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- W Michael Bullock, Suraj M Yalamuri, Stephen H Gregory, David B Auyong, and Stuart A Grant.
- Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina, USA.
- J Ultrasound Med. 2017 Feb 1; 36 (2): 433-438.
AbstractAnalgesia after total hip arthroplasty is often accomplished by the fascia iliaca compartment block, traditionally performed below the inguinal ligament, to anesthetize both femoral and lateral femoral cutaneous nerves. The course of the lateral femoral cutaneous nerve below the inguinal ligament is variable as opposed to consistent above the inguinal ligament in the pelvis. In this case series including 5 patients, we demonstrate that an ultrasound-guided suprainguinal fascia iliaca approach would consistently anesthetize the lateral femoral cutaneous nerve along with anterior cutaneous femoral nerve branches and provide cutaneous analgesia after total hip arthroplasty, as shown by decreased opioid consumption.© 2016 by the American Institute of Ultrasound in Medicine.
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