| Autor: |
Jesper, Kent Nielsen, Tranum-Jensen, Jørgen, Bøgevig, Søren, Nielsen, Jesper Kent |
| Zdroj: |
Regional Anesthesia & Pain Medicine; Jul2019, Vol. 44 Issue 7, p715-720, 6p |
| Abstrakt: |
Sciatic nerve block is widely used for surgical anesthesia and postoperative analgesia of the lower limb. In 1985, Guardini described a nerve stimulation-guided approach with an insertion point for the block needle 3 cm caudal from the inferior border of the greater trochanter.[15] This approach was also useful for catheter insertion guided by nerve stimulation.[16] A proximal lateral approach to the sciatic nerve with nerve stimulation was also mentioned in a Letter to the Editor in 2000.[17] However, these proximal lateral approaches to the sciatic nerve never achieved widespread popularity compared with more distal approaches (eg, mid-femoral and popliteal). The cadaver study directly demonstrated that the scanned structure was the sciatic nerve, and the possibility of injecting close to the nerve without passing through neurovascular structures in the needle trajectory. In summary, we have described a new ultrasound-guided approach to the sciatic nerve and have demonstrated that it is possible to block the nerve in the proximal lateral thigh with the patient in the supine and the limb in a neutral position. [Extracted from the article] |
| Databáze: |
Supplemental Index |
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