Method and corresponding kit for administering an adductor canal block
Apparatus for administering certain nerve blocks includes a sheath constructed from a flexible ultrasound echogenic material, a more rigid introducer/dilator for introducing the sheath into the patient, and an ultrasound echogenic catheter for inserting through the sheath once the distal end of the sheath is in place adjacent the nerve(s) to be blocked and the introducer/dilator has been withdrawn. The catheter has provisions at its proximal end for connecting to a source of local anesthetic. Methods for use of this apparatus are also described.
1. A method for administering an adductor canal block (ACB) to a patient, the method comprising:
identifying the patient's sartorius muscle,
advancing a sheath and a needle sheathed within the sheath having an open distal end through which a distal end of the needle projects to the base of the sartorius muscle,
injecting a first amount of a local anesthetic into the sartorius muscle, wherein the first amount of the local anesthetic is injected at the base of the satorius muscle,
identifying the bottom of the sartorius fascia,
advancing the sheath and the sheathed needle through the sartorius fascia,
administering a second amount of a local anesthetic under the sartorius muscle,
removing the needle, leaving the sheath in the patient's adductor canal,
inserting a catheter into the sheath and advancing a distal end of the catheter through the sheath to the adductor canal,
removing the sheath while leaving the catheter in place,
connecting a proximal end of the catheter to a source of local anesthetic, and
commencing anesthesia, wherein a third amount of local anesthetic is delivered into the patient's adductor canal.
2. The method of claim 1 wherein identifying the patient's sartorius muscle comprises identifying the patient's sartorius muscle using ultrasound.
3. The method of claim 1 wherein connecting the proximal end of the catheter to the source of local anesthetic, and commencing anesthesia comprises connecting the proximal end of the catheter to a constant infusion pump to deliver the local anesthetic postoperatively.
4. The method of claim 1 , wherein the catheter is a multi-orifice catheter and anesthesia is delivered locally from the catheter while the catheter is left in place.