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Circumpsoas Block ... an Anterior Myofascial Plane Block for Lumbar Plexus Elements: Case Report

Overview
Journal Braz J Anesthesiol
Specialty Anesthesiology
Date 2021 May 2
PMID 33933536
Citations 4
Authors
Sandeep Diwan
Abhijit Nair
Nitin Gawai
Dipal Shah
Parag Sancheti
Affiliations
Soon will be listed here.
Abstract

In an attempt to improvise the analgesia in patients with femoral fractures, we aimed at depositing local anesthetic deep to anterior psoas fascia (APf) under ultrasound (US) guidance to block lumbar plexus elements which emerge lateral, anterior, and medial to the psoas major muscle. We termed this as circumpsoas block (CPB). Clinical and computed tomography contrast studies revealed that a continuous CPB infusion with a catheter provided a reliable block of the lumbar plexus elements. No adverse were events noted. We conclude that US guided CPB is a reliable technique for managing postoperative pain after surgery of femur fractures.

Citing Articles

Dissimilar Planes and Approaches with Common Neural Targets - A Cadaveric Evaluation of Three Different Ultrasound-guided Fascial Plane Blocks for Lumbar Plexus Nerves.

Diwan S, Feigl G, Shivaprakash S, Areti A J Med Ultrasound. 2024; 32(3):227-232.

PMID: 39310877 PMC: 11414952. DOI: 10.4103/jmu.jmu_70_23.

Circum-Psoas Block versus Supra-Inguinal Fascia Iliaca Block for Postoperative Analgesia in Patients Undergoing Total Hip Arthroplasty: A Randomized Clinical Trial.

Zheng J, Mi Y, Liang J, Li H, Shao P, Wen H J Pain Res. 2023; 16:3961-3970.

PMID: 38026457 PMC: 10675663. DOI: 10.2147/JPR.S435159.

The novel proximal para-iliopsoas (PPIP) block for hip surgery: A technical report.

Almeida C Indian J Anaesth. 2023; 66(12):885-886.

PMID: 36654891 PMC: 9842076. DOI: 10.4103/ija.ija_735_22.

Evaluation of Sensory Loss Obtained by Circum-Psoas Blocks in Patients Undergoing Total Hip Replacement: A Descriptive Pilot Study.

Li H, Shi R, Shao P, Wang Y J Pain Res. 2022; 15:827-835.

PMID: 35378731 PMC: 8976501. DOI: 10.2147/JPR.S354829.

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