An antero-lateral approach to ultrasound-guided lumbar plexus block in supine position combined with quadratus lumborum block using single-needle insertion for pediatric hip surgery

2017 ◽  
Vol 27 (10) ◽  
pp. 1064-1065 ◽  
Author(s):  
Makoto Sato ◽  
Mariko Hara ◽  
Osamu Uchida
Keyword(s):  
Supine Position ◽  
Needle Insertion ◽  
Lateral Approach ◽  
Lumbar Plexus ◽  
Hip Surgery ◽  
Ultrasound Guided ◽  
Quadratus Lumborum Block ◽  
Lumbar Plexus Block ◽  
Quadratus Lumborum ◽  
Plexus Block

A modification of ultrasound with nerve stimulation-guided lumbar plexus block in supine position for pediatric hip surgery

2018 ◽  
Vol 28 (7) ◽  
pp. 678-679 ◽  
Author(s):  
Yong Liu ◽  
Xijian Ke ◽  
Guifang Xiang ◽  
Shiqian Shen ◽  
Wei Mei
Keyword(s):  
Nerve Stimulation ◽  
Supine Position ◽  
Lumbar Plexus ◽  
Hip Surgery ◽  
Lumbar Plexus Block ◽  
Plexus Block

One operator’s experience of ultrasound guided lumbar plexus block for paediatric hip surgery

2016 ◽  
Vol 31 (2) ◽  
pp. 331-336 ◽  
Author(s):  
Yavuz Gürkan ◽  
Can Aksu ◽  
Alparslan Kuş ◽  
Kamil Toker ◽  
Mine Solak
Keyword(s):  
Lumbar Plexus ◽  
Hip Surgery ◽  
Ultrasound Guided ◽  
Lumbar Plexus Block ◽  
Plexus Block

scholarly journals Ultrasound-guided Lumbar Plexus Block in Supine Position

2018 ◽  
Vol 128 (4) ◽  
pp. 812-812 ◽  
Author(s):  
Yong Liu ◽  
Xijian Ke ◽  
Xi Wu ◽  
Wei Mei
Keyword(s):  
Supine Position ◽  
Supplemental Digital Content ◽  
Lumbar Plexus ◽  
Digital Content ◽  
Ultrasound Guided ◽  
Lumbar Plexus Block ◽  
Plexus Block

Supplemental Digital Content is available in the text.

scholarly journals Ultrasound-Guided Lumbar Plexus Block Reduces Emergence Agitation in Children Undergoing Hip Surgery: A Prospective Randomized Controlled Trial

2022 ◽  
Author(s):  
Hui Zhang ◽  
Junfeng Zhang ◽  
Xiaofeng Wang ◽  
Tao Xu ◽  
Hai Yan ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Lumbar Plexus ◽  
Hip Surgery ◽  
Emergence Agitation ◽  
Ultrasound Guided ◽  
General Anesthesia Group ◽  
Anesthesia Group ◽  
Lumbar Plexus Block ◽  
Group Control ◽  
Plexus Block

Abstract Background Emergence agitation (EA) is a common and challenging postoperative problem in children emerging from general anesthesia. It is associated with self-injury, increases stress on healthcare team members and postoperative maladaptive behavioral changes. However, no completely effective prevention has been found for EA. Pain is considered to be an important contributor to EA. Ultrasound-guided lumbar plexus block is a safe and effective anesthetic technique that can provide satisfactory pain relief in pediatric hip surgery. We aim to investigate the effect of ultrasound-guided lumbar plexus block on emergence agitation in children undergoing hip surgery. Methods This prospective, randomized, controlled study was conducted in children aged 1-6 yr undergoing elective hip surgery. Subjects were randomly assigned to receive either ultrasound-guided lumbar plexus block combined with general anesthesia (Group Block, n=60) or routine general anesthesia (Group Control, n=60). The primary outcome was the incidence of EA at 30 min after emergence from general anesthesia, assessed using the Pediatric Anesthesia Emergence Delirium (PAED) scale. The secondary outcomes included the incidence of severe EA, postoperative pain evaluated by the Children’s Hospital of eastern Ontario Pain Scale (CHEOPS) and the incidence of postoperative adverse complications. PAED, CHEOPS were measured at 0, 5, 10, 20, and 30 min after emergence from anesthesia. Results The incidence of EA was significantly lower in Group Block than in Group Control [13.3% vs. 43.3%, odds ratio (OR) 0.201, 95% confidence interval (CI) 0.082to 0.496, p<0.001]. Group Block had a lower incidence of severe EA than Group Control [3.3% vs. 18.3%, odds ratio (OR) 0.154, 95% confidence interval (CI) 0.032 to 0.727, p=0.019]. CHEOPS was lower in Group Block than in Group Control [mean (95%CI), 4.5(4.4-4.6) vs.4.9 (4.8-5.0), p<0.001]. Conclusion Ultrasound-guided lumbar plexus block could decrease the incidence and severity of emergence agitation in children undergoing hip surgery effectively. Trial registration: Chinese Clinical Trial Registry: ChiCTR-INR-17011525 (30/05/2017)

Sign in / Sign up

Export Citation Format

Share Document