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© 2006 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 25:1571-1575 • 0278-4297

Technical Advance

Sonographically Guided Ilioinguinal Nerve Block

Michael Gofeld, MD and Monique Christakis, MD, FRCPC

Departments of Anesthesia (M.G.) and Diagnostic Imaging (M.C.), Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.

Address correspondence to Michael Gofeld, MD, Department of Anesthesia, Sunnybrook Health Sciences Center, 2075 Bayview Ave, MG-630, Toronto, ON M4N 3M5, Canada M4N 3M5. E-mail: michael.gofeld{at}sunnybrook.ca

Objective. The aim of this study was to describe a sonographically guided ilioinguinal nerve block in adults. Methods. We developed a useful step-by-step technique of sonographically guided ilioinguinal nerve block based on visualization of abdominal muscles, fascial planes, and the branch of the deep circumflex iliac artery. Results. We performed 9 sonographic examinations with subsequent blockade of the ilioinguinal nerve. All injections resulted in a clinically successful sensory block. Conclusions. This technique is reliable and reproducible. The block is achievable by a low-volume local anesthetic injection. Visualization of the intestines and blood vessels in the abdominal wall may help prevent an inadvertent injury.

Key Words: ilioinguinal block • sonography • ultrasound

Abbreviations: ASIS, anterior superior iliac spine • IHN, iliohypogastric nerve • IIN, ilioinguinal nerve • IINB, ilioinguinal nerve block




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[Abstract] [Full Text] [PDF]


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