Fascial planes for regional anesthesia of the lower limb

Česká verzia

Authors: D. Nalos
Authors place of work: Masarykova nemocnice v Ústí nad Labem ; Klinika anesteziologie, perioperační a intenzivní medicíny Univerzita J. E. Purkyně v Ústí nad Labem
Published in the journal: Anest. intenziv. Med., 32, 2021, č. 1, s. 36-43
Category: Review Articles

Summary

The article is a continuation of the series on the importance of fascia for regional anesthesia. This chapter attempts to align the anatomical structure of the lower limb with the requirements for regional anesthesia. The basic structure studied are deep fascia in the thigh area – fascia lata and deep myofascial structures. Fascia lata divides the muscles of the thigh into three compartments. The thickness of the fascia late makes it impossible for the local anesthetic to penetrate into a different com partment than the one into which it was administered. The local anesthetic is spread only in the myofascial spaces of individual compartments. The anterior compartment of the thigh is supplied by the branches of n. femoralis. The medial compartment is supplied by the branches of the obturatorius nerve, and the posterior compartment is supplied by the sciatic nerve. The second part of the text is focused on a more detailed analysis of thigh areas suitable for an application of regional anesthesia.

Keywords:

fascia – ultrasound – regional anesthesia – lower limb

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