Temporary femoral nerve palsy after ilioinguinal nerve blockade combined with splash block for post-inguinal herniorrhaphy analgesia in a pediatric patient

Tung Ying Tsai, Yu Sheng Huang, Yu Chuan Tsai, Yen Chin Liu

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Transient femoral nerve palsy (TFNP) is a complication of ilioinguinal nerve block that may result from spread of large volumes of local anesthetics at the inner surface of the different fascial planes. We report a 7-year-old healthy boy who underwent right inguinal hernia repair under general anesthesia. After induction of anesthesia, a percutaneous ilioinguinal nerve block was performed with 3 mL of 2% lidocaine in single-shot. Before wound closure, the surgeon performed a splash block onto the wound with infiltration of 1.5 mL 0.25% bupivacaine. In the recovery room, quadriceps weakness and sensory loss over the anterior thigh were noted. The patient made a complete recovery 8 hrs after surgery without any treatment. We discuss the mechanism of this complication and strategies to reduce this complication.

Original languageEnglish
Pages (from-to)237-240
Number of pages4
JournalActa Anaesthesiologica Taiwanica
Volume45
Issue number4
Publication statusPublished - 2007 Dec 1

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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