Fascia iliaca block for neonates

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Fascia iliaca block for neonates

  1. 1. Cork University Hospital ,Ireland. Fascia Iliaca block for a Neonate. DISCUSSION Quadriceps muscle biopsy from thigh of 18 day old child. Hypotonia in the newborn First described in 1989 by Dalen et al. presents the anaesthetist with a Hypotonia – Upper limb muscles more clinical dilemma. The differential Patient is placed in supine position than lower limb muscles. diagnosis includes muscular The anterior superior iliac spine and pubic tubercle are dystrophy, spinal muscular Undescended Testis. atrophy, myasthenia gravis, marked congenital myopathy, several Poor sucking reflex. metabolic causes and Medial two third and lateral one third of the line joining these two landmarks is the injection point. neuropathy. Affected neonates O/E: A 3kg full term infant with hypotonia , require a muscle biopsy to aid breathing on 0.5 l of oxygen saturating up to diagnosis and, because of the Two pop Technique. 98 %, with clear chest and no added heart possible risk of prolonged muscle sounds. weakness and malignant Decreased DTR. hyperthermia in these infants, we describe an underutilized Investigations: Full blood count, urea and peripheral regional anaesthesia electrolytes ,Liver function test, TORCH technique to obtain a satisfactory Screen , Creatinine kinase, chest x-Ray and muscle biopsy without risking the Electrocardiogram - Normal complications of general anaesthesia. Nerve Conduction Velocity – Severe motor and sensory polyneuropathy. Electromyogram – Necrotic Myopathy. 1.Stoelting RK, (2008) Karyotyping - Normal male XY. In :Stoelting's Anaesthesia and MRI - Normal Coexisting Disease. Hines & Marschall Fischer prader villi and SMA screening - (Editors), 5th Edition, Negative. Elsevier Health Sciences Metabolic Profile - Normal 2.Ion T, Cook-Sather SD, FASCIA ILIACA BLOCK. Finkel RS, Cucchiaro G. (2005) Fascia Iliaca Aseptic technique, Supine position block for an infant with arthrogryposis multiplex 24G Braun Stimuplex (25mm length) congenita undergoing muscle biopsy Anesth Levobupivacaine 0.125% 4mLs. Analg 100;82-84

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