A possible mechanism of motor blockade of high volume pericapsular nerve group (PENG) block: A cadaveric study

A possible mechanism of motor blockade of high volume pericapsular nerve group (PENG) block: A cadaveric study

Ahiskalioglu et al. performed PENG block with 30 ml LA in two patients and reported quadriceps weakness in one of them [3]. [...]the mechanism of motor weakness and spread of LA during PENG is still unclear. Lateral femoral cutaneous nerve (LFCN) (L2−L3) innervates the lateral part of the thigh, FN...

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Veröffentlicht in:Journal of clinical anesthesia 2021-11, Vol.74, p.110407-110407, Article 110407
Hauptverfasser: Ciftci, Bahadir, Ahiskalioglu, Ali, Altintas, Hilal Melis, Tekin, Bahar, Sakul, Bayram Ufuk, Alici, Haci Ahmet
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Sprache:eng
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Cadaver
Cadavers
Femoral Nerve
Fractures
Humans
Nerve Block - adverse effects
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container_end_page 110407
container_issue
container_start_page 110407
container_title Journal of clinical anesthesia
container_volume 74
creator Ciftci, Bahadir
Ahiskalioglu, Ali
Altintas, Hilal Melis
Tekin, Bahar
Sakul, Bayram Ufuk
Alici, Haci Ahmet
description Ahiskalioglu et al. performed PENG block with 30 ml LA in two patients and reported quadriceps weakness in one of them [3]. [...]the mechanism of motor weakness and spread of LA during PENG is still unclear. Lateral femoral cutaneous nerve (LFCN) (L2−L3) innervates the lateral part of the thigh, FN (L2-L4), and ON (L2-L4) innervate anteromedial-distal thigh. [...]LFCN is also essential for analgesia of the hip due to surgical incision [8]. According to Giron-Arango et al., volumes greater than 20 ml could cause undesired motor block by anesthetic spreading between the pectineus and psoas to target the FN [6].
doi_str_mv 10.1016/j.jclinane.2021.110407
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subjects Cadaver
Cadavers
Femoral Nerve
Fractures
Humans
Nerve Block - adverse effects
title A possible mechanism of motor blockade of high volume pericapsular nerve group (PENG) block: A cadaveric study
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