A peripheral nerve stimulator guided popliteal sciatic nerve block combined with adductor canal block in lower leg surgery- A sole anesthetic technique

In lower leg surgeries involving fractures of distal tibia, ankle surgeries, debridement and PVD choice anesthesia is usually regional anesthesia. When these patients are associated with co-morbid cardio-respiratory problems then it will become challenge for anesthesiologist to maintain homeostasis good surgical Ayukut urfalioglu suggested another alternative technique in the form Adductor canal block plus Lateral approach popliteal sciatic as better Intra-operative Haemodynamic Stability, additional post-operative pain relief less requirement systemic analgesia post-operatively. this prospective randomised controlled trial, we aim explore efficacy Popliteal Sciatic Block Lower surgeries. Sixty (ASA I, II, III) undergoing limb were randomly allocated 2 groups (30 each group). Group P received PNS guided combined group S unilateral spinal : The primary objectives evaluate duration sensory motor relief. Secondary included intra operative requirements intraoperative haemodynamic stability. There was significant stability attributable P. Time first rescue post-operatively significantly higher compared (Group Mean SD15.9±5.26 vs 6.05±1.23 p= < 0.0001). Combined adductor can be an advantage prolonged