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2010, Number 3

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Rev Mex Anest 2010; 33 (3)

Psoas compartment block. Localization through neurostimulation in hip, thigh and knee surgeries

Peña-Riverón AA, Zaragoza-Lemus G, Olvera-Morales G, Gaspar-Carrillo S, Panoso BA, Unzueta-Navarro D

Language: Spanish
References: 23
Page: 121-127
PDF size: 198.57 Kb.


ABSTRACT

Objective: Evaluate the quality as well as the effectiveness and the duration of the analgesia when using bupivacaine in the blockade of psoas compartment in the surgery of the leg, by means of the localizer of peripheral nerves. Material and methods: Prospective, clinic study of 60 patients, all the patients were sedates with midazolam and fentanyl. The localization of lumbar plexus was considered effective when finding of the average, quadriceps contraction by means of the stimulus of peripheral nerves. One evaluated the quality of the analgesia, as well as the duration of the motor of the blockade and sensible and postoperative analgesia. Results: The distance between skin and L5 transverse process was 6 and 7 cm and the distance between transverse process and lumbar plexus was 1.5 cm with significative p ‹ 0.001 neither reported side effects as nausea or vomiting, and hematic and peritoneal puncture. Conclusions: Compartment psoas blockade with bupivacaine 0.5% allows optimal analgesia.


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