Save
ULTRASOUND-GUIDED SCIATIC POPLITEAL NERVE BLOCK: A COMPARISON OF SEPARATE TIBIAL AND COMMON PERONEAL NERVE INJECTIONS VERSUSINJECTING PROXIMAL TO THE BIFURCATION
Author(s): ,
ELDEGWY, M.*
Affiliations:
AL AZHAR FACULTY OF MEDICINE, Department of Anesthesiology -ICU- and pain management-, CAIRO, Egypt
,
IBRAHIM, S.
Affiliations:
ZAGAZIK FACULTY OF MEDICINE, Department of Anesthesiology -ICU- and pain management-, ZAGAZIK, Egypt
,
HANOURA, S.
Affiliations:
AL AZHAR FACULTY OF MEDICINE, Department of Anesthesiology -ICU- and pain management-, CAIRO, Egypt
ELKARTA, E.
Affiliations:
AL AZHAR FACULTY OF MEDICINE, Department of Anesthesiology -ICU- and pain management-, CAIRO, Egypt
ESRA Academy. Eldegwy M. Sep 13, 2017; 190946
Topic: PROCEDURE BASED - EVIDENCE BASED RA AND PERIOPERATIVE ANALGESIA
Prof. Magdy Eldegwy
Prof. Magdy Eldegwy
Login now to access Regular content available to all registered users.

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.


Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

 BLOCK OF THE SCIATIC NERVE AT THE POPLITEAL FOSSA CAN BE PERFORMED USING THE ULTRASOUND MACHINE; IT MAY BE PROXIMALLY OR DISTALLY TO THE BIFURCATION OF THE SCIATIC NERVE.IT IS FREQUENTLY USED FOR SURGERIES BELOW THE KNEE SPECIALLY THE FOOT AND ANKLE OPERATIONS.

THIS STUDY COMPARED ONE AND TWO INJECTIONS OF THE SCIATIC NERVE IN THE POPLITEAL FOSSA WITH ULTRASOUND-GUIDED BLOCK IN FOOT SURGERIES.

Methods:

FORTY PATIENTS RECEIVED ULTRASOUND-GUIDED SCIATIC NERVE BLOCK WITH THE NERVE STIMULATOR, USING THE POSTERIOR APPROACH. THE PATIENTS WERE ENROLLED INTO TWO GROUPS (20 PATIENTS EACH), GROUP 1: RECEIVED ONE INJECTION AT 2 CM CEPHALAD TO THE BIFURCATION OF THE SCIATIC NERVE, AND GROUP 2: RECEIVED TWO INJECTIONS CAUDATE TO THE SCIATIC BIFURCATION; ONE FOR TIBIAL NERVE AND THE OTHER FOR COMMON PERONEAL NERVE. ALL PATIENTS RECEIVED 20 ML OF LEVOBUPIVACAINE 0.5%. THE BLOCK PERFORMANCE TIME, BLOCK EFFICACY, SUCCESS RATE, COMPLICATIONS AND PATIENT’S SATISFACTION WERE EVALUATED.

Results:

RESULTS: BLOCK THE TIBIAL AND COMMON PERONEAL NERVES SEPARATELY (TWO INJECTIONS) DISTAL TO THE POINT OF BIFURCATION OF THE SCIATIC NERVE HAS A SIGNIFICANTLY (P<0.05) FASTER TIME TO COMPLETE SENSORY BLOCK OF TIBIAL AND COMMON PERONEAL NERVES COMPARED TO A PRE-BIFURCATION SCIATIC NERVE BLOCK (ONE INJECTION). THE COMPLETE MOTOR BLOCK, BLOCK TIME PERFORMANCE, SUCCESS RATE AND PATIENT’S SATISFACTION WERE NOT SIGNIFICANTLY DIFFERENT BETWEEN .

Conclusions:

THE BLOCK OF TIBIAL AND COMMON PERONEAL NERVES SEPARATELY DISTAL TO THE SCIATIC NERVE BIFURCATION IS SUPERIOR TO SINGLE INJECTION BLOCK OF SCIATIC NERVE ABOVE THE BIFURCATION IN THE POPLITEAL FOSSA AS REGARD COMPLETE SENSORY BLOCK TIME

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings