Anatomical considerations for obturator nerve block with fascia iliaca compartment block.


Journal

Regional anesthesia and pain medicine
ISSN: 1532-8651
Titre abrégé: Reg Anesth Pain Med
Pays: England
ID NLM: 9804508

Informations de publication

Date de publication:
09 2021
Historique:
received: 01 02 2021
revised: 04 04 2021
accepted: 05 04 2021
pubmed: 30 4 2021
medline: 28 10 2021
entrez: 29 4 2021
Statut: ppublish

Résumé

This report reviews the topographical and functional anatomy relevant for assessing whether or not the obturator nerve (ON) can be anesthetized using a fascia iliaca compartment (FIC) block. The ON does not cross the FIC. This means that the ON would only be blocked by an FIC block if the injectate spreads to the ON outside of the FIC. Such a phenomena would require the creation of one or more artificial passageways to the ON in the retro-psoas compartment or the retroperitoneal compartment by disrupting the normal anatomical integrity of the FI. Due to this requirement for an artificial pathway, an FIC block probably does not block the ON.

Identifiants

pubmed: 33911025
pii: rapm-2021-102553
doi: 10.1136/rapm-2021-102553
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

806-812

Informations de copyright

© American Society of Regional Anesthesia & Pain Medicine 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Thomas Fichtner Bendtsen (TF)

Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark tfb@dadlnet.dk.

Erik Morre Pedersen (EM)

Department of Radiology, Aarhus University Hospital, Aarhus, Denmark.
Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Bernhard Moriggl (B)

Institute of Clinical and Functional Anatomy, Department of Anatomy, Histology and Embryology, Medical University of Innsbruck, Innsbruck, Austria.

Peter Hebbard (P)

Department of Anesthesia Northeast Health Wangaratta, Ultrasound Education Group, University of Melbourne, Wangaratta, Victoria, Australia.

Jason Ivanusic (J)

Department of Anatomy and Physiology, University of Melbourne, Melbourne, Victoria, Australia.

Jens Børglum (J)

Department of Anesthesiology and Intensive Care, Zealand University Hospital, Roskilde, Denmark.

Thomas Dahl Nielsen (TD)

Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.

Philip Peng (P)

Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

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Classifications MeSH