Purpose: We compared the interadductor approach of obturator nerve block with the traditional approach in terms of the insertion-adductor contraction interval (ICI), success rate, completion of the block, and plasma lidocaine concentration.
Methods: An obturator nerve block by the interadductor approach was performed by needle insertion 1 cm behind the adductor longus tendon and 2 cm lateral to the pubic arch in 12 patients, and by the traditional approach in 12 patients.
Results: The ICI with the interadductor approach was significantly shorter than that with the traditional approach. The success rate, completion of the block, and plasma lidocaine concentrations were similar with both approaches.
Conclusion: The interadductor approach can provide faster identification of the obturator nerve than the traditional approach.
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http://dx.doi.org/10.1007/s005400200006 | DOI Listing |
Agri
January 2016
Department of Anesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
Objectives: Obturator nerve block is recommended to prevent obturator nerve reflex during transurethral resection. However, alternate techniques have been developed. The aim of the present study was to examine outcomes of interadductor approach.
View Article and Find Full Text PDFSaudi J Anaesth
October 2013
Department of Anaesthesiology and Pain Clinic, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India.
Background: Spasticity is a syndrome associated with a persistent increase in involuntary reflex activity of a muscle in response to stretch. Adductor muscle spasticity is a common complication of spinal cord and brain injury. It needs to be treated if it interferes with activities of daily living and self-care.
View Article and Find Full Text PDFCent European J Urol
February 2014
1 Department of Anesthesiology and Intensive Care, Medical University of Warsaw, Warsaw, Poland.
Introduction And Aim Of The Study: Spinal anesthesia for transurethral resection of bladder tumor (TURB) does not prevent unintended stimulation of the obturator nerve when electroresection is performed on the lateral wall of the bladder. It results in muscle contraction of the adductor muscles of the thigh, which may lead to perforation of bladder wall with the resectoscope loop. The aim of the study was to assess the efficacy and safety of obturator nerve block (ONB).
View Article and Find Full Text PDFMasui
May 2008
Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo 060-8543.
We reviewed the technique and anatomy for the ultrasound-guided obturator nerve block, especially interadductor approach. Although it is sometimes difficult to observe obturator nerve in the ultrasound image, obturator nerve block is completed observing three muscle layers, adductor longus muscle, adductor blevis muscle and adductor magnus muscle, in the ultrasound image. Local anesthetics are injected between the muscle layers confirming the needle tip and spread of the solution.
View Article and Find Full Text PDFJ Anesth
December 2003
Division of Anesthesiology, Okinawa Prefectural Miyako Hospital, Okinawa, Japan.
Purpose: We compared the interadductor approach of obturator nerve block with the traditional approach in terms of the insertion-adductor contraction interval (ICI), success rate, completion of the block, and plasma lidocaine concentration.
Methods: An obturator nerve block by the interadductor approach was performed by needle insertion 1 cm behind the adductor longus tendon and 2 cm lateral to the pubic arch in 12 patients, and by the traditional approach in 12 patients.
Results: The ICI with the interadductor approach was significantly shorter than that with the traditional approach.
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