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:
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