Postoperative Fall after the Use of the 3-in-1 Femoral Nerve Block for Knee Surgery: A Report of Four Cases
We present a serious postoperative complication related to the use of femoral nerve block in 4 patients, each of whom fell and sustained further injury. Preoperatively, all patients underwent a 3-in-1 femoral nerve block with 30 to 35 ml of 0.25% levobupivacaine with 1:200 000 epinephrine, with guid...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2008-12-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949900801600324 |
| _version_ | 1818407870657462272 |
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| author | HDE Atkinson I Hamid CM Gupte RC Russell JM Handy |
| author_facet | HDE Atkinson I Hamid CM Gupte RC Russell JM Handy |
| author_sort | HDE Atkinson |
| collection | DOAJ |
| description | We present a serious postoperative complication related to the use of femoral nerve block in 4 patients, each of whom fell and sustained further injury. Preoperatively, all patients underwent a 3-in-1 femoral nerve block with 30 to 35 ml of 0.25% levobupivacaine with 1:200 000 epinephrine, with guidance by a nerve stimulator. After the falls, neurological examination of the operated legs revealed reduced 2-point discrimination, pain, and/or light touch sensation. All patients underwent further operation for the fall injury and had delayed full weight bearing. We recommend that, after having a femoral nerve block, patients should undergo enhanced postoperative evaluation of blockade and proprioceptive function to ensure safe neurological function before mobilisation. |
| first_indexed | 2024-12-14T09:34:42Z |
| format | Article |
| id | doaj.art-f7d99e7d089e45ef9f22b42e70ac67d9 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-14T09:34:42Z |
| publishDate | 2008-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-f7d99e7d089e45ef9f22b42e70ac67d92022-12-21T23:07:59ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902008-12-011610.1177/230949900801600324Postoperative Fall after the Use of the 3-in-1 Femoral Nerve Block for Knee Surgery: A Report of Four CasesHDE Atkinson0I Hamid1CM Gupte2RC Russell3JM Handy4 Department of Trauma and Orthopaedics, Imperial College School of Medicine, St Mary's Hospital, London, United Kingdom The Hillingdon Hospital, Uxbridge, Middlesex, United Kingdom Department of Orthopaedics and Traumatology, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, United Kingdom Department of Trauma and Orthopaedics, Imperial College School of Medicine, St Mary's Hospital, London, United Kingdom Department of Anaesthetics, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, United KingdomWe present a serious postoperative complication related to the use of femoral nerve block in 4 patients, each of whom fell and sustained further injury. Preoperatively, all patients underwent a 3-in-1 femoral nerve block with 30 to 35 ml of 0.25% levobupivacaine with 1:200 000 epinephrine, with guidance by a nerve stimulator. After the falls, neurological examination of the operated legs revealed reduced 2-point discrimination, pain, and/or light touch sensation. All patients underwent further operation for the fall injury and had delayed full weight bearing. We recommend that, after having a femoral nerve block, patients should undergo enhanced postoperative evaluation of blockade and proprioceptive function to ensure safe neurological function before mobilisation.https://doi.org/10.1177/230949900801600324 |
| spellingShingle | HDE Atkinson I Hamid CM Gupte RC Russell JM Handy Postoperative Fall after the Use of the 3-in-1 Femoral Nerve Block for Knee Surgery: A Report of Four Cases Journal of Orthopaedic Surgery |
| title | Postoperative Fall after the Use of the 3-in-1 Femoral Nerve Block for Knee Surgery: A Report of Four Cases |
| title_full | Postoperative Fall after the Use of the 3-in-1 Femoral Nerve Block for Knee Surgery: A Report of Four Cases |
| title_fullStr | Postoperative Fall after the Use of the 3-in-1 Femoral Nerve Block for Knee Surgery: A Report of Four Cases |
| title_full_unstemmed | Postoperative Fall after the Use of the 3-in-1 Femoral Nerve Block for Knee Surgery: A Report of Four Cases |
| title_short | Postoperative Fall after the Use of the 3-in-1 Femoral Nerve Block for Knee Surgery: A Report of Four Cases |
| title_sort | postoperative fall after the use of the 3 in 1 femoral nerve block for knee surgery a report of four cases |
| url | https://doi.org/10.1177/230949900801600324 |
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