BACKGROUND AND OBJECTIVES: We provided care for a 47-year-old female with a @entity2 and bony @entity3 who sustained a pathologic fracture of the right acetabulum causing severe and uncontrolled @entity158 in the right groin. Her @entity158 was rated as 8-10 on a 10-point visual analog scale (VAS). Her terminal disease and poor surgical risk precluded therapeutic operative intervention. Consequently, a @entity616 of the lumbar plexus was performed as a palliative measure. METHODS: A modified inguinal paravascular (lumbar plexus) block technique was used. A 17-gauge Tuohy needle was inserted in the groin area just lateral to femoral artery and 1 cm below the inguinal ligament. A guide wire was threaded through the needle and subsequently an angiogram catheter was introduced over the wire into the psoas muscle. Radiographic confirmation of the position was obtained, and the catheter was secured in place. A prognostic block using an infusion of 0.25% @entity1341 at 5 mL/h was initiated for the first 2 days. On the third day a @entity616 with 6% @entity3971 was performed. RESULTS: @entity158 relief was experienced by the @entity1 (VAS: 0-1). Sensory block in the femoral, lateral femoral cutaneous, and obturator nerve distributions was elicited. Motor weakness in the femoral nerve was demonstrated. Narcotic use was markedly reduced, and the @entity1 was discharged to home in a @entity158 . CONCLUSIONS: This case report supports the feasibility of placing a catheter via a modified anterior inguinal paravascular block technique and its subsequent use for both local anesthetic infusion and @entity616 of the lumbar plexus.

Inguinal paravascular (lumbar plexus) XXXX --description of a catheter technique: case report.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity2 :: ('MESH:D008175', 'Disease') :: ['history of lung carcinoma'] @entity3971 :: ('MESH:D019800', 'Chemical') :: ['phenol'] @entity1341 :: ('MESH:D002045', 'Chemical') :: ['bupivacaine'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'pain-free state', 'Marked pain'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases'] @entity616 :: ('MESH:D006327', 'Disease') :: ['neurolytic block']
@entity616 :: (MESH:D006327,Disease) :: ['neurolytic block']
