Lateral popliteal sciatic nerve block compared with subcutaneous infiltration for analgesia following foot surgery.
نویسندگان
چکیده
A new lateral approach to blocking the sciatic nerve in the popliteal fossa is described. In a prospective study, 40 patients scheduled for foot surgery involving osteotomies were allocated randomly into one of two groups following induction of general anaesthesia: group PS (n = 21) received a lateral popliteal sciatic nerve block and group SC (n = 19) received subcutaneous infiltration of the wound. Both groups received 20 ml bupivacaine 0.5% plain. The lateral approach to the popliteal sciatic nerve was found to be an effective, quick, and easy to perform, block. Postoperative analgesia in groups PS lasted a median of 18.0 hr and in group SC lasted 6.3 hr (P < 0.05). The lateral popliteal sciatic nerve block provided effective analgesia following foot surgery and had a high level of patient satisfaction.
منابع مشابه
Femoral nerve block with selective tibial nerve block provides effective analgesia without foot drop after total knee arthroplasty: a prospective, randomized, observer-blinded study.
BACKGROUND Sciatic nerve block when combined with femoral nerve block for total knee arthroplasty may provide superior analgesia but can produce footdrop, which may mask surgically induced peroneal nerve injury. In this prospective, randomized, observer-blinded study, we evaluated whether performing a selective tibial nerve block in the popliteal fossa would avoid complete peroneal motor block....
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متن کاملThe Popliteal Nerve Block in Foot and Ankle Surgery: an Efficient and Anatomical Technique
The popliteal sciatic nerve block is a form of regional anesthesia most commonly used as a form of postoperative analgesia. It has shown to be effective for 15-20 hours postoperatively. It can also be used for various foot and ankle pathologies including fracture and dislocation reduction, exploration of foreign bodies, and bedside incision and drainage. The popliteal sciatic nerve block has an...
متن کاملLateral approach to the sciatic nerve in the popliteal fossa.
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ورودعنوان ژورنال:
- Canadian journal of anaesthesia = Journal canadien d'anesthesie
دوره 41 8 شماره
صفحات -
تاریخ انتشار 1994