Abstract
Regional anesthesia is an important adjunct for analgesia following hip, pelvis, and upper leg procedures. These techniques are utilized in a variety of patient populations including trauma, sports medicine, and geriatrics. Benefits of regional anesthesia in these populations include reduced opioid requirements, which minimizes side-effects of these medications. Nerve blocks may be performed before or after the planned procedure and special consideration of the risks, benefits, complications, and alternatives of regional anesthesia should be considered given the type or surgery and specific patient characteristics. Common blocks used to provide analgesia to the hip, pelvis, and upper leg include lumbar plexus, fascia iliaca, femoral, and obturator nerve blocks. This chapter discusses common surgical procedures of the hip, pelvis, and upper leg and applicable regional anesthetic techniques.
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References
Tran DQ, Salinas FV, Benzon HT, Neal JM. Lower extremity regional anesthesia: essentials of our current understanding. Reg Anesth Pain Med. 2019;44(2):143–80.
Hadzic A, editor. Hadzic’s textbook of regional anesthesia and acute pain management. 2nd ed. New York, NY: McGraw-Hill Education; 2017.
Vloka JD, Hadzic A, Drobnik L, Ernest A, Reiss W, Thys DM. Anatomical landmarks for femoral nerve block: a comparison of four needle insertion sites. Anesth Analg. 1999;89(6):1467.
Hara K, Sakura S, Shido A. Ultrasound-guided lateral femoral cutaneous nerve block: comparison of two techniques. Anaesth Intensive Care. 2011;39(1):69–72.
Butterworth JF, Mackey DC, Wasnick JD. Morgan & Mikhail’s clinical anesthesiology. New York, NY: McGraw-Hill; 2013.
Pardo M, Miller RD. Basics of anesthesia e-book. Philadelphia, PA: Elsevier Health Sciences; 2017.
Desmet M, Balocco AL, Van Belleghem V. Fascia iliaca compartment blocks: different techniques and review of the literature. Best Pract Res Clin Anaesthesiol. 2019;33(1):57–66.
Amato PE, Thames MR. How I do it: suprainguinal fascia iliaca block. ASRA News. 2020:45.
Horlocker TT, Wedel DJ, Rowlingson JC, Enneking FK, Kopp SL, Benzon HT, Brown DL, Heit JA, Mulroy MF, Rosenquist RW, Tryba M. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines. Reg Anesth Pain Med. 2010;35(1):64–101.
Stevens RD, Van Gessel E, Flory N, Fournier R, Gamulin Z. Lumbar plexus block reduces pain and blood loss associated with total hip arthroplasty. J Am Soc Anesthesiol. 2000;93(1):115–21.
Hanna MH, Peat SJ, d’Costa F. Lumbar plexus block: an anatomical study. Anaesthesia. 1993;48(8):675–8.
Awad IT, Duggan EM. Posterior lumbar plexus block: anatomy, approaches, and techniques. Reg Anesth Pain Med. 2005;30(2):143–9.
Xiao JY, Fang Y, Yu Y, Li J, Luo YR, Liu Y, Mei W. Ultrasound guidance and nerve stimulation combined versus nerve stimulation alone for lumbar plexus block: a randomized controlled trial. Curr Med Sci. 2020;40(6):1182–90.
Liu Y, Ke X, Wu X, Mei W. Ultrasound-guided lumbar plexus block in supine position. Anesthesiology. 2018;128(4):812.
Jaffe RA, Schmiesing CA, Golianu B, editors. Anesthesiologist’s manual of surgical procedures. Philadelphia, PA: Lippincott Williams & Wilkins; 2014.
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Hollis, N., Glines, K. (2023). Acute Pain Management Protocol for Pelvic, Hip and Proximal Femur Procedures. In: Li, J., Jiang, W., Vadivelu, N. (eds) First Aid Perioperative Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-031-21291-8_22
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DOI: https://doi.org/10.1007/978-3-031-21291-8_22
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