Anatomical considerations for obturator nerve block with fascia iliaca compartment block

被引：40
作者：
Bendtsen, Thomas Fichtner [1 ]
Pedersen, Erik Morre [2 ,3 ]
Moriggl, Bernhard [4 ]
Hebbard, Peter [5 ]
Ivanusic, Jason [6 ]
Borglum, Jens [7 ]
Nielsen, Thomas Dahl [1 ]
Peng, Philip [8 ]
机构：
[1] Aarhus Univ Hosp, Dept Anesthesiol, Aarhus, Denmark
[2] Aarhus Univ Hosp, Dept Radiol, Aarhus, Denmark
[3] Aarhus Univ, Dept Clin Med, Aarhus, Denmark
[4] Med Univ Innsbruck, Inst Clin & Funct Anat, Dept Anat Histol & Embryol, Innsbruck, Austria
[5] Univ Melbourne, Dept Anesthesia Northeast Hlth Wangaratta, Ultrasound Educ Grp, Wangaratta, Vic, Australia
[6] Univ Melbourne, Dept Anat & Physiol, Melbourne, Vic, Australia
[7] Zealand Univ Hosp, Dept Anesthesiol & Intens Care, Roskilde, Denmark
[8] Univ Hlth Network, Toronto Western Hosp, Dept Anesthesia & Pain Management, Toronto, ON, Canada
来源：
REGIONAL ANESTHESIA AND PAIN MEDICINE | 2021年 / 46卷 / 09期
关键词：
anesthesia; local; methods; nerve block;
D O I：
10.1136/rapm-2021-102553
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
This report reviews the topographical and functional anatomy relevant for assessing whether or not the obturator nerve (ON) can be anesthetized using a fascia iliaca compartment (FIC) block. The ON does not cross the FIC. This means that the ON would only be blocked by an FIC block if the injectate spreads to the ON outside of the FIC. Such a phenomena would require the creation of one or more artificial passageways to the ON in the retro-psoas compartment or the retroperitoneal compartment by disrupting the normal anatomical integrity of the FI. Due to this requirement for an artificial pathway, an FIC block probably does not block the ON.
引用
收藏
页码：806 / 812
页数：7
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