Anest. intenziv. Med. 2021;32(2):99-104

Blocks of cutaneous nerves and fascias layout of the thighReview Article

Nalos D.¹, Beňo L.¹, Naňka O.²

¹ Klinika anesteziologie, perioperační a intenzivní medicíny Univerzita J. E. Purkyně v Ústí nad Labem, Masarykova nemocnice v Ústí nad Labem

² Anatomický ústav, 1. lékařská fakulta, Univerzita Karlova, Praha

The article is a continuation of a series of articles on the importance of fascial layers for regional anaesthesia. This chapter focuses on skin innervation of the thigh. Skin surface is an integral part of neuroaxial blocks as well as of the established regional anesthesia of the main peripheral nerves directed to the thigh area. The anatomical course of the skin nerves is tied to the locations of superficial and deep fascias. Fascial structures are well identifiable using ultrasound guidance, which facilitates the identification of skin nerves and allows their selective blockage. Blocks of the peripheral skin nerves of the thigh do not affect muscle strength and mobility. Selective peripheral blocks of the subcutaneous nerves facilitate the diagnosis of chronic pain in their supply area.

Keywords: skin nerves, fascia, ultrasound, regional anaesthesia.

Received: March 11, 2021; Revised: March 25, 2021; Accepted: April 1, 2021; Prepublished online: April 13, 2021; Published: April 29, 2021  Show citation