Retroperitoneal haematoma in a patient with continuous psoas compartment block and enoxaparin administration for total knee replacement

Dauri, Mario; Faria, S.; Celidonio, Ludovica; Tarantino, Umberto; Fabbi, Eleonora; Sabato, Alessandro

doi:10.1093/bja/aep189

Cited by 22 publications

(14 citation statements)

References 7 publications

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“…It has been generally reported that the larger the puncture angle is, the lower the visualization of the needle is [8] [9]. Therefore, the risk of the deep nerve block has arisen in comparison with the superficial nerve block [10]. This study also showed that the intensity of the non-coated Tuohy needle clearly decreased with the puncture angle and the depth.…”

Section: Discussionsupporting

confidence: 52%

Regardless of the Puncture Angle, a Tuohy Needle with Sand-Blasted Steel at the Tip of the Bevel Is a Valid Needle on the Ultrasonic Images

Yuki¹,

Ueshima²,

Otake³

et al. 2016

OJAnes

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Background: A high ability to visualize the needle on the ultrasonic images is necessary to perform the ultrasound-guided nerve block safely. The Rafa Tuohy needle R (Vygon, Paris, France, Rafa) is a non-stimulating Tuohy needle with sand-blasted steel at the tip of the bevel. We examined the degree to which the Rafa enhanced the visibility of ultrasonic images compared with the non-coated Tuohy needle. Methods: We punctured the Blue Phantom. The dimensions of both the Rafa and the non-coated Tuohy needles were 18 G × 80 mm. The puncture angle is 30 degrees and 45 degrees from the Blue Phantom. We measured the intensity of the tip of the bevel at a depth of 0.5, 1.0, 1.5 and 2.0 cm for the puncture angle of 30 degrees, and 0.5, 1.0, 1.5, 2.0, 2.5 and 3.0 cm for the puncture angle of 45 degrees. Six anesthesiologists with more than seven years of experience performed three punctures using each needle. Results: As an outcome, we concluded that at a puncture angle of both 30 degrees and 45 degrees, the intensity of the non-coated Tuohy needle decreased with the depth. On the other hand, at an angle of 30 degrees, the intensity of the Rafa needle did not decrease, and at an angle of 45 degrees the intensity only decreased very slightly as the depth increased. Conclusions: The Tuohy needle with sand-blasted steel at the tip of the bevel provided greater visualization than the non-coated Tuohy needle on the ultrasound images.

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Section: Discussionsupporting

confidence: 52%

Regardless of the Puncture Angle, a Tuohy Needle with Sand-Blasted Steel at the Tip of the Bevel Is a Valid Needle on the Ultrasonic Images

Yuki¹,

Ueshima²,

Otake³

et al. 2016

OJAnes

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“…With the exception of a single retroperitoneal hematoma reported in the context of a prospective series, 28 the literature search yielded only case reports of bleeding or aneurysmal complications after lower extremity blocks. [64][65][66][67][68][69][70][71][72] The reported complications from these articles are summarized in Table 7.…”

Section: Evidence Reviewmentioning

confidence: 99%

Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus

Tsui

Kirkham

Kwofie

et al. 2019

Can J Anesth/J Can Anesth

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The risk of bleeding complications during regional anesthesia procedures is a significant patient safety consideration. Nevertheless, existing literature provides limited guidance on the stratification of bleeding risk for peripheral nerve and newly described interfascial plane blocks. Our objective was to produce an evidencebased consensus advisory that classifies bleeding risks in This article is accompanied by an editorial.

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“…The transverse transducer orientation in the mid‐axilla allows visualization of the LP through a large acoustic window and avoids placing the boney structure of the TP between the target LP and the transducer as reported in previous techniques. Rare but severe complications have been attributed to LPB . The lateral transverse ultrasound approach facilitates continuous needle imaging and visualization of the many critical structures in proximity to the LP target structures, including the aorta, vena cava, and kidney.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound‐guided lumbar plexus block in children and adolescents using a transverse lumbar paravertebral sonogram: Initial experience

Boretsky

Hernandez

Eastburn

et al. 2018

Pediatric Anesthesia

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Retroperitoneal haematoma in a patient with continuous psoas compartment block and enoxaparin administration for total knee replacement

Cited by 22 publications

References 7 publications

Regardless of the Puncture Angle, a Tuohy Needle with Sand-Blasted Steel at the Tip of the Bevel Is a Valid Needle on the Ultrasonic Images

Regardless of the Puncture Angle, a Tuohy Needle with Sand-Blasted Steel at the Tip of the Bevel Is a Valid Needle on the Ultrasonic Images

Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus

Ultrasound‐guided lumbar plexus block in children and adolescents using a transverse lumbar paravertebral sonogram: Initial experience

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