Figure - available from: Case Reports in Anesthesiology
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(a) Ultrasound probe placement for common peroneal nerve block at the head of the fibula. (b) Sonogram of the common peroneal nerve at the head of the fibula (arrow). F: fibula.
Source publication
The number of obese patients has increased dramatically worldwide. Morbid obesity is associated with an increased incidence of medical comorbidities and restricts the application choices in anesthesiology. We report a successfully performed combined ultrasound-guided blockade of the femoral, tibial, and common peroneal nerve in a superobese patient...
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Background:
Postoperative pain control and enhanced mobilization, muscle strength and range of motion following total knee arthroplasty (TKA) are pivotal requisites to optimize rehabilitation and early recovery. The aim of the study was to analyze the effect of local infiltration analgesia (LIA), peripheral nerve blocks, general and spinal anesthe...
Citations
Obesity has become a major problem for the treatment of arthritis of the knee. The patients have multiple comorbidities that contribute to the perioperative increase in complications, and the surgical exposure, itself, is far more difficult than the normal size knee joint. The preoperative evaluation must be thorough to expose any and all associated medical problems, and the patient should be optimized as thoroughly as possible. The surgical procedure demands proper exposure, and the choice of the implant may need to be modified to protect the prosthetic device from subsequent loosening.
