腰丛
医学
超声波
腰椎
解剖
腰骶丛
神经阻滞
坐骨神经
神经丛
磁共振神经造影术
外科
放射科
磁共振成像
作者
Manoj K. Karmakar,A. M.-H. Ho,X. Li,Wai‐Him Kwok,Kenneth W. Tsang,Warwick D. Ngan Kee
摘要
Lumbar plexus block (LPB) is frequently used in combination with an ipsilateral sacral plexus or sciatic nerve block for lower limb surgery. This is traditionally performed using surface anatomical landmarks, and the site for local anaesthetic injection is confirmed by observing quadriceps muscle contraction to peripheral nerve stimulation. In this report, we describe a technique of ultrasound-guided LPB that was successfully used, in conjunction with a sciatic nerve block, for anaesthesia during emergency lower limb surgery. The anatomy, sonographic features, technique of identifying the lumbar plexus, and the potential benefits of using this approach are discussed.
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