학술논문

A case report of an innovative ultrasound-assisted patient tailored lumbar plexus block with alternative anatomical landmarks in a traumatic femur fracture in a 16 year old boy.
Document Type
Article
Source
Pediatric Anesthesia & Critical Care Journal (PACCJ). 2023, Vol. 11 Issue 2, p124-128. 5p.
Subject
*FEMORAL fractures
*NERVE block
*ULTRASONIC imaging
Language
ISSN
2281-8421
Abstract
Lumbar plexus block (LPB) is an advanced regional anesthesia technique practiced by relatively few experienced regional anesthesiologists. Difficulties are linked to the depth of structures and the high risk of accidental punctures, lowering its safety expecially in obese or unfavorable patients. Although modern ultrasound guidance may allow visualization of the lumbar plexus, ultrasound-guided techniques (i.e., Shamrock and Trident techniques) still require additional expertise while being operator-dependent and not suitable in every patient, which represents the most frequent "real world" scenario. Given its usefulness in lower limbs surgery, we struggled to develop a new ultrasound-assisted patient-tailored Traditional Chinese Medicine based operating protocol to increase its safety and constancy of performance and applied it to a traumatic right femur fracture surgery of a 16-year-old boy. [ABSTRACT FROM AUTHOR]