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N Y Mansour

Publications and source records attributed to N Y Mansour.

8 recordsLinked to original sources
PubMedDate not supplied

3-in-1 or 4-in-1?

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Femoral Nerve↗
PubMedDate not supplied

Compartment block for foot surgery. A new approach to tibial nerve and common peroneal nerve block.

BACKGROUND AND OBJECTIVES: The concept of single injections of local anesthetics into fascial compartments was pioneered by Winnie in reports on paravascular techniques. Winnie described an axillary approach for brachial plexus block and the inguinal route for lumbar plexus block. The compartmental principle can, with advantage, be extended to more peripheral anesthesia of the tibial and common peroneal nerves by the use of osteofascial compartments in the leg. METHODS: A brief description of the relevant anatomy is followed by the method and results of a study designed to test the ease of performance and efficacy of these techniques for 20 healthy patients scheduled for foot surgery. RESULTS: The new blocks were easy to perform and the patients experienced prolonged postoperative analgesia probably due to confinement of the local anesthetic in enclosed compartments. CONCLUSIONS: Further studies of compartmental anesthesia for other nerve trunks and plexuses may be of value.

Electric Stimulation↗
PubMedDate not supplied

An observational study of combined continuous lumbar plexus and single-shot sciatic nerve blocks for post-knee surgery analgesia.

BACKGROUND AND OBJECTIVES: In a study of postoperative analgesia after major knee surgery, an assessment was made of the efficacy of continuous lumbar plexus block combined with a single-shot block of the sciatic nerve. METHODS: Continuous perivascular femoral and parasacral sciatic nerve blocks were performed in 59 patients of both sexes, who had undergone either total knee replacement or cruciate ligament reconstruction. An independent assessment of postoperative pain control and side effects was made. RESULTS: The combination technique produced pain control of good quality, combined with a low incidence of excessive sedation and emesis. Nausea and vomiting were infrequent, and no excess sedation, untoward side effects, or complications were noted. CONCLUSIONS: Sciatic nerve block is essential for successful analgesia during the immediate postoperative period but is not mandatory for longer-term pain control, which can be achieved by continuous lumbar plexus block.

Adolescent↗