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

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    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
    Issue Date
    2012-02-03T15:07:01Z
    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
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    Citation
    Anesth Analg. 2005 Jul;101(1):259-64, table of contents.
    Journal
    Anesthesia and analgesia
    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
    ISSN
    0003-2999 (Print)
    0003-2999 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1213/01.ANE.0000153866.38440.43
    Scopus Count
    Collections
    Cork University Hospital

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