The anesthesia (blockade) of canine n. femoralis may be performed either from lumbar or inguinal region. The insensibility of skin in the medial part of the thigh, tibia and tarsus as well as the akinesia of m. quadriceps femoris are attained by the anesthesia. The blockade of n. femoralis from the lumbar region often attains n. obturatorius as well. If the blockade of n. femoralis and n. ischiadicus was performed at the same time, almost all muscles of the hind limb (except m. pectineus, m. gracilis, m. obturatoris internus and m. adductor) would be inactivated, which may considerably facilitate minor surgical and postoperative interventions on the canine hind leg. Access to femoral nerve from lumbar can be recommended because of better results and easier performance and after the application of anesthetic the effect is faster and more efficient. The signs of the obturator nerve blockade were obtain in some dogs especially in dogs with long legs.
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Abteilung für Anästhesie und Intensivmedizin, LKH Graz-West, Göstingerstrasse 22, 8020 Graz, Osterreich.
For amputations of the lower limbs the combined blockade of the sciatic nerve (via the transgluteal approach) and the femoral nerve (via the inguinal route) may be a suitable alternative to general or neuroaxial anaesthetic methods. In highly comorbid, high risk patients this catheter-linked regional anaesthesia combines the advantages of avoiding controlled ventilation with decreased cardiovascular depression, as conveyed by the use of general anaesthesia or neuraxial techniques. Furthermore, improved postoperative analgesia may be achieved for several days.
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Orthopädische Klinik, Abteilung für Anästhesie und Intensivmedizin, Johann-Wolfgang Goethe Universität, Frankfurt/Main.
Objective: We compared peripheral nerve blocks (PNB, femoral nerve block together with anterior sciatic nerve block) as sole anaesthetic with epidural anaesthesia (EA) in a randomised study in patients undergoing elective arthroscopic knee surgery with respect to patient satisfaction and time required to perform each procedure.
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Anatomical possibilities of access to and blockade of m. femoralis in the dog.
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The anesthesia (blockade) of canine n. femoralis may be performed either from lumbar or inguinal region. The insensibility of skin in the medial part of the thigh, tibia and tarsus as well as the akinesia of m.
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One hundred fifty successful blockades of the lateral cutaneous nerve of the thigh according to the technique of Eriksson with 7-10 ml prilocaine 1% or bupivacaine 0.25% for meralgia paresthetica resulted unexpectedly in 4 cases of complete and 5 cases of partial motor block of the femoral nerve. The fully reversible paralysis or paresis of parts of the lower limb following blockade of the lateral cutaneous nerve of the thigh is explained as a partial 3-in-1 block.
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