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BJA Advance Access originally published online on December 3, 2004
British Journal of Anaesthesia 2005 94(2):247-248; doi:10.1093/bja/aei036
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2004


CASE REPORT

Deep venous thrombosis revealed during ultrasound-guided femoral nerve block

K. M. Sutin1,*, C. Schneider2, N. S. Sandhu1 and L. M. Capan1

1 Department of Anesthesiology, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA. 2 Huntington Hospital, Department of Anesthesiology, 270 Park Avenue, Huntington, NY 11743, USA

* Corresponding author: Bellevue Hospital, Department of Anesthesiology, Room 11N34, 462 First Avenue, New York, NY 10016, USA. E-mail: kensutin{at}yahoo.com

Ultrasound imaging used to facilitate performance of a femoral nerve block also affords imaging of adjacent anatomical structures. Following a fracture of the femur, an ultrasound guided femoral nerve block (UGFNB) was performed to provide analgesia; this led to the incidental finding of a previously undiagnosed femoral vein thrombosis (DVT), resulting in a change in patient management before surgery. An inferior vena cava (IVC) filter was placed before intramedullary nailing of the fracture.


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P. M. Hopkins
Ultrasound guidance as a gold standard in regional anaesthesia
Br. J. Anaesth., March 1, 2007; 98(3): 299 - 301.
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