1. The following nerves arise from the lumbar plexus; a. Lateral Cutaneous Nerve of the Thigh b. Obturator nerve c. Tibial nerve d. Saphenous nerve e. Sural nerve 2. Stimulation of hamstrings or knee flexion are acceptable motor responses using the PNS prior to LA injection. 3. Complications of Lumbar Plexus block include; a. Epidural block b. Sub arachnoid/intrathecal injection c. Cardiovascul...

Lichtenstein technique requires identification of the iliohypogastric, ilioinguinal, and genital branch of the genitofemoral nerves.The aim of the study was to verify if the transverse incision is suitable for identification of the iliohypogastric, ilioinguinal, and genital branch of the genitofemoral nerves.This study included 29 patients who underwent hernioplasty, and also 10 dissections of ...

The effect of adding clonidine to local anesthetics for nerve or plexus blocks remains unclear. The authors searched for randomized placebo-controlled trials testing the impact of adding clonidine to local anesthetics for peripheral single-injection nerve or plexus blocks in adults undergoing any surgery (except eye) without general anesthesia. Twenty trials (1,054 patients, 573 received clonid...

Children with trisomy 18 have abnormal airway anatomy, making their management challenging. Only a few papers comprehensively described and discussed the use of supraglottic devices in patients 18. We present case 20-month-old boy who was scheduled for open repair right inguinal hernia. He had micrognathia, short neck, an atrial septal defect but clinically stable condition. A device inserted u...

Objective: To compare the duration and effectiveness of postoperative analgesia provided by caudal block versus combined Ilioinguinal Iliohypogastric nerve in pediatric infra-umbilical surgeries.Study Design: Quasi-experimental.Place Duration Study: The study was carried out at Anesthesia Department Pak Emirates Military Hospital (PEMH) Rawalpindi, Pakistan, from June 2021 to December 2021.Mate...

BACKGROUND The transversus abdominis plane (TAP) block is a regional anesthesia technique that effectively reduces the pain intensity and use of analgesia in abdominal surgery. The aim of this study was to determine the utility of the ultrasound-guided TAP block in improving the efficacy of the ultrasound-guided ilioinguinal/iliohypogastric nerve (IIN/IHN) block for intraoperative anesthesia an...

OBJECTIVES We hypothesized that preoperative (pre-op) ultrasound (US)-guided posterior transversus abdominis plane block (TAP) and US-guided ilioinguinal and iliohypogastric nerve block (ILI+IHG) will produce a comparable analgesia after Lichtenstein patch tension-free method of open inguinal hernia repair in adult men. The genital branch of the genitofemoral nerve will be blocked separately. ...