Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector5766010.17816/RA57660ReviewsНаучные обзорыResearch ArticleObturator nerve blockБлокада запирательного нерваhttps://orcid.org/0000-0002-3400-8989KoriachkinV. A.КорячкинВ. А.
Russian Federation
dmitriigribanov76@gmail.comhttps://orcid.org/0000-0002-6127-0798ZabolotskiiD. V.ЗаболотскийД. В.
Russian Federation
dmitriigribanov76@gmail.comhttps://orcid.org/0000-0001-7034-6419GribanovD. V.ГрибановД. В.
Russian Federation

заведующий отделением анестезиологии и реанимации

dmitriigribanov76@gmail.comhttps://orcid.org/0000-0002-9537-6523AntoshkovaT. A .АнтошковаТ. А.
Russian Federation
dmitriigribanov76@gmail.comSaint-Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian FederationФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииSt Luka Clinical HospitalСПбГБУЗ «Клиническая больница Святителя Луки»071220201431301400701202107012021Copyright ©; 2020, Eco-VectorCopyright ©; 2020, ООО "Эко-Вектор"2020Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/57660

One of the “forgotten” techniques of regional anesthesia is blockade of the obturator nerve, which was performed using anatomical landmarks and neurostimulation. In recent years, ultrasonic navigation methods have gained wide popularity when using regional blockades. The purpose of the review is to present the current understanding of the use of obturator nerve block in clinical practice. The review presents the anatomical features of the obturator nerve passage, surgical and therapeutic indications for the use of its blockade. The technique for performing obturator blockade using ultrasound navigation is described in detail. Blockade of the obturator nerve using ultrasound navigation can reduce the likelihood of surgical complications during transurethral resection of a tumor located on the lateral wall of the bladder, improve analgesia after hip and knee surgery, and effectively relieve spastic conditions of the adductor muscles of the hip.

Одной из забытых методик регионарной анестезии является блокада запирательного нерва, которая выполнялась с использованием анатомических ориентиров и нейростимуляции, а в последние годы – ультразвуковой навигации. Цель обзора – представить современные представления о применении блокады запирательного нерва в клинической практике. В обзоре представлены анатомические особенности прохождения запирательного нерва, хирургические и терапевтические показания к применению его блокады. Детально описана техника выполнения блокады запирательного нерва с использованием ультразвуковой навигации. Применение блокады запирательного нерва с помощью ультразвуковой навигации позволит снизить вероятность хирургических осложнений при трансуретральной резекции опухоли, расположенной на боковой стенке мочевого пузыря, улучшить анальгезию после операций на бедре и коленном суставе, эффективно купировать спастические состояния приводящих мышц бедра.

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