medigraphic.com

2010, Number 1

<< Back Next >>

Rev Mex Anest 2010; 33 (1)

Psoas compartment blockade

Mejía-Terrazas GE, Panoso-Bustamante A, Garduño-Juárez Á

Language: Spanish
References: 37
Page: 31-38
PDF size: 122.00 Kb.


ABSTRACT

The advent of ultrasonography and neurostimulation as advances in regional anesthesia have allowed the refinement of the location in the nerve plexus brachial, lumbar and sacrum. In surgery of the lower extremity can be performed with various anesthetic techniques, from epidural blockade, or subarachnoid blockade of peripheral nerves with a greater advantage over general anesthesia. Innervation of the lower extremity is well separated, unlike the upper limb, which is required by the combination of different blocks (at least two) to produce anesthesia in the limb The lumbar plexus block provides anesthesia and analgesia of almost all of the limb, providing better control of postoperative pain and improved hemodynamic control. Selective anesthesia of the five main nerves (crural or femoral nerve, obturator nerve, nerve femorocutaneo lateral sciatic nerve and genitofemoral nerve) of which four can be blocked in posterior approach (psoas compartment or lumbar plexus). This article shows a revision anatomical techniques and location plexus by neurostimulation and ultrasonography in adult and pediatric patients.


REFERENCES

  1. Testut L, Latarjet A. Tratado de Anatomía Humana. Tomo IV.9na. ed. Barcelona, Ed. Salvat; 1997.

  2. Grass JA, et al. Clínicas de anestesiología de Norteamérica: Anestesia Regional. Ed. 2000.

  3. Hadzic A, et al. Textbook of regional anesthesia and acute pain management. 1ra ed. New York. McGraw – Hill. 2007.

  4. Capdevila X, Coimbra C, Choquet O. Approaches to the lumbar plexus: Success, risks, and outcome. Reg Anesth and Pain Med 2005;30:150-62.

  5. Drizenko A. Le plexus lombo-sacré En: Journées d’Enseignemet Post Universitaire en Anesthésie et Reanimation. Hospital Pitié Salptrire. Ed. Arnette, 1998:191-202.

  6. Wedel DJ, Brown DL. Nerve blocks. In: Miller RD, ed. Anesthesia. 3rd ed. New York: Churchill Livingstone, 1990:1407-37.

  7. Farny J, Drolet P, Girard M. Anatomy of the posterior approach to the lumbar plexus block. Can J Anaesth 1994;41:480-5.

  8. Chayen D, Nathan H, Chayen M. The psoas compartment block. Anesthesiology 1976;45:95-9.

  9. Chelly JE. Femoral block. In: Chelly JE, ed. Peripheral Nerve Blocks. A Color Atlas. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 1999.

  10. Winnie AP, Ramamurthy S, Durrani Z. Plexus blocks for lower extremity surgery: New answers to old problems. Anesth Rev 1974;1:1-6.

  11. Awad IT, Duggan EM. Posterior lumbar plexus block: Anatomy, approaches, and Techniques. Reg Anesth Pain Med 2005;30:143-149.

  12. Parkinson SK, Mueller JB, Littel WL, et al. Extent of blockade with various approaches to the lumbar plexus. Anesth Analg 1989;68:243-8.

  13. Hanna MH, Peal SJ, D‘Costa F. Lumbar plexus block: An anatomical study. Anaesthesia 1993;48:675-678.

  14. Capdevila X, Macaire P, Dadure C, Choquet O, Biboulet Ph, Ryckwaert Y, d’Athis F. Continuous psoas compartment block for postoperative analgesia after total hip arthroplasty: New landmarks, technical guidelines, and clinical evaluation. Anesth Analg 2002;94:1606-13.

  15. Awad I, Duggan E. Posterior lumbar plexus block: Anatomy, Approaches, and Techniques. Reg Anesth Pain Med 2005;30:143-9.

  16. Nemethy M, Paroli L, et al. Assessing sedation with regional anesthesia: Inter-Rater Agreement on a Modified Wilson Sedation Scale. Anesth Analg 2002;94:723-728.

  17. Padin PC, Vandesteene A, d’Hollander AA. Lumbar plexus posterior approach: A catheter placement description using electrical nerves stimulation. Anesth Analg 2002;95:1428-1431.

  18. Kirchmair L, Entner T, Kapral S, Mitterschiffhaler G. Ultrasound guidance for the psoas compartment block: an imaging study. Anesth Analg 2002;94:706-10.

  19. Kirchmair L. et al. Lumbar plexus in children a sonographic study and its relevance to pediatric regional anesthesia. Anesthesiology 2004;101:445-50.

  20. Dalens B, Tanguy A, Vanneuville G. Lumbar plexus block in children: Comparison of two procedures in 50 patients. Anesth Analg 1988;67:750-8.

  21. De Visme V, Picart F, Le Jouan R, et al. Combined lumbar and sacral plexus block compared with plain bupivacaine spinal anesthesia for hip fractures in the elderly. Reg Anesth Pain Med 2000;25:158-62.

  22. White IWC, Chappell WA. Anaesthesia for surgical correction of fractured femoral neck—a comparison of three techniques. Anaesthesia 1990;35:1107-1110.

  23. Stevens RD, Van Gessel EV, Flory N, et al. Lumbar plexus block reduces pain and blood loss associated with total hip arthroplasty. Anesthesiology 2000;93:115-21.

  24. Goroszeniuk T, Vadi. Repeated Psoas compartment blocks for the management of long-standing hip. Pain Reg Anesth Pain Med 2001;26:376-378.

  25. Chudinov A, Berkenstadt H, Salai M, Cahana A, Perel A. Continuous psoas compartment block for anesthesia and perioperative analgesia in patients with hip fractures. Reg Anesth and Pain Med. 1999;24:563-568.

  26. Ilfeld BM, Enneking FK. Continuous peripheral nerve blocks at home: A review. Anesth Analg 2005;100:1822-1833.

  27. Biboulet P, Morau D, Aubas P, Bringuier BS, Capdevila X. Postoperative analgesia after total-hip arthroplasty: Comparison of intravenous patient-controlled analgesia with morphine and single injection of femoral nerve or psoas compartment block. A prospective, randomized, double-blind study. Reg Anesth and Pain Med 2004;29:102 - 109.

  28. Turker G, Uckunkaya N, Yavascaoglu B, Yilmazlar A, Ozcelik S. Comparison of the catheter-technique psoas compartment block and the epidural block for analgesia in partial hip replacement surgery. Acta Anaesthe Scandi 2003;47:30-36.

  29. Auroy Y, Benhamou D, Bargues L, Ecoffey C, Falissard B, Mercier FJ, Bouaziz H, Samii K, Mercier F. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology 2002;97:1274-1280.

  30. Al-Nasser B, Palacios J. Femoral nerve injury complicating continuous psoas compartment block. Reg Anesth Pain Med 2004;29:361-363..

  31. Awad I, Duggan E. Posterior lumbar plexus block: Anatomy, approaches, and techniques. Reg Anesth Pain Med 2005;30:143-9.

  32. Dalens B, Tanguy A, Haberer JP. Lumbar epidural anesthesia for operative and postoperative pain relief in infants and young children. Anesth Analg 1986;65:1069-73.

  33. Dalens 8, Haberer JP. Epidural anesthesia in children. Anesthesiology 1987;66:714-5.

  34. Dadure C, Raux O, Gaudard P, Sagintaah M, Troncin M, Rochette A, Capdevila X. Continuous psoas compartment blocks after major orthopedic surgery in children: A prospective computed tomographic scan and clinical studies. Anesth Analg 2004;98:623-8.

  35. Schuepfer G, Jo M. Psoas compartment block in children: Part I. Description of the technique. Pediatric Anesthesia 2005:15:461-64.

  36. Sciard D, Matuszczak M, Gebhard R, et al. Continuous posterior lumbar plexus block for acute postoperative pain control in young children. Anesthesiology 2001;95:1521-3.

  37. Capdevila X, Nadeau M. Lumbar paravertebra (psoas cmpartment) block En: Boezart anesthesia and orhopaedic surgery. Mc Graw-Hill USA 2006:359-370.




2020     |     www.medigraphic.com