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BJA Advance Access published online on December 3, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aei036
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2004
Accepted October 18, 2004

Case Report

Deep venous thrombosis revealed during ultrasound-guided femoral nerve block

K. M. Sutin 1*, C. Schneider 2, N. S. Sandhu 1, and L. M. Capan 1

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

* To whom correspondence should be addressed.
K. M. Sutin, E-mail: kensutin{at}yahoo.com


  Abstract

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.

Keywords: anaesthetic techniques, regional; complications, cancer; embolism, thromboembolism.
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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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