Ultrasound guidance of needle tip position for femoral nerve blockade

Fanara, Benoît; Christophe, Jean-Luc; Boillot, A.; Tatu, Laurent; Jochum, Denis; Henri, Yann; Berthier, Francis; Samain, Emmanuel

doi:10.1097/01.eja.0000435016.83813.aa

Cited by 8 publications

(10 citation statements)

References 16 publications

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“…And the sample size ranged from 50 to 112. And 10 included studies were conducted in China, [16,17,19,20,22–27] 1 in Spain, [14] 1 in the United States, [15] 1 in South Korea [18] and 1 in Denmark. [21]…”

Section: Resultsmentioning

confidence: 99%

“…[12,13] It has been confirmed that acupoints such as Neiguan (PC6), Laogong (PC8), Waiguan (SJ5) Zusanli (ST36), Hegu (LI4), and Quchi (LI11) can be used for reducing PONV. [14–27] The basic theory of action mechanism is related to activating meridians by acupuncture. [28] Acupoints could be stimulated by acupuncture needle, electrical stimulation, and acupressure and so on.…”

Section: Introductionmentioning

confidence: 99%

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Non-needle acupoint stimulation for prevention of nausea and vomiting after breast surgery

et al. 2019

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Background:Breast disease has been a global serious health problem, among women. Surgery is the main treatment for the patients suffering from breast disease. Postoperative nausea and vomiting are still disturbing. Acupoint stimulation, an effective treatment of traditional Chinese medicine, has been used to reduce postoperative nausea and vomiting. Recently, non-needle acupoint stimulation becomes a new intervention. Though several clinical trials have been done, there is still no final conclusion on the efficacy. This Meta-Analysis aims at evaluating the efficacy of non-needle acupoint stimulation for prevention of nausea and vomiting after breast surgery.Methods:Systematic searches were conducted in PubMed, Embase, Cochrane, and Wanfang Med Online databases for studies. The review period covered from the inception of databases to December 31, 2017. The outcome measures of interest were frequency of nausea, frequency of vomiting, frequency of PONV, verbal rating scale of nausea, and use of rescue antiemetic. Data extraction and risks of bias evaluation were accomplished by 2 independent reviewers using the Cochrane Collaboration Review Manager software (RevMan 5.3.5).Results:Fourteen randomized controlled trials with a total of 1009 female participants in the non-needle acupoint stimulation group and control group met the inclusion criteria. Although the therapeutically effect on vomiting within postoperative 2 hours was not obvious, non-needle acupoint stimulation still had an important role in reducing nausea and vomiting within postoperative 48 hours. According to Jadad scale, there was moderate quality evidence for the pooled analysis results in this study. In addition, stimulating acupoint by wristband acupressure was more likely to cause adverse reactions.Conclusion:Non-needle acupoint stimulation can be used for female patients undergoing breast surgery to reduce postoperative nausea and vomiting. Into consideration, we recommend transcutaneous acupoint electrical stimulation on PC6 from 30 minutes before induction of anesthesia to the end of surgery for application. This non-pharmaceutical approach may be promising to promote the recovery of patients after breast surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Non-needle acupoint stimulation for prevention of nausea and vomiting after breast surgery

et al. 2019

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“…To visualise the femoral nerve, we slightly modified the method described by Fanara et al (2014) and Szucs et al (2010). First, the anterior superior iliac spine was located by palpation and the transducer was positioned over this bony landmark.…”

Section: Identification Of the Femoral Nervementioning

confidence: 99%

Femoral nerve excursion with knee and neck movements in supine, sitting and side-lying slump: An in vivo study using ultrasound imaging

Sierra-Silvestre

Bosello

Fernández‐Carnero

et al. 2018

Musculoskeletal Science and Practice

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“…[ 13 ] FNB is done blindly using a nerve stimulator with a needle. [ 14 ] Besides, the emergency physicians with good anatomic knowledge could be trained for this technique easily. Hence, RA can be preferred over general anesthesia (GA) for these surgeries.…”

Section: Introductionmentioning

confidence: 99%

Intravenous analgesia with opioids versus femoral nerve block with 0.2% ropivacaine as preemptive analgesic for fracture femur: A randomized comparative study

2016

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Background and Objective:Femoral fractures are extremely painful and pain invariably worsens on any movement. Anesthesia for fracture femur surgery is usually provided by spinal block. This study was undertaken to compare the analgesic effects of femoral nerve block (FNB) using nerve stimulator with 0.2% ropivacaine (15 ml) and intravenous (I.V.) fentanyl before patient positioning for fracture femur surgery under spinal anesthesia.Materials and Methods:A prospective, randomized, double-blind, comparative study was conducted on 60 American Society of Anesthesiologists I and II patients (18–60 years) scheduled for femur surgery under combined spinal epidural anesthesia. Patients in Group I (n = 30), were administered FNB using nerve stimulator with 0.2% ropivacaine (15 ml) and in Group II patients (n = 30), I.V. fentanyl 0.5 μg/kg was given as preemptive analgesia. Parameters observed included time to spinal anesthesia, intra-operative and postoperative visual analog scale (VAS) for any pain and postoperative epidural top-ups dosages.Results:Demographic profile was comparable in both the groups. VAS at 2 min in Group I was 5.63 and in Group II it was 8.00. Satisfaction score was better in Group I as compared to Group II patients. Time to administer subarachnoid block was 17.80 min in patients of Group I as compared to 25.03 min in Group II patients. Postoperatively, VAS scores were lower in Group I than Group II patients. The frequency of epidural top-ups was higher in Group II than in Group I patients.Conclusions:FNB is comparatively better in comparison to I.V. fentanyl when used as preemptive and postoperative analgesic in patients being operated for fracture femur.

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Ultrasound guidance of needle tip position for femoral nerve blockade

Cited by 8 publications

References 16 publications

Non-needle acupoint stimulation for prevention of nausea and vomiting after breast surgery

Non-needle acupoint stimulation for prevention of nausea and vomiting after breast surgery

Femoral nerve excursion with knee and neck movements in supine, sitting and side-lying slump: An in vivo study using ultrasound imaging

Intravenous analgesia with opioids versus femoral nerve block with 0.2% ropivacaine as preemptive analgesic for fracture femur: A randomized comparative study

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