The sciatic nerve block: a new posterior approach to sacral plexus

2002 ◽  
Vol 27 (3) ◽  
pp. 333-334
Author(s):  
M CASALSMERCHAN ◽  
F MARTINEZMANAS ◽  
F EHSAN ◽  
A ALONSOGOMEZ ◽  
A FRASCARI ◽  
...  
1993 ◽  
Vol 74 (4) ◽  
pp. 303-303
Author(s):  
V. A. Fominykh ◽  
V. H. Alkhanov

Conductive anesthesia as a therapeutic agent for injuries and diseases of the lower extremities is rarely performed. This is primarily due to the fact that the posterior approach is mainly used to perform the sciatic nerve block, which requires special positioning of the patient and is not suitable for inserting a catheter. The most convenient in this respect is the front access to the sciatic nerve. We catheterized the sciatic nerve according to V.V. Kuzmenkov et al. The method of long-term conduction block of the sciatic nerve (DPBS) was performed in 23 patients.


2010 ◽  
Vol 111 (2) ◽  
pp. 573-575 ◽  
Author(s):  
Attila Bondar ◽  
Michael Egan ◽  
Denis Jochum ◽  
Gérard Amarenco ◽  
Hervé Bouaziz

2009 ◽  
Vol 108 (1) ◽  
pp. 359-363 ◽  
Author(s):  
Antoun Nader ◽  
Mark C. Kendall ◽  
Kenneth D. Candido ◽  
Hubert Benzon ◽  
Robert J. McCarthy

2001 ◽  
Vol 93 (4) ◽  
pp. 1040-1044 ◽  
Author(s):  
Pia di Benedetto ◽  
Laura Bertini ◽  
Andrea Casati ◽  
Battista Borghi ◽  
Andrea Albertin ◽  
...  

Author(s):  
Prithvi Raj ◽  
Hans Nolte ◽  
Michael Stanton-Hicks

2019 ◽  
Author(s):  
Abdulkadir Yektaş ◽  
Bedih Balkan

Abstract Background: The co-administration of sciatic nerve and femoral nerve blocks may provide anaesthesia and analgesia in patients undergoing lower extremity surgeries. Several approaches to sciatic nerve block have been described, including anterior and posterior approaches. Methods: Our study included 58 patients, randomly assigned to receive either an anterior (Group A , n = 29) or posterior (Group P, n = 29) approach. After the blocks were performed, we determined sensory and motor block start and end times, first fentanyl requirement time after block and before operation starts, first fentanyl requirement time after the operation starts, the mean fentanyl dose administered per patient after block and before operation starts, the mean fentanyl dose administered per patient after the operation starts, the time to first diclofenac sodium administration, and the total dose of diclofenac sodium required. The date of trial registration was retrospectively registered in 11.07.2018 Results: Comparison of the two groups revealed that Group P exhibited significantly shorter times to starting the sensory block (12.88±4.87 min for Group A, 7.70±2.05 min for Goup P) p=0.01 and first fentanyl requirement time after block and before operation starts (00.00±00.00 min for Group A, 4.05±7.47 min for Group P) p=<0.01 and a significantly higher first fentanyl requirement time after operation starts (31.20±27.79 µg for Group A, 44.03±23.78 µg for Group P) and a significantly higher the mean fentanyl dose administered per patient after block and before operation starts (00.00±00.00 min for Group A, 16.24±57.13 min for Group P) p=0.01 and a significantly lower the mean fentanyl dose administered per patient after operation starts (147.75±122.30 µg for Group A, 11.51±12.87 µg Group P). Patient satisfaction (p=<0.01), anesthesia quality (p=0.006), and surgical quality (p=0.047) were significantly higher in Group P. Conclusions: Sciatic nerve block can be performed with anterior and posterior approach in patients who will be operated due to malleolar fracture. However, analgesia should be performed before starting the patient in the posterior approach and after the operation in the anterior approach.


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