A Comparison of Ultrasound-Guided and Landmark-Based Approaches to Saphenous Nerve Blockade

Kent, Michael L.; Hackworth, Robert J.; Riffenburgh, Robert H.; Kaesberg, Julie L.; Asseff, David C.; Lujan, Eugenio; Corey, John M.

doi:10.1213/ane.0b013e3182908d5d

Cited by 36 publications

(35 citation statements)

References 18 publications

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“…However, two subsequent trials did report improved success rate with the transsartorial approach (with LOR or US) compared to blind LA infiltration distal to the knee (80%–100% vs 30%–40%; p<0.05) 126 129. In recent years, the US transsartorial approach has also been compared to US-guided LA injection between the sartorius and vastus medialis muscles proximal to the knee joint with mixed results: one trial found no intergroup differences in terms of success rate129 while the other RCT reported a higher success rate (100% vs 86%; p=0.003) and shorter onset time (3 vs 9 min; p<0.001) with the transsartorial approach 130…”

Section: Nerve Blocks Of the Lumbar Plexusmentioning

confidence: 99%

Lower extremity regional anesthesia: essentials of our current understanding

Tran

Salinas

Benzon

et al. 2019

Regional Anesthesia &Amp; Pain Medicine

138

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The advent of ultrasound guidance has led to a renewed interest in regional anesthesia of the lower limb. In keeping with the American Society of Regional Anesthesia and Pain Medicine’s ongoing commitment to provide intensive evidence-based education, this article presents a complete update of the 2005 comprehensive review on lower extremity peripheral nerve blocks. The current review article strives to (1) summarize the pertinent anatomy of the lumbar and sacral plexuses, (2) discuss the optimal approaches and techniques for lower limb regional anesthesia, (3) present evidence to guide the selection of pharmacological agents and adjuvants, (4) describe potential complications associated with lower extremity nerve blocks, and (5) identify informational gaps pertaining to outcomes, which warrant further investigation.

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Section: Nerve Blocks Of the Lumbar Plexusmentioning

confidence: 99%

Lower extremity regional anesthesia: essentials of our current understanding

Tran

Salinas

Benzon

et al. 2019

Regional Anesthesia &Amp; Pain Medicine

138

View full text Add to dashboard Cite

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“…58.6 ) Pes anserinus bursitis Tenderness more distal over the pes anserinus (see Fig. 58.6 ) Medial collateral ligament (MCL) injury Medial instability, pain with valgus movement Hip joint pathology [ 19 ] X-rays and MRI will show pathology be diffi cult to locate [ 46 ]. Others describe using the plane between the sartorius and vastus medialis muscles [ 47 ] ( Fig.…”

Section: Sartorial Tendonitismentioning

confidence: 99%

“…Others describe using the plane between the sartorius and vastus medialis muscles [ 47 ] ( Fig. 58.19 ), although this plane may be diffi cult to locate in obese patients [ 46 ]. The superfi cial femoral artery in the mid-proximal femur may provide a landmark that is reliable across a range of providers and patients [ 46 , 48 ].…”

Section: Sartorial Tendonitismentioning

confidence: 99%

“…The superfi cial femoral artery in the mid-proximal femur may provide a landmark that is reliable across a range of providers and patients [ 46 , 48 ]. A prospective, controlled, double-blinded, crossover trial of proximal US SN injections (in the fascial plane between the vastus medialis and sartorius) vs. landmark-guided SN injections showed that the US-guided injections gave 80 % relief, compared to 50 % relief with the landmark-guided injections [ 46 ]. US would be expected to improve proximal SN injections for below-the-knee surgeries.…”

Section: Sartorial Tendonitismentioning

confidence: 99%

“…US would be expected to improve proximal SN injections for below-the-knee surgeries. A randomized prospective crossover trial of 30 volunteers showed that two US-guided approaches to SN block were substantially more successful (80-100 % loss of sensation to pinprick) than a below-theknee fi eld block (30 %) [ 46 ]. US guidance may also be useful for the IPS block [ 49 ].…”

Section: Sartorial Tendonitismentioning

confidence: 99%

See 2 more Smart Citations

Proximal Saphenous Nerve Entrapment: Thigh and Knee

Trescot

Karl

Brown³

et al. 2016

Peripheral Nerve Entrapments

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Bridging the gap between basic and clinical sciences: A description of a radiological anatomy course

Torres

Staśkiewicz

Lisiecka

et al. 2015

Anatomical Sciences Ed

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A wide variety of medical imaging techniques pervade modern medicine, and the changing portability and performance of tools like ultrasound imaging have brought these medical imaging techniques into the everyday practice of many specialties outside of radiology. However, proper interpretation of ultrasonographic and computed tomographic images requires the practitioner to not only hone certain technical skills, but to command an excellent knowledge of sectional anatomy and an understanding of the pathophysiology of the examined areas as well. Yet throughout many medical curricula there is often a large gap between traditional anatomy coursework and clinical training in imaging techniques. The authors present a radiological anatomy course developed to teach sectional anatomy with particular emphasis on ultrasonography and computed tomography, while incorporating elements of medical simulation. To assess students' overall opinions about the course and to examine its impact on their self-perceived improvement in their knowledge of radiological anatomy, anonymous evaluation questionnaires were provided to the students. The questionnaires were prepared using standard survey methods. A five-point Likert scale was applied to evaluate agreement with statements regarding the learning experience. The majority of students considered the course very useful and beneficial in terms of improving three-dimensional and cross-sectional knowledge of anatomy, as well as for developing practical skills in ultrasonography and computed tomography. The authors found that a small-group, hands-on teaching model in radiological anatomy was perceived as useful both by the students and the clinical teachers involved in their clinical education. In addition, the model was introduced using relatively few resources and only two faculty members. Anat Sci Educ 9: 295-303. © 2015 American Association of Anatomists.

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A Comparison of Ultrasound-Guided and Landmark-Based Approaches to Saphenous Nerve Blockade

Abstract: In our prospective study, we have demonstrated that ultrasound-guided above the knee saphenous nerve blocks have higher success rates than a below the knee field block and are easily performed in a short amount of time.

Cited by 36 publications

References 18 publications

Lower extremity regional anesthesia: essentials of our current understanding

Lower extremity regional anesthesia: essentials of our current understanding

Proximal Saphenous Nerve Entrapment: Thigh and Knee

Bridging the gap between basic and clinical sciences: A description of a radiological anatomy course

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