Falls associated with lower-extremity-nerve blocks: A pilot investigation of mechanisms

被引：72
|
作者：
Muraskin, Samuel I.
Conrad, Bryan
Zheng, Naiquan
Morey, Timothy E.
Enneking, F. Kayser
机构：
[1] Univ Florida, Dept Anesthesiol, Gainesville, FL 32610 USA
[2] Univ Florida, Dept Orthoped, Gainesville, FL 32610 USA
[3] Univ Florida, Dept Rehabil Med, Gainesville, FL 32610 USA
[4] Univ Florida, Biomed Mot Anal Lab, Gainesville, FL 32610 USA
来源：
REGIONAL ANESTHESIA AND PAIN MEDICINE | 2007年 / 32卷 / 01期
关键词：
femoral-nerve block; sciatic-nerve block; femoral-sciatic-nerve block; falls; postoperative; complications; balance after surgery;
D O I：
10.1016/j.rapm.2006.08.013
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Objective: Documented falls after lower-extremity-nerve blocks are rare. We believe this paucity of documented falls is the result of underreporting, and the lack of serious complications resulting from these falls. In addition, the mechanism(s) for falls after lower-extremity-nerve blocks has not been elucidated. Case Reports: These reports highlight the mechanism of fall in a patient with a temporal-nerve block (FNB) and in a patient with a femoral-nerve and sciatic-nerve block (FNB/SNB). In addition, we report our findings when volunteers underwent FNB, sciatic-nerve block (SNB) and FNB/SNB and were studied in a gait-analysis laboratory. Conclusions: Lower-extremity-nerve blocks result in decreased leg stiffness and lateral instability, which may lead to difficulty with pivoting maneuvers.
引用
收藏
页码：67 / 72
页数：6
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