Local anaesthesia and inguinal hernia repair: a cautionary tale.
Two patients undergoing inguinal herniorrhaphy developed transient quadriceps paresis after local inguinal nerve block. One sustained a compound fracture of the distal tibia and fibula. The importance of warning the patient and of increasing the awareness of nursing staff to the possibility of quadriceps weakness after use of local anaesthetic is emphasised.
Széll
K
K
Department of Surgery, Ipswich Hospital, Suffolk.
D000058:Accidental Falls; D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects*; D005360:Fibula / Q000293:injuries; D050723:Fractures, Bone / Q000209:etiology; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D010243:Paralysis / Q000209:etiology*; D013978:Tibial Fractures / Q000209:etiology