Continuous Lateral Sciatic Blocks for Acute Postoperative Pain Management after Major Ankle and Foot Surgery-Reference-Cited by-同舟云学术

Continuous Lateral Sciatic Blocks for Acute Postoperative Pain Management after Major Ankle and Foot Surgery

Published:2002-08 Issue:8 Volume:23 Page:749-752
ISSN:1071-1007
Container-title:Foot & Ankle International
language:en
Short-container-title:Foot Ankle Int.

Author:

Chelly Jacques E.¹,Greger Jennifer²,Casati Andrea³,Al-Samsam Tameem⁴,McGarvey William⁵,Clanton Thomas⁶

Affiliation:

1. Professor and Director of Clinical Research and Director of Orthopaedic Anesthesia and Acute Orthopaedic Pain;

2. Assistant Professor, Assistant Director of the Residency Program and Assistant Director of Orthopaedic Anesthesia and Acute Orthopaedic Pain;

3. Visiting Assistant Professor,

4. Regional Anesthesia Fellow, Department of Anesthesiology;

5. Assistant Professor, jProfessor and Chairman, Department of Orthopaedic Surgery

6. The University of Texas Medical School at Houston, Houston, Texas 77030-1503

Abstract

We developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia. Methods: A 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper positioning of the insulated needle, a 20-gauge catheter was placed in proximity to the sciatic nerve. Results: Continuous lateral sciatic infusion of 0.2% ropivacaine was associated with a significant reduction of morphine consumption by 29% and 62% during postoperative days one and two, respectively, in patients who underwent open reduction and internal fixation of the ankle. Conclusion: Continuous lateral sciatic infusion of 0.2% ropivacaine represents an alternative for acute postoperative pain control after major ankle and foot surgery.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/107110070202300812

Reference13 articles.

1. A method of continuous brachial plexus block

2. Patient-Controlled Interscalene Analgesia With Ropivacaine 0.2% versus Bupivacaine 0.15% After Major Open Shoulder Surgery: The Effects on Hand Motor Function

3. A Double-Blinded, Randomized Comparison of Either 0.5% Levobupivacaine or 0.5% Ropivacaine for Sciatic Nerve Block

4. Clinical properties of levobupivacaine or racemic bupivacaine for sciatic nerve block

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