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British Journal of Anaesthesia 2008 100(4):533-537; doi:10.1093/bja/aen026
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Ultrasound-guided lumbar plexus block through the acoustic window of the lumbar ultrasound trident

M. K. Karmakar*, A. M.-H. Ho, X. Li, W. H. Kwok, K. Tsang and W. D. Ngan Kee

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin NT, Hong Kong, SAR, China

* Corresponding author. E-mail: karmakar{at}cuhk.edu.hk

Lumbar plexus block (LPB) is frequently used in combination with an ipsilateral sacral plexus or sciatic nerve block for lower limb surgery. This is traditionally performed using surface anatomical landmarks, and the site for local anaesthetic injection is confirmed by observing quadriceps muscle contraction to peripheral nerve stimulation. In this report, we describe a technique of ultrasound-guided LPB that was successfully used, in conjunction with a sciatic nerve block, for anaesthesia during emergency lower limb surgery. The anatomy, sonographic features, technique of identifying the lumbar plexus, and the potential benefits of using this approach are discussed.

Keywords: anaesthetic techniques, regional, lumbar plexus; nerve block, ultrasound guided


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Lumbar plexus block using ultrasound guidance: A win-win situation in pediatrics!
Courtney Hardy, et al.
British Journal of Anaesthesia, 26 Mar 2008 [Full text]

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