• Clin Anat · Sep 2011

    A cadaveric study of injectate spread in the psoas compartment with a direct iliopsoas injection suggested for use during surgery.

    • Connor Green, Olivia Flannery, Jim Crotty, Patrick Felle, Dominic Harmon, and Eric Masterson.
    • Department of Trauma and Orthopaedics, Midwestern Regional and Croom Orthopaedic Hospital, Limerick, Ireland. connorjgreen@gmail.com
    • Clin Anat. 2011 Sep 1;24(6):763-7.

    AbstractTotal hip replacement produces significant postoperative pain. Psoas compartment block is the most effective block of the lumbar plexus in terms of pain relief and reduced blood loss. It is a proven regional technique for analgesia and anaesthesia during and after total hip replacement conferring a number of benefits to the patient. However, traditional techniques used to produce this block require increased theatre time and are associated with a number of serious complications. We present a surgeon-delivered technique for producing a lumbar plexus block using direct injection into the iliopsoas muscle when it is visible intraoperatively. This study shows a cadaveric model using methylene blue and radiopaque contrast produces injectate spread in a fashion which would produce a successful lumbar plexus block. This novel technique for lumbar plexus block affords the benefits of psoas compartment block with reduced complications and reduced administration time.Copyright © 2011 Wiley-Liss, Inc.

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