PMID: 9168212May 1, 1997Paper

The parasacral sciatic nerve block

Regional Anesthesia
G F MorrisM Van der Wal

Abstract

The clinical utility of a new parasacral approach for conduction block of the sciatic nerve was investigated, with critical examination of onset, extent, and success rates when this block was used for surgical procedures below the knee. Thirty ASA I-III patients presenting for surgery on the lower limb were enrolled. All received 30 mL of 1.5% lidocaine with 1:200,000 epinephrine following nerve stimulator identification of the sciatic nerve at < or =0.2 mA or less. Trans-sartorial saphenous nerve blocks were performed to provide anesthesia to the medial leg. Overall success for surgical anesthesia with this block was 97%. All components of the sacral plexus could be blocked with this approach, and 93% of patients displayed evidence of obturator nerve motor block. However, no patient displayed evidence of obturator sensory anesthesia that could be mapped. Saphenous nerve blocks were 100% effective in providing surgical anesthesia for the procedures performed. The parasacral approach to the sciatic nerve exhibits a high success rate, resulting in anesthesia of the entire sacral plexus and generally in motor block of the obturator nerve was an interesting observation.

Citations

Nov 7, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Anthony M H Ho, Manoj K Karmakar
Dec 31, 2002·Anesthesia and Analgesia·Spencer S Liu, Francis V Salinas
Mar 23, 2006·Anesthesia and Analgesia·Markus F StevensPeter Lipfert
Oct 5, 2006·Current Opinion in Anaesthesiology·F J Singelyn, X Capdevila
Aug 19, 2014·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Stephen S CurrinMark D Stringer
Aug 6, 2010·Surgical and Radiologic Anatomy : SRA·Thomas Le CorrollerOlivier Choquet
Dec 8, 2017·Anesthesiology Research and Practice·Andrew A AlbokrinovValentyna M Perova-Sharonova
Jun 21, 2007·Anesthesia and Analgesia·Bénédicte S HagonPhilippe J Van der Linden
Oct 27, 2004·Anesthesia and Analgesia·Denis JochumHervé Bouaziz
May 19, 2009·Anesthesia and Analgesia·Alon Y Ben-AriJacques E Chelly
Aug 20, 2009·Anesthesia and Analgesia·Christopher RobardsRoy Greengrass
Jan 29, 2002·Anesthesia and Analgesia·Hervé BouazizMarie-Claire Laxenaire
Jan 30, 2008·Anesthesia and Analgesia·Nathalie ValadeJean-Emmanuel de la Coussaye
Aug 8, 2012·Journal of Anesthesia·Younes AissaouiMohammed Boughalem
Apr 18, 2009·Anesthesia and Analgesia·Maeve O'ConnorDominic Harmon
Oct 4, 2006·Current Opinion in Anaesthesiology·P KaracaJ D Vloka
Nov 3, 2010·Veterinary Anaesthesia and Analgesia·Diego A PortelaPierre Melanie

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.