Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane Block
We present two cases of patients who reported quadriceps femoris weakness and hypoesthesia over the anterior thigh after an inguinal hernia repair under transversus abdominis plane (TAP) block. Transient femoral nerve palsy is the result of local anesthetic incorrectly injected between transversus a...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2013/874215 |
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| author | Dimitrios K. Manatakis Nikolaos Stamos Christos Agalianos Michail Athanasios Karvelis Michael Gkiaourakis Demetrios Davides |
| author_facet | Dimitrios K. Manatakis Nikolaos Stamos Christos Agalianos Michail Athanasios Karvelis Michael Gkiaourakis Demetrios Davides |
| author_sort | Dimitrios K. Manatakis |
| collection | DOAJ |
| description | We present two cases of patients who reported quadriceps femoris weakness and hypoesthesia over the anterior thigh after an inguinal hernia repair under transversus abdominis plane (TAP) block. Transient femoral nerve palsy is the result of local anesthetic incorrectly injected between transversus abdominis muscle and transversalis fascia and pooling around the femoral nerve. Although it is a minor and self-limiting complication, it requires overnight hospital stay and observation of the patients. Performing the block under ultrasound guidance and injecting the least volume of local anesthetic required are ways of minimizing its incidence. |
| format | Article |
| id | doaj-art-0079dd228d524e13a96190cb4ed13ff0 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-0079dd228d524e13a96190cb4ed13ff02025-02-03T01:07:26ZengWileyCase Reports in Anesthesiology2090-63822090-63902013-01-01201310.1155/2013/874215874215Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane BlockDimitrios K. Manatakis0Nikolaos Stamos1Christos Agalianos2Michail Athanasios Karvelis3Michael Gkiaourakis4Demetrios Davides51st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous Street, 11521 Athens, Greece1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous Street, 11521 Athens, Greece1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous Street, 11521 Athens, GreeceDepartment of Anesthesiology, Athens Naval and Veterans Hospital, 70 Dinokratous Street, 11521 Athens, GreeceDepartment of Anesthesiology, Athens Naval and Veterans Hospital, 70 Dinokratous Street, 11521 Athens, Greece1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous Street, 11521 Athens, GreeceWe present two cases of patients who reported quadriceps femoris weakness and hypoesthesia over the anterior thigh after an inguinal hernia repair under transversus abdominis plane (TAP) block. Transient femoral nerve palsy is the result of local anesthetic incorrectly injected between transversus abdominis muscle and transversalis fascia and pooling around the femoral nerve. Although it is a minor and self-limiting complication, it requires overnight hospital stay and observation of the patients. Performing the block under ultrasound guidance and injecting the least volume of local anesthetic required are ways of minimizing its incidence.http://dx.doi.org/10.1155/2013/874215 |
| spellingShingle | Dimitrios K. Manatakis Nikolaos Stamos Christos Agalianos Michail Athanasios Karvelis Michael Gkiaourakis Demetrios Davides Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane Block Case Reports in Anesthesiology |
| title | Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane Block |
| title_full | Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane Block |
| title_fullStr | Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane Block |
| title_full_unstemmed | Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane Block |
| title_short | Transient Femoral Nerve Palsy Complicating “Blind” Transversus Abdominis Plane Block |
| title_sort | transient femoral nerve palsy complicating blind transversus abdominis plane block |
| url | http://dx.doi.org/10.1155/2013/874215 |
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