Skip to main content
SpringerLink
Log in
Book cover

Atlas of Ultrasound-Guided Procedures in Interventional Pain Management pp 239–258Cite as

Ultrasound-Guided Nerve Blocks of the Lower Limb

  • Chapter
  • First Online:

  • 5008 Accesses

Abstract

Ultrasound imaging has transformed the practice of regional anesthesia in the last 6 years by providing direct visualization of needle tip as it approaches the desired nerves and real-time control of the spread of local anesthetics. The use of ultrasound imaging has also been expanding in the field of chronic pain management recently with the availability of smaller, less expensive, and more portable machines. Compared with the traditional fluoroscopy, ultrasound imaging overheads are lower as it does not require an x-ray compatible suite and protective clothing and has no radiation hazards to patients and staff. It does though have its limitations, possessing only a narrow imaging window, which is very sensitive to the probe’s position and direction.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Liu SS, Ngeow JE, YaDeau JT. Ultrasound-guided regional anesthesia and analgesia: a qualitative systematic review. Reg Anesth Pain Med. 2009;34:47–59.

    Article  PubMed  CAS  Google Scholar 

  2. Marhofer P, Chan VW. Ultrasound-guided regional anesthesia: current concepts and future trends. Anesth Analg. 2007;104:1265–1269.

    Article  PubMed  Google Scholar 

  3. Gofeld M. Ultrasonography in pain medicine: a critical review. Pain Pract. 2008;8:226–240.

    Article  PubMed  Google Scholar 

  4. Chin KJ, Perlas A, Chan VW, Brull R. Needle visualization in ultrasound-guided regional anesthesia: challenges and solutions. Reg Anesth Pain Med. 2008;33:532–544.

    PubMed  Google Scholar 

  5. Marhofer P, Schrogendorfer K, Koining H, et al. Ultrasonic guidance improves sensory block and onset time of three-in-one blocks. Anesth Analg. 1997;85:854–857.

    PubMed  CAS  Google Scholar 

  6. Casati A, Baciarello M, Di Cianni S, et al. Effects of ultrasound guidance on the minimum effective anaesthetic volume required to block the femoral nerve. Br J Anaesth. 2007;98:823–827.

    Article  PubMed  CAS  Google Scholar 

  7. Awad IT, Duggan EM. Posterior lumbar plexus block: anatomy, approaches, and techniques. Reg Anesth Pain Med. 2005;30:143–149.

    PubMed  Google Scholar 

  8. Chan VW, Abbas S, Brull R, et al. Ultrasound Imaging for Regional Anesthesia. 2nd ed. 2009.

    Google Scholar 

  9. Vloka JD, Hadzić A, April E, Thys DM. The division of the sciatic nerve in the popliteal fossa: anatomical implications for popliteal nerve blockade. Anesth Analg. 2001;92:215–217.

    Article  PubMed  CAS  Google Scholar 

  10. Sinha SK, Abrams JH, Houle TT, et al. Ultrasound-guided obturator nerve block: an interfacial injection approach without nerve stimulation. Reg Anesth Pain Med. 2009;34:261–264.

    Article  PubMed  Google Scholar 

  11. Harney D, Patijn J. Meralgia paresthetica: diagnosis and management strategies. Pain Med. 2007;8:669–677.

    Article  PubMed  Google Scholar 

  12. Ng I, Vaghadia H, Choi PT, et al. Ultrasound imaging accurately identifies the lateral femoral cutaneous nerve. Anesth Analg. 2008;107:1295–1302.

    Article  PubMed  Google Scholar 

  13. Grothaus MC, Holt M, Mekhail AO, et al. Lateral femoral cutaneous nerve: an anatomic study. Clin Orthop Relat Res. 2005;437:164–168.

    Article  PubMed  Google Scholar 

  14. Bodner G, Bernathova M, Galiano K, et al. Ultrasound of the lateral femoral cutaneous nerve: normal findings in a cadaver and in volunteers. Reg Anesth Pain med. 2009;34:265–268.

    Article  PubMed  Google Scholar 

  15. Manickam B, Perlas A, Duggan E, et al. Feasibility and efficacy of ultrasound-guided block of the saphenous nerve in the adductor canal. Reg Anesth Pain Med. 2009;34:578–580.

    Article  PubMed  Google Scholar 

  16. Tsui BCH, Ozelsel T. Ultrasound-guided transsartorial perifemoral artery approach for saphenous nerve block. Reg Anesth Pain Med. 2009;34:177–178.

    Article  PubMed  Google Scholar 

  17. Redborg KE, Sites BD, Chinn CD, et al. Ultrasound improves the success rate of a sural nerve block at the ankle. Reg Anesth Pain Med. 2009;34:24–28.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesia, Sunnybrook Health Sciences Center, University of Toronto, 2075 Bayview Avenue, Toronto, ON, Canada, M4N 3M5

    Colin J. L. McCartney

Authors
  1. Haresh Mulchandani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Imad T. Awad
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Colin J. L. McCartney
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Colin J. L. McCartney .

Editor information

Editors and Affiliations

  1. Summa Western Reserve Hospital, Center for Pain Medicine, Cuyahoga Falls, 44223, Ohio, USA

    Samer N. Narouze

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Mulchandani, H., Awad, I.T., McCartney, C.J.L. (2011). Ultrasound-Guided Nerve Blocks of the Lower Limb. In: Narouze, S. (eds) Atlas of Ultrasound-Guided Procedures in Interventional Pain Management. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1681-5_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-1681-5_18

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-1679-2

  • Online ISBN: 978-1-4419-1681-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation