Anesthesia Key

Perspective This block is useful for surgical procedures carried out on the anterior thigh, both superficial and deep. It is most frequently combined with other lower extremity peripheral blocks to…

Key Points • The success of the block depends on the appropriate spread of local anesthetics in the appropriate fascial planes superficially and deeply to the adductor brevis muscle. •…

Key Points • This block can be used to provide postoperative analgesia following hip surgery, upper lateral thigh skin grafting, and neurolysis for refractory meralgia paresthetica. • Combined with other…

Inguinal perivascular block (three-in-one block) Perspective The inguinal perivascular block is based on the concept of injecting local anesthetic near the femoral nerve in an amount sufficient to track proximally…

Key Points • A high-frequency linear transducer is preferred for this block. • The fascia iliaca compartmental block (FICB) can be used as an alternative anterior approach to the lumbar…

Perspective The sciatic nerve is one of the largest nerve trunks in the body, yet few surgical procedures can be performed with sciatic block alone. It is combined most often…

Key points • Intravenous (IV) regional anesthesia is usually achieved using dilute lidocaine 0.5%; 50 mL of prilocaine has also been used successfully. • The IV regional block is useful…

Key points • Unlike the upper extremity, there are two nerve plexuses innervating the lower extremity; the lumbar plexus innervates the ventral aspect, whereas the lumbosacral plexus primarily innervates the…

Key points • Blockade of peripheral nerves of the upper extremity is often accomplished by brachial plexus approaches. However, conditions such as infections to brachial plexus sites, coagulopathy, single nerve…

Perspective Axillary brachial plexus block is most effective for surgical procedures distal to the elbow. Some patients can undergo procedures on the elbow or lower humerus with an axillary technique,…