a large amount of local anesthetic solution to provide an adequate blockade of all relevant structures. The purpose of this study was to determine the minimal volume of fluid required to anesthetize all nerves to adequately provide anesthesia for breast surgery. This is an open randomized study. Cadavers were embalmed using Thiel's technique and were injected with different volumes of 0.2% methylene blue or 0.2% black naphthol for a superficial cervical plexus block (2, 5, 10, or 15 mL), an interscalene block (5, 10, 15, or 20 mL), paravertebral blocks from C(8) to T(6), and intercostal nerve blocks at 8 cm from the midline (2 or 3 mL) under ultrasound-guided or assisted techniques. The following minimal volumes of fluid were required for complete coloration of the nerves: 2 mL for the supraclavicular nerves; 20 mL for the nerve roots from C(5) to C(7), inclusive, if intraneural injection was avoided; 3 mL per root for the nerve roots from C(8) to T(6), inclusive, for a paravertebral block; and 2 mL per nerve for intercostal nerve blocks at T(4) and lower. With 20 mL of solution at the interscalene level, the roots of C(3) and C(4) were also colored; therefore, a separate injection for the supraclavicular nerves was unnecessary. We conclude that regional anesthesia for complex breast surgery can be achieved with a volume of local anesthetic as low as 41 mL.

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“…(20), adequate anesthesia could not be provided by femoral sciatic block in one of 25 patients, however, in another study by Fanelli et al (23), this rate has been reported as 4% (21). The failure rate of spinal anesthesia with lowdose bupivacaine ranges between 3% and 6% (24). These findings have suggested that both methods have similar anesthetic efficacy in outpatient knee surgery and there is no difference in terms of success rate in practical terms.…”

Section: Discussionmentioning

confidence: 97%

Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia

Sarı¹,

Eroğlu²,

Fusco³

et al. 2015

meandros

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Objective: We aimed to evaluate the quality of anesthesia of combined sciatic and femoral 3-in-1 nerve blocks (CSFB) and unilateral spinal anesthesia technique with low-dose levobupivacaine in outpatients undergoing knee arthroscopy surgery. Materials and Methods: Forty American Society of Anesthesiologists (ASA) physical status I-II patients were randomly allocated into two groups and unilateral spinal anesthesia with low-dose levobupivacaine (group S, n=20) or CSFB (group B, n=20) was performed. Besides the quality of anesthesia, anesthetic effectiveness, hemodynamic values, duration of the technique application, maximum motor and sensorial block levels and durations, the first analgesics need, and total analgesic consumptions during postoperative 24 hours and determined complications were compared between the two groups.

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A Comparison of Psoas Compartment Block and Spinal and General Anesthesia for Outpatient Knee Arthroscopy

Abstract: Outpatient knee arthroscopy may be performed using a variety of anesthetic techniques. We report that spinal anesthesia and psoas compartment block are superior to general anesthesia when considering resource utilization, patient satisfaction, and postoperative analgesic management.

Cited by 99 publications

References 18 publications

A Comparative Study of Clinical Effects of Spinal Bupivacaine Versus Sciatic-Femoral Nerve Block (Anterior Approach) in High Risk Geriatric Patient for Lower Limb Orthopaedic Procedures

A Comparative Study of Clinical Effects of Spinal Bupivacaine Versus Sciatic-Femoral Nerve Block (Anterior Approach) in High Risk Geriatric Patient for Lower Limb Orthopaedic Procedures

A cadaver study to determine the minimum volume of methylene blue or black naphthol required to completely color the nerves relevant for anesthesia during breast surgery

Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia

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