scholarly journals Ultrasound Guided Continuous Sciatic Nerve Block for Acute Herpetic Neuralgia

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Thierry C. Bagaphou ◽  
Domenico Santonastaso ◽  
Eleonora Gargaglia ◽  
Lucia Norgiolini ◽  
Cinzia Tiburzi ◽  
...  
Keyword(s):  
Herpes Zoster ◽  
Sciatic Nerve ◽  
Lower Extremity ◽  
Nerve Block ◽  
Viral Disease ◽  
Skin Lesions ◽  
Sciatic Nerve Block ◽  
Leg Pain ◽  
Ultrasound Guided ◽  
Neural Sensitization

Herpes Zoster (HZ) is the reactivation of a well-known viral disease which manifests itself with painful skin lesions. An effective analgesic method during the acute phase of HZ can contribute to decrease the incidence of postherpetic neuralgia (PHN) by reducing neural sensitization. Sciatic nerve block (SNB) is useful in the management of distal lower extremity pain sustained by the sciatic nerve. We describe our experience with a continuous ultrasound guided subgluteus sciatic nerve block in a patient with herpetic neuralgia- (HN-) related refractory acute left leg pain.

scholarly journals Our experience of combined femoral sciatic nerve block in the lower extremity surgery

2011 ◽  
Vol 2 (4) ◽  
Author(s):  
Feyzi Çelik ◽  
Adnan Tüfek ◽  
Zeynep B. Yıldırım ◽  
Orhan Tokgöz ◽  
Haktan Karaman ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Lower Extremity ◽  
Nerve Block ◽  
Sciatic Nerve Block

Ultrasound-Guided Midthigh Sciatic Nerve Block—A Clinical and Anatomical Study

2008 ◽  
Vol 33 (4) ◽  
pp. 369-376 ◽  
Author(s):  
Michael J. Barrington ◽  
Su-Ling K. Lai ◽  
Chris A. Briggs ◽  
Jason J. Ivanusic ◽  
Samuel R. Gledhill
Keyword(s):  
Sciatic Nerve ◽  
Nerve Block ◽  
Anatomical Study ◽  
Sciatic Nerve Block ◽  
Ultrasound Guided

scholarly journals Ultrasound-guided popliteal sciatic nerve block using a pocket-sized ultrasound machine: preliminary evidence

2015 ◽  
Vol 114 (2) ◽  
pp. 336-337 ◽  
Author(s):  
T. Saranteas ◽  
F. Zafiropoulou ◽  
G. Kostopanagiotou ◽  
T. Paraskevopoulos
Keyword(s):  
Sciatic Nerve ◽  
Nerve Block ◽  
Preliminary Evidence ◽  
Sciatic Nerve Block ◽  
Ultrasound Guided ◽  
Ultrasound Machine

scholarly journals Intraneural Ultrasound-guided Sciatic Nerve Block

2018 ◽  
Vol 129 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Gianluca Cappelleri ◽  
Andrea Luigi Ambrosoli ◽  
Marco Gemma ◽  
Valeria Libera Eva Cedrati ◽  
Federico Bizzarri ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Nerve Block ◽  
Local Anesthetic ◽  
Sciatic Nerve Block ◽  
Effective Volume ◽  
Ultrasound Guided ◽  
Biased Coin Design ◽  
Patient Reported ◽  
Sensory Motor

Abstract What We Already Know about This Topic What This Article Tells Us That Is New Background Both extra- and intraneural sciatic injection resulted in significant axonal nerve damage. This study aimed to establish the minimum effective volume of intraneural ropivacaine 1% for complete sensory-motor sciatic nerve block in 90% of patients, and related electrophysiologic variations. Methods Forty-seven consecutive American Society of Anesthesiologists physical status I-II patients received an ultrasound-guided popliteal intraneural nerve block following the up-and-down biased coin design. The starting volume was 15 ml. Baseline, 5-week, and 6-month electrophysiologic tests were performed. Amplitude, latency, and velocity were evaluated. A follow-up telephone call at 6 months was also performed. Results The minimum effective volume of ropivacaine 1% in 90% of patients for complete sensory-motor sciatic nerve block resulted in 6.6 ml (95% CI, 6.4 to 6.7) with an onset time of 19 ± 12 min. Success rate was 98%. Baseline amplitude of action potential (mV) at ankle, fibula, malleolus, and popliteus were 8.4 ± 2.3, 7.1 ± 2.0, 15.4 ± 6.5, and 11.7 ± 5.1 respectively. They were significantly reduced at the fifth week (4.3 ± 2.1, 3.5 ± 1.8, 6.9 ± 3.7, and 5.2 ± 3.0) and at the sixth month (5.9 ± 2.3, 5.1 ± 2.1, 10.3 ± 4.0, and 7.5 ± 2.7) (P < 0.001 in all cases). Latency and velocity did not change from the baseline. No patient reported neurologic symptoms at 6-month follow-up. Conclusions The intraneural ultrasound-guided popliteal local anesthetic injection significantly reduces the local anesthetic dose to achieve an effective sensory-motor block, decreasing the risk of systemic toxicity. Persistent electrophysiologic changes suggest possible axonal damage that will require further investigation.

Ultrasound-guided femoro–sciatic nerve block with and without using nerve locator for below-knee surgeries

2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
IbrahimA Ibrahim Walash ◽  
AshrafM Mostafa ◽  
AymanA Abdel-Maksoud Rayan ◽  
WesamE Sultan
Keyword(s):  
Sciatic Nerve ◽  
Nerve Block ◽  
Sciatic Nerve Block ◽  
Ultrasound Guided

scholarly journals The comparison of combined femoral-sciatic nerve block with spinal anesthesia at lower extremity surgery

2014 ◽  
Vol 5 (2) ◽  
Author(s):  
Feyzi Çelik ◽  
Selim Almaz ◽  
Gönül ölmez Kavak ◽  
Erdal Doğan ◽  
Orhan Tokgöz ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Lower Extremity ◽  
Spinal Anesthesia ◽  
Nerve Block ◽  
Sciatic Nerve Block
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