Interadductor approach to obturator nerve block for transurethal resection procedure: Comparison with traditional approach

被引:15
作者
Kakinohana M. [1 ]
Taira Y. [2 ]
Saitoh T. [2 ]
Hasegawa A. [2 ]
Gakiya M. [3 ]
Sugahara K. [2 ]
机构
[1] Division of Anesthesiology, Okinawa Prefectural Miyako Hospital, Okinawa
[2] Department of Anesthesiology, University of the Ryukyus, Okinawa
[3] Division of Urology, Okinawa Prefectural Miyako Hospital, Okinawa
关键词
Insertion-adductor contraction interval (ICI); Interadductor approach; Obturator nerve block; Traditional approach;
D O I
10.1007/s005400200006
中图分类号
学科分类号
摘要
Purpose. We compared the interadductor approach of obturator nerve block with the traditional approach in terms of the insertion-adductor contraction interval (ICI), success rate, completion of the block, and plasma lidocaine concentration. Methods. An obturator nerve block by the interadductor approach was performed by needle insertion 1 cm behind the adductor longus tendon and 2 cm lateral to the pubic arch in 12 patients, and by the traditional approach in 12 patients. Results. The ICI with the interadductor approach was significantly shorter than that with the traditional approach. The success rate completion of the block, and plasma lidocaine concentrations were similar with both approaches. Conclusion. The interadductor approach can provide faster identification of the obturator nerve than the traditional approach.
引用
收藏
页码:123 / 126
页数:3
相关论文
共 5 条
[1]  
Augspurger R.R., Donohue R.E., Prevention of obturator nerve stimulation during transurethral surgery, J. Urol, 123, pp. 170-172, (1980)
[2]  
Gasparich J.P., Mason J.T., Berger R.E., Use of nerve stimulator for simple and accurate obturator nerve block before transurethral resection, J. Urol, 132, pp. 291-293, (1984)
[3]  
Wassef M.R., Interadductor approach to obturator nerve blockade for spastic conditions of adductor thigh muscles, Reg. Anesth, 19, pp. 13-17, (1993)
[4]  
Fujita Y., Kimura K., Furukawa Y., Takaori M., Plasma concentrations of lignocaine after obturator nerve block combined with spinal anaesthesia in patients undergoing transurethral resection procedures, Br. J. Anaesth, 68, pp. 596-598, (1992)
[5]  
Atanassoff P.G., Weiss B.M., Brull S.J., Lidocaine plasma levels following two techniques of obturator nerve block, J. Clin. Anesth, 8, pp. 535-539, (1996)