Continuous lateral sciatic blocks for acute postoperative pain management after major ankle and foot surgery.

Abstract:

UNLABELLED: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.

journal_name

Foot Ankle Int

authors

Chelly JE,Greger J,Casati A,Al-Samsam T,McGarvey W,Clanton T

doi

10.1177/107110070202300812

keywords:

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

749-52

issue

8

eissn

1071-1007

issn

1944-7876

journal_volume

23

pub_type

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