Lower extremity regional anesthesia: Essentials of our current understanding

De Q. Tran*, Francis V. Salinas, Honorio T Benzon, Joseph M. Neal

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations


The advent of ultrasound guidance has led to a renewed interest in regional anesthesia of the lower limb. In keeping with the American Society of Regional Anesthesia and Pain Medicine's ongoing commitment to provide intensive evidence-based education, this article presents a complete update of the 2005 comprehensive review on lower extremity peripheral nerve blocks. The current review article strives to (1) summarize the pertinent anatomy of the lumbar and sacral plexuses, (2) discuss the optimal approaches and techniques for lower limb regional anesthesia, (3) present evidence to guide the selection of pharmacological agents and adjuvants, (4) describe potential complications associated with lower extremity nerve blocks, and (5) identify informational gaps pertaining to outcomes, which warrant further investigation.

Original languageEnglish (US)
Pages (from-to)143143-143180
Number of pages38
JournalRegional anesthesia and pain medicine
Issue number2
StatePublished - Feb 1 2019

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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