PMID: 11915064Mar 27, 2002Paper

Continuous subgluteus sciatic nerve block after orthopedic foot and ankle surgery: comparison of two infusion techniques

Regional Anesthesia and Pain Medicine
Pia di BenedettoLaura Bertini

Abstract

To compare continuous infusion or a patient-controlled technique for postoperative analgesia after foot surgery, using a new subgluteus approach for continuous sciatic nerve block. Fifty healthy patients, undergoing orthopedic foot surgery, received a continuous sciatic nerve block using a new subgluteus approach. All blocks were placed with the aid of a nerve stimulator using a 10-cm, 18-gauge insulated Tuohy needle. After either plantar flexion or dorsiflexion of the operated foot was elicited at < or = 0.5 mA, 20 mL of 0.75% ropivacaine was injected incrementally using repeated aspiration tests, then followed by the introduction of a 20-gauge epidural catheter. Postoperatively, 0.2% ropivacaine was infused with either a 10 mL/h continuous infusion (group Continuous, n = 25) or with a 5 mL/h basal rate with 5 mL bolus every 60 minutes (group patient-controlled analgesia [PCA], n = 25). Intraoperative analgesic supplementation, as well as postoperative pain relief, morphine consumption, incidence of complication, and patient satisfaction were recorded by an observer unaware of group assignment. The sciatic catheter was successfully placed in all patients. Intravenous fentanyl supplementation (dose range, 50 to 150 microg) was ...Continue Reading

References

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Citations

May 24, 2005·Journal of Pain and Symptom Management·Klaus A Lehmann
Jul 10, 2004·The American Journal of Nursing·Chris Pasero
Oct 6, 2006·Current Opinion in Anaesthesiology·Paolo Grossi, William F Urmey
Aug 5, 2009·Current Opinion in Anaesthesiology·James W HeitzEugene R Viscusi
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Aug 9, 2011·Anesthesia and Analgesia·Brian M Ilfeld
Mar 15, 2005·Anesthesiology Clinics of North America·Holly EvansStephen M Klein
Apr 9, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Anne K FiskerThomas F Bendtsen
Jun 24, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jia WangGirish P Joshi
Oct 14, 2003·Regional Anesthesia and Pain Medicine·Brian M IlfeldF Kayser Enneking
Nov 5, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Frédéric DufloDominique Chassard
Aug 24, 2010·Foot & Ankle International·Christopher J Pearce, Paul D Hamilton
Nov 8, 2011·The Journal of Bone and Joint Surgery. British Volume·E Wells-ColeM Zenios

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