• Following the I&D procedure which was performed under general anesthesia, an ultrasound-guided left-sided femoral nerve block was performed postoperatively with sterile technique using a 5 cm, 18 gauge insulated needle at a depth of 3 cm with stimulation current as low as 0.44 mA. (hindawi.com)
  • Pacira Pharmaceuticals announced that the Phase 3 trial assessing the safety and efficacy of Exparel (bupivacaine liposome injectable suspension) in femoral nerve block for total knee arthroplasty met its primary efficacy endpoint. (empr.com)
  • Adductor canal catheters preserve quadriceps strength better than femoral nerve catheters and may facilitate postoperative ambulation following total knee arthroplasty. (springer.com)
  • Chelly JE, Greger J, Gebhard R, Coupe K, Clyburn TA, Buckle R, Criswell A. Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty. (springer.com)
  • Ambulatory continuous femoral nerve blocks decrease time to discharge readiness after tricompartment total knee arthroplasty: a randomized, triple-masked, placebo-controlled study. (springer.com)
  • Ultrasound-guided single-injection femoral nerve block provides effective analgesia after total knee arthroplasty up to 48 hours. (biomedsearch.com)
  • OBJECTIVES: The purpose of this study is to evaluate the effects of ultrasound (US) guided single-injection femoral nerve block (FNB) spinal anesthesia on pain control, morphine consumption, adverse effects, and patient satisfaction during the postoperative 48-hour period in patients undergoing total knee arthroplasty (TKA). (biomedsearch.com)
  • HIghlights the anatomy and landmarks and nerve stimulator block technique of the femoral nerve. (nysora.com)
  • Although the ability to visualize the needle and the relevant anatomy with ultrasound guidance renders nerve stimulation optional, motor response obtained during nerve stimulation often provides contributory information. (nysora.com)
  • Figure 2: (A) Cross-sectional anatomy of the femoral nerve (FN) at the level of the femoral crease. (nysora.com)
  • D5W will expand the femoral triangle and the hypoechoic fluid collection can bring the hyperechoic nerve and the fascia iliaca into view. (usra.ca)
  • Using sterile technique, make a skin wheal and then insert the long needle in-plane at the lateral edge of the probe, aiming for the space behind the nerve (or for the deep border of the triangle, if the nerve is not visualized). (emra.org)
  • B) Sonoanatomy of the FN at the femoral triangle. (nysora.com)
  • The use of nerve stimulator with ultrasonographic guidance has increased the safety of this procedure. (nih.gov)
  • The quadriceps femoris group of muscles is innervated by the femoral nerve. (vetstream.com)
  • Dynamic intraoperative assessment of patella tracking utilizes femoral nerve stimulation to contract the quadriceps muscles in assessing the proper distance to transfer the tibial tubercle during distal realignment procedures for patellofemoral instability. (pubmedcentralcanada.ca)
  • Percutaneous electromyographic (EMG) needles were placed into the quadriceps and sartorius muscles to monitor muscle activity and changes in amplitude threshold (mA) required for femoral nerve stimulation with increasing tourniquet inflation times. (pubmedcentralcanada.ca)
  • described an innovative approach known as dynamic intraoperative assessment utilizing a "stimulating" femoral catheter to directly activate the quadriceps muscle to assess patellar tracking and accomplish proper placement for the tibial tubercle osteotomy. (pubmedcentralcanada.ca)
  • Injection of D5W (1-5 mL) will also intensify the motor response to nerve stimulation. (usra.ca)
  • Studies in the human upper extremity using the spiral nerve cuff electrode have shown selective stimulation of a single muscle from a proximal location [ 8 ]. (pubmedcentralcanada.ca)
  • The purpose of this study was to intraoperatively evaluate the function of the spiral nerve cuff electrode on the femoral nerve trunk and determine nerve size and stimulation thresholds in preparation for chronic implant. (pubmedcentralcanada.ca)
  • Since the femoral nerve and artery are in close proximity and typically exposed together, this was a suitable population for femoral nerve stimulation. (pubmedcentralcanada.ca)
  • The nerve stimulation did not contribute to the outcome of the surgery. (pubmedcentralcanada.ca)
  • We describe the effects of tourniquet inflation and catheter placement on intraoperative femoral nerve stimulation for assessment of patel-lar tracking. (pubmedcentralcanada.ca)
  • Ultrasound guidance for catheter placement can provide femoral nerve stimulation at low amplitudes. (pubmedcentralcanada.ca)
  • The senior author has utilized peripheral nerve stimulation in an attempt to provide a dynamic assessment during patellar realignment procedures. (pubmedcentralcanada.ca)
  • 1 , 2 The purpose of this study was to evaluate the influence of the use of a tourniquet on intraoperative femoral nerve stimulation and the resultant muscle contraction/activity. (pubmedcentralcanada.ca)
  • A second objective is to compare the accuracy of catheter placement for nerve stimulation with and without ultrasound-guided assistance. (pubmedcentralcanada.ca)
  • Peripheral nerve stimulation is being used to add further dynamic evaluation of the patellar realignment procedures. (pubmedcentralcanada.ca)
  • 1 These two publications made it evident that the tourniquet plays a pivotal role in femoral nerve stimulation, not only regarding the duration of tourniquet inflation but also in the accurate placement of the catheter for initial stimulation. (pubmedcentralcanada.ca)
  • In this study, we explore the effects of the pneumatic tourniquet on direct femoral nerve stimulation used to perform dynamic in-traoperative assessment for patella tracking. (pubmedcentralcanada.ca)
  • Symptoms of a cervical pinched nerve include numbness, tingling, burning sensation, and pain and weakness in the affected area, according to WebMD. (reference.com)
  • Peripheral neuropathy is the term for damage to nerves of the peripheral nervous system, which may be caused either by diseases of the nerve or from the side-effects of systemic illness. (wrongdiagnosis.com)
  • They (if they are good EMGers) will check the adductor muscles, a couple of peroneal mucles and some paraspinals which will allow them to distinguish between a femoral neuropathy and an upper lumber root or plexus injury. (healthboards.com)
  • Femoral neurostenalgia is a compressive neuropathy which is an uncommon cause of hip pain in active young adults. (scielo.org.za)
  • In October 2010 she consulted a neurologist, and although the EMG results were normal he indicated that her clinical presentation was suggestive of a femoral neuropathy and referred her for an ultrasound examination. (scielo.org.za)
  • We conclude that adductor canal catheters offer both patient and provider benefits when compared to femoral nerve catheters. (springer.com)
  • 2 Several peripheral nerves are susceptible to entrapment, which is most commonly due to their anatomic position in relation to muscles, ligaments, bones or retinaculae. (scielo.org.za)
  • Femoral nerve paralysis secondary to heparin hematoma in or on the iliacus muscle occurred in two patients. (annals.org)
  • Taping the adipose tissue away helps optimize the exposure to the femoral crease in patients with morbid obesity. (nysora.com)
  • Inguinal lymph nodes also appear hyperechoic and may be confused with the nerve in the short axis view. (usra.ca)
  • The nerve is hyperechoic, usually oval or triangular shaped, and is located an average of 2-6 cm beneath the skin surface. (emra.org)