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Ultrasound guided obturator nerve block: a single interfascial injection technique

Overview of attention for article published in Journal of Anesthesia, September 2011
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Title
Ultrasound guided obturator nerve block: a single interfascial injection technique
Published in
Journal of Anesthesia, September 2011
DOI 10.1007/s00540-011-1228-y
Pubmed ID
Authors

Seong Heon Lee, Cheol Won Jeong, Hyun Jung Lee, Myung Ha Yoon, Woong Mo Kim

Abstract

We describe a new technique of single interfascial injection for 25 patients scheduled for transurethral bladder tumor resection. An ultrasound probe was placed at the midline of inguinal crease and moved medially and caudally to visualize the fascial space between the adductor longus (or pectineus) and adductor brevis muscles. We injected 20 mL 1% lidocaine containing epinephrine into the interfascial space using a transverse plane approach to make an interfascial injection, not an intramuscular swelling pattern. And just distally, firm pressure was applied for 3 min. Afterwards, surgery was performed under spinal anesthesia. The time required for identification and location of the nerve was 20 ± 15 and 30 ± 15 s, respectively. Adductor muscle strength, which was measured with a sphygmomanometer, decreased in all patients, from 122 ± 26 mmHg before blockade to 63 ± 11 mmHg 5 min after blockade. No movement or palpable muscle twitching occurred in 23 cases, slight movement of the thigh not interfering with the surgical procedure was observed in 1 case, thus the obturator reflex was successfully inhibited in 96% of cases. Ultrasound-guided single interfascial injection is an easy and successful technique for obturator nerve block.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 3%
Unknown 38 97%

Demographic breakdown

Readers by professional status Count As %
Professor > Associate Professor 6 15%
Student > Ph. D. Student 5 13%
Professor 4 10%
Student > Bachelor 4 10%
Researcher 3 8%
Other 10 26%
Unknown 7 18%
Readers by discipline Count As %
Medicine and Dentistry 22 56%
Nursing and Health Professions 1 3%
Agricultural and Biological Sciences 1 3%
Sports and Recreations 1 3%
Psychology 1 3%
Other 2 5%
Unknown 11 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 September 2011.
All research outputs
#17,646,807
of 22,651,245 outputs
Outputs from Journal of Anesthesia
#536
of 803 outputs
Outputs of similar age
#103,218
of 126,287 outputs
Outputs of similar age from Journal of Anesthesia
#6
of 8 outputs
Altmetric has tracked 22,651,245 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 803 research outputs from this source. They receive a mean Attention Score of 3.0. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
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We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.