An uncommon cause of nerve stimulator’s malfunction during a dual guidance lumbar plexus block: A technical brief report and an algorithm for prevention of complications
Autor: | Philippe Biboulet, Xavier Capdevila, Nathalie Bernard, Kevin Stebler, Olivier Choquet |
---|---|
Přispěvatelé: | Retiveau, Nolwenn, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Université de Montpellier (UM), Institut National de la Santé et de la Recherche Médicale (INSERM), Institut des Neurosciences de Montpellier (INM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM) |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Nerve block
MESH: Anesthesia Conduction medicine.medical_treatment Lumbosacral Plexus MESH: Ultrasonography Interventional MESH: Algorithms Critical Care and Intensive Care Medicine MESH: Anesthetics Local Algorithm of procedure Lumbar Anesthesia Conduction medicine Lumbar plexus block Humans In patient Anesthetics Local Ultrasonography Interventional Ultrasonography Nerve stimulation [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology MESH: Humans MESH: Lumbosacral Plexus business.industry Malfunction Ultrasound General Medicine MESH: Nerve Block Quadriceps femoris muscle Sacral plexus Anesthesiology and Pain Medicine business Nerve stimulator Algorithm Algorithms [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology MESH: Ultrasonography |
Zdroj: | Anaesthesia Critical Care & Pain Medicine Anaesthesia Critical Care & Pain Medicine, Elsevier Masson, 2021, 40 (2), pp.100832. ⟨10.1016/j.accpm.2021.100832⟩ |
ISSN: | 2352-5568 |
DOI: | 10.1016/j.accpm.2021.100832 |
Popis: | International audience; Posterior Lumbar plexus block (PLPB) combined with an ipsilateral sacral plexus block is a valuable anaesthetic technique in patients undergoing hip fracture surgery. PLPB is performed through the acoustic window of the lumbar ultrasound trident and the position of the needle tip, before injection of LA, was confirmed by observing quadriceps femoris muscle contraction to peripheral nerve stimulation (i.e., dual guidance). We report an uncommon cause of nerve stimulator malfunction that might impair block performance and promote complications. We add an algorithm to limit the risk of complications. |
Databáze: | OpenAIRE |
Externí odkaz: |