In with the new, out with the old? Comparison of two approaches for psoas compartment block.

Hdl Handle:
http://hdl.handle.net/10147/208905
Title:
In with the new, out with the old? Comparison of two approaches for psoas compartment block.
Authors:
Mannion, Stephen; O'Callaghan, Sheila; Walsh, Mary; Murphy, Damian B; Shorten, George D
Affiliation:
MRCPI, FCARCSI, Department of Anesthesia and Intensive Care, Cork University, Hospital, Cork, Ireland. mannionstephen@hotmail.com
Citation:
Anesth Analg. 2005 Jul;101(1):259-64, table of contents.
Journal:
Anesthesia and analgesia
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208905
DOI:
10.1213/01.ANE.0000153866.38440.43
PubMed ID:
15976242
Abstract:
We compared the approaches of Winnie and Capdevila for psoas compartment block (PCB) performed by a single operator in terms of contralateral spread, lumbar plexus blockade, and postoperative analgesic efficacy. Sixty patients underwent PCB (0.4 mL/kg levobupivacaine 0.5%) and subsequent spinal anesthesia for primary joint arthroplasty (hip or knee) in a prospective, double-blind study. Patients were randomly allocated to undergo PCB by using the Capdevila (group C; n = 30) or a modified Winnie (group W; n = 30) approach. Contralateral spread and lumbar plexus blockade were assessed 15, 30, and 45 min after PCB. Contralateral spread (bilateral from T4 to S5) and femoral and lateral cutaneous nerve block were evaluated by sensory testing, and obturator motor block was assessed. Bilateral anesthesia occurred in 10 patients in group C and 12 patients in group W (P = 0.8). Blockade of the femoral, lateral cutaneous, and obturator nerves was 90%, 93%, and 80%, respectively, for group C and 93%, 97%, and 90%, respectively, for group W (P > 0.05). No differences were found in PCB procedure time, pain scores, 24-h morphine consumption, or time to first morphine analgesia.
Language:
eng
MeSH:
Aged; Anesthesia, General; Anesthesia, Spinal; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Double-Blind Method; Electric Stimulation; Female; Femoral Nerve/physiology; Hemodynamics/drug effects; Humans; Lumbosacral Plexus; Male; Monitoring, Intraoperative; Nerve Block/*methods; Pain, Postoperative/drug therapy/prevention & control; Prospective Studies; *Psoas Muscles
ISSN:
0003-2999 (Print); 0003-2999 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMannion, Stephenen_GB
dc.contributor.authorO'Callaghan, Sheilaen_GB
dc.contributor.authorWalsh, Maryen_GB
dc.contributor.authorMurphy, Damian Ben_GB
dc.contributor.authorShorten, George Den_GB
dc.date.accessioned2012-02-03T15:07:01Z-
dc.date.available2012-02-03T15:07:01Z-
dc.date.issued2012-02-03T15:07:01Z-
dc.identifier.citationAnesth Analg. 2005 Jul;101(1):259-64, table of contents.en_GB
dc.identifier.issn0003-2999 (Print)en_GB
dc.identifier.issn0003-2999 (Linking)en_GB
dc.identifier.pmid15976242en_GB
dc.identifier.doi10.1213/01.ANE.0000153866.38440.43en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208905-
dc.description.abstractWe compared the approaches of Winnie and Capdevila for psoas compartment block (PCB) performed by a single operator in terms of contralateral spread, lumbar plexus blockade, and postoperative analgesic efficacy. Sixty patients underwent PCB (0.4 mL/kg levobupivacaine 0.5%) and subsequent spinal anesthesia for primary joint arthroplasty (hip or knee) in a prospective, double-blind study. Patients were randomly allocated to undergo PCB by using the Capdevila (group C; n = 30) or a modified Winnie (group W; n = 30) approach. Contralateral spread and lumbar plexus blockade were assessed 15, 30, and 45 min after PCB. Contralateral spread (bilateral from T4 to S5) and femoral and lateral cutaneous nerve block were evaluated by sensory testing, and obturator motor block was assessed. Bilateral anesthesia occurred in 10 patients in group C and 12 patients in group W (P = 0.8). Blockade of the femoral, lateral cutaneous, and obturator nerves was 90%, 93%, and 80%, respectively, for group C and 93%, 97%, and 90%, respectively, for group W (P > 0.05). No differences were found in PCB procedure time, pain scores, 24-h morphine consumption, or time to first morphine analgesia.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAnesthesia, Generalen_GB
dc.subject.meshAnesthesia, Spinalen_GB
dc.subject.meshArthroplasty, Replacement, Hipen_GB
dc.subject.meshArthroplasty, Replacement, Kneeen_GB
dc.subject.meshDouble-Blind Methoden_GB
dc.subject.meshElectric Stimulationen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFemoral Nerve/physiologyen_GB
dc.subject.meshHemodynamics/drug effectsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLumbosacral Plexusen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMonitoring, Intraoperativeen_GB
dc.subject.meshNerve Block/*methodsen_GB
dc.subject.meshPain, Postoperative/drug therapy/prevention & controlen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.mesh*Psoas Musclesen_GB
dc.titleIn with the new, out with the old? Comparison of two approaches for psoas compartment block.en_GB
dc.contributor.departmentMRCPI, FCARCSI, Department of Anesthesia and Intensive Care, Cork University, Hospital, Cork, Ireland. mannionstephen@hotmail.comen_GB
dc.identifier.journalAnesthesia and analgesiaen_GB
dc.description.provinceMunster-

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