[Inguinal paravascular block (3-in-1 block)].
The three main nerves from the lumbar plexus may be blocked by injection of local anesthetic into the facial envelope of the femoral nerve ("three-in-one block"). The femoral nerve may be localized by obtaining paresthesia, by employing a nerve stimulator or by the loss of resistance technique. We prefer the use of a nerve stimulator. The "three-in-one block" may be employed for immediately pain relief of pain and for treatment of postoperative pain from fractures in the hip, femur and knee. Introduction of a catheter into the femoral nerve sheath is recommended to provide continuous block of the lumbar plexus for relief of postoperative pain.
Arhus Amtssygehus, anaestesiologisk afdeling.
E
E
Anker-Møller
J B
JB
Dahl
N L
NL
Spangsberg
P
P
Schultz
M
M
Wernberg
D000772:Anesthesia, Local; D005267:Femoral Nerve / Q000187:drug effects; D006801:Humans; D008160:Lumbosacral Plexus; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control*
Den ingvinale paravaskulaere blokade ("3-i-1" blok).