Femoral and Genitofemoral Nerve Blocks Versus Spinal Anesthesia for Outpatients Undergoing Long Saphenous Vein Stripping Surgery

Vloka, Jerry D.; Hadžić, Admir; Mulcare, Robert J.; Lesser, Jonathan B.; Kitain, Eric; Thys, Daniel M.

doi:10.1213/00000539-199704000-00009

Cited by 59 publications

(14 citation statements)

References 9 publications

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“…[19] Ancak tüm bunlara rağmen periferik blokların RA uygulamaları içinde sadece %12 oranında uygulandığı tespit edilmiştir. RIVA uygulaması ise sadece %3 oranındadır ve muhtemelen periferik sinir bloklarındaki artış RIVA oranların-da azalmaya neden olmaktadır.…”

Section: Discussionunclassified

Changing trends and regional anesthesia practices in Turkey

Gürkan¹,

Kuş²,

Aksu³

et al. 2014

Agri

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Section: Discussionunclassified

Changing trends and regional anesthesia practices in Turkey

Gürkan¹,

Kuş²,

Aksu³

et al. 2014

Agri

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“…3 (n = 1)), the distal limit of sensory loss failed to include the skin overlying the medial malleolus. Failure to demonstrate sensory loss in these areas is not necessarily synonymous with femoral ⁄ saphenous nerve block failure but reflects the overlap of cutaneous innervation from the LFCN [9] and femoral branch of the genitofemoral nerve [1] in the proximal thigh, and branches of the sciatic nerve at the ankle.…”

Section: Discussionmentioning

confidence: 99%

“…Femoral and saphenous nerve blockade are often used to produce surgical anaesthesia and postoperative analgesia for saphenous vein stripping [1], knee surgery and plastic surgical procedures involving the thigh [2].…”

mentioning

confidence: 99%

Evaluation of femoral nerve blockade following inguinal paravascular block of Winnie: are there still lessons to be learnt?

Jochum

O'Neill²,

Jabbour³

et al. 2005

Anaesthesia

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SummaryLower limb peripheral nerve blocks are used to provide surgical anaesthesia or postoperative analgesia. Anatomical texts imply that femoral and saphenous nerve blocks be evaluated by sensory testing of the skin overlying the anterior aspect of the thigh, and the medial aspect of the foot, respectively. We have mapped the distribution of anaesthesia in 25 adults following femoral nerve blockade, performed using the inguinal paravascular technique of Winnie. There was substantial interindividual variation in the area of anaesthesia. Only the skin overlying the middle third of the medial thigh was consistently blocked in 100% of patients. The distribution of anaesthesia conformed to anatomical text descriptions in 24% of cases. We conclude that demonstration of complete quadriceps paralysis confirms femoral nerve blockade. Failing that, sensory evaluation of a femoral nerve block should involve testing the skin of the middle third of the medial aspect of the thigh. The skin overlying the anteromedial aspect of the middle third of the leg should be evaluated for saphenous nerve block.

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“…This results in great variability in the distribution of the local anesthetic solution. Introducing the epidural needle at an angle from the midline and rotating it towards the operative side has been proposed to direct the epidural catheter towards the operative side 6 , and various reports have supported the clinical efficacy of such an intentional 'unilateral epidural block' [6][7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Efeitos da inclinação de agulha peridural e diferentes velocidades de injeção na distribuição de anestesia peridural

Şen¹,

Donmez²,

Ornek³

et al. 2012

Rev. Bras. Anestesiol.

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Background and objectives:This prospective, randomised study examined the effect of injection speeds for unilateral epidural anesthesia on block characteristics, hemodynamic parameters, and discharge criteria in 60 patients. Levobupivacaine 5% was administered to Group F over 1 min (fast) and to Group S over 3 min (slow) (n = 30 each) with the needle angulated at 5°-10° from the midline. Unilateral epidural block was significantly more successful in Group S than in Group F (70.3% vs. 16%; p < 0.001). On the non-operated sides in group S, the maximal sensorial block time was shorter and the regression time for 2 segments was longer (p < 0.05). And the walk-out time was longer in group F (p < 0.05). We consider that the slow administration of local anesthetic in unilateral epidural anesthesia is more effective than rapid administration.

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Femoral and Genitofemoral Nerve Blocks Versus Spinal Anesthesia for Outpatients Undergoing Long Saphenous Vein Stripping Surgery

Cited by 59 publications

References 9 publications

Changing trends and regional anesthesia practices in Turkey

Changing trends and regional anesthesia practices in Turkey

Evaluation of femoral nerve blockade following inguinal paravascular block of Winnie: are there still lessons to be learnt?

Efeitos da inclinação de agulha peridural e diferentes velocidades de injeção na distribuição de anestesia peridural

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