FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2023191750> ?p ?o ?g. }

• W2023191750 endingPage "1148" @default.
• W2023191750 startingPage "1147" @default.
• W2023191750 abstract "In Response: We enjoy the opportunity to reply the objections from Dr. Lang relating to our new technique of ultrasonographic guided 3-in-1 blocks. It is true that the concept of localizing neural structures is not new. Our study group investigated the use of ultrasound (US) for regional anesthesia. Kapral et al. [1] observed a larger extent of block by using ultrasound for brachial plexus anesthesia. For stellate ganglion block, Kapral et al. [2] proved that direct visualization of the local anesthetic depot allows one to avoid side effects, as well as typical complications of stellate ganglion block. We agree with Lang that the single most important factor in the success or failure rate of any nerve block is where the local anesthetic is injected. One important finding of our study [3] is the possibility to visualize the femoral nerve by using US. This allows an exact positioning of the cannula tip and injection of the local anesthetic as close as possible to the femoral nerve. This is responsible for the faster onset time and the better quality of sensory blockade achieved with this technique compared with the nerve stimulator (NS) technique [3]. In addition, direct visualization of the spread of local anesthetic is useful in cases in which the cannula tip is not positioned in the right fascial space. In these cases, repositioning of the cannula tip is possible. Many authors use large amounts of local anesthetic to perform 3-in-1 blocks [4-6]. We observed excellent blocks by using 20 mL of local anesthetic under US guidance. While one study tries to prove that the obturator nerve has no consistent cutaneous sensory contribution to the thigh [7], other authors [8,9] do not agree with this hypothesis. Lang et al. [7] observed accidental motor block by blocking the sciatic nerve with a parasacral approach, but the obturatur nerve has many anatomical variations [9]. Therefore, it is possible that the obturator nerve can be blocked by using different approaches. We do not agree that we used inadequate methology when assessing blockade of the obturator nerve. The obturator nerve has a consistent cutaneous sensory contribution to the thigh [9]. In our study, evaluation of the motor blockade was not possible because all our patients had hip fractures, and we wanted to avoid possible further dislocation of the fracture. In summary, US guidance for 3-in-1 blocks is not only useful in cases in which the anatomical landmarks are difficult to identify. We also avoided accidental intravascular or intraneural [10] punctures. Despite the fact that our study was not blind, the results of our study [3] are highly significant in terms of onset time and quality of sensory block. Peter Marhofer, MD Stefan Kapral, MD Department of Anesthesiology and General Intensive Care Medicine; University of Vienna; A-1090 Vienna, Austria" @default.
• W2023191750 created "2016-06-24" @default.
• W2023191750 creator A5067945668 @default.
• W2023191750 creator A5082498519 @default.
• W2023191750 date "1998-05-01" @default.
• W2023191750 modified "2023-10-18" @default.
• W2023191750 title "Ultrasound and the Femoral Three-in-One Nerve Block" @default.
• W2023191750 cites W1966383267 @default.
• W2023191750 cites W2020134678 @default.
• W2023191750 cites W2041556910 @default.
• W2023191750 cites W2055460107 @default.
• W2023191750 cites W2095396354 @default.
• W2023191750 cites W4249734700 @default.
• W2023191750 doi "https://doi.org/10.1097/00000539-199805000-00054" @default.
• W2023191750 hasPublicationYear "1998" @default.
• W2023191750 type Work @default.
• W2023191750 sameAs 2023191750 @default.
• W2023191750 citedByCount "0" @default.
• W2023191750 crossrefType "journal-article" @default.
• W2023191750 hasAuthorship W2023191750A5067945668 @default.
• W2023191750 hasAuthorship W2023191750A5082498519 @default.
• W2023191750 hasBestOaLocation W20231917501 @default.
• W2023191750 hasConcept C126838900 @default.
• W2023191750 hasConcept C141071460 @default.
• W2023191750 hasConcept C143753070 @default.
• W2023191750 hasConcept C2524010 @default.
• W2023191750 hasConcept C2777197265 @default.
• W2023191750 hasConcept C2777210771 @default.
• W2023191750 hasConcept C2778074680 @default.
• W2023191750 hasConcept C2778162923 @default.
• W2023191750 hasConcept C2778994108 @default.
• W2023191750 hasConcept C2780394545 @default.
• W2023191750 hasConcept C2910889195 @default.
• W2023191750 hasConcept C3017725471 @default.
• W2023191750 hasConcept C33923547 @default.
• W2023191750 hasConcept C42219234 @default.
• W2023191750 hasConcept C71924100 @default.
• W2023191750 hasConceptScore W2023191750C126838900 @default.
• W2023191750 hasConceptScore W2023191750C141071460 @default.
• W2023191750 hasConceptScore W2023191750C143753070 @default.
• W2023191750 hasConceptScore W2023191750C2524010 @default.
• W2023191750 hasConceptScore W2023191750C2777197265 @default.
• W2023191750 hasConceptScore W2023191750C2777210771 @default.
• W2023191750 hasConceptScore W2023191750C2778074680 @default.
• W2023191750 hasConceptScore W2023191750C2778162923 @default.
• W2023191750 hasConceptScore W2023191750C2778994108 @default.
• W2023191750 hasConceptScore W2023191750C2780394545 @default.
• W2023191750 hasConceptScore W2023191750C2910889195 @default.
• W2023191750 hasConceptScore W2023191750C3017725471 @default.
• W2023191750 hasConceptScore W2023191750C33923547 @default.
• W2023191750 hasConceptScore W2023191750C42219234 @default.
• W2023191750 hasConceptScore W2023191750C71924100 @default.
• W2023191750 hasIssue "5" @default.
• W2023191750 hasLocation W20231917501 @default.
• W2023191750 hasOpenAccess W2023191750 @default.
• W2023191750 hasPrimaryLocation W20231917501 @default.
• W2023191750 hasRelatedWork W2003931912 @default.
• W2023191750 hasRelatedWork W2322444203 @default.
• W2023191750 hasRelatedWork W2397151683 @default.
• W2023191750 hasRelatedWork W2403421674 @default.
• W2023191750 hasRelatedWork W2418314937 @default.
• W2023191750 hasRelatedWork W2473784620 @default.
• W2023191750 hasRelatedWork W3031653640 @default.
• W2023191750 hasRelatedWork W3118462248 @default.
• W2023191750 hasRelatedWork W3161431404 @default.
• W2023191750 hasRelatedWork W4225406516 @default.
• W2023191750 hasVolume "86" @default.
• W2023191750 isParatext "false" @default.
• W2023191750 isRetracted "false" @default.
• W2023191750 magId "2023191750" @default.
• W2023191750 workType "article" @default.