A comparison of the posterior versus lateral approaches to the block of the sciatic nerve in the popliteal fossa.

Abstract:

BACKGROUND:The main disadvantage of the posterior approach to the block of the sciatic nerve in the popliteal fossa (popliteal block [PB]) is the need to place the patient in the prone position. In this study, the authors examined the clinical utility of a recently described lateral approach to PB that is performed with the patient in the supine position, and they compared its ability to provide reliable surgical anesthesia with that of the posterior approach. METHODS:Fifty patients undergoing surgery of a lower extremity were randomized to receive the PB using either the lateral (n=25) or the posterior approach (n=25). With both techniques, 40 ml 1.5% alkalinized mepivacaine with 1:200,000 epinephrine were injected on successful nerve localization using low current output nerve stimulation. RESULTS:There were no differences in American Society of Anesthesiologists physical status or demographic data between the groups (ASA status, I-III; mean age, 50+/-15 yr; 27 men, 23 women). All patients had good intraoperative analgesia, except one in the lateral group, who reported pain outside the distribution of the sciatic nerve. CONCLUSIONS:Although blockade using the lateral approach took longer to accomplish, both techniques resulted in clinically acceptable anesthesia in the distribution of the sciatic nerve.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Hadzić A,Vloka JD

doi

10.1097/00000542-199806000-00010

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

1480-6

issue

6

eissn

0003-3022

issn

1528-1175

journal_volume

88

pub_type

临床试验,杂志文章,随机对照试验
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    更新日期:1988-08-01 00:00:00

  • Chemokine (C-C motif) receptor 5 is an important pathological regulator in the development and maintenance of neuropathic pain.

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    authors: Matsushita K,Tozaki-Saitoh H,Kojima C,Masuda T,Tsuda M,Inoue K,Hoka S

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  • Local cerebral blood flow during lidocaine-induced seizures in rats.

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    doi:10.1097/00000542-198606000-00016

    authors: Tommasino C,Maekawa T,Shapiro HM

    更新日期:1986-06-01 00:00:00

  • Perioperative Outcomes and Management in Pediatric Complex Cranial Vault Reconstruction: A Multicenter Study from the Pediatric Craniofacial Collaborative Group.

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  • Autoregulation of cerebral blood flow during normocapnia and hypocapnia in dogs.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198902000-00018

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    更新日期:1989-02-01 00:00:00

  • Comparative effects of propofol and halothane on outcome from temporary middle cerebral artery occlusion in the rat.

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    pub_type: 杂志文章

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    更新日期:1992-05-01 00:00:00

  • Rebound hypertensive after sodium nitroprusside prevented by saralasin in rats.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Delaney TJ,Miller ED Jr

    更新日期:1980-02-01 00:00:00

  • Positron emission tomography study of regional cerebral metabolism in humans during isoflurane anesthesia.

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    pub_type: 杂志文章

    doi:10.1097/00000542-199703000-00006

    authors: Alkire MT,Haier RJ,Shah NK,Anderson CT

    更新日期:1997-03-01 00:00:00

  • Positive inotropic and lusitropic effects of triiodothyronine in conscious dogs with pacing-induced cardiomyopathy.

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    pub_type: 杂志文章

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    authors: Jamall IN,Pagel PS,Hettrick DA,Lowe D,Kersten JR,Tessmer JP,Warltier DC

    更新日期:1997-07-01 00:00:00

  • Interaction between sedative premedicants and ketamine in man in isolated perfused rat livers.

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    pub_type: 杂志文章

    doi:10.1097/00000542-197509000-00007

    authors: Lo JN,Cumming JF

    更新日期:1975-09-01 00:00:00

  • The effects of epidural morphine on cardiac and renal sympathetic nerve activity in alpha-chloralose-anesthetized cats.

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    pub_type: 杂志文章

    doi:10.1097/00000542-199806000-00020

    authors: Mori T,Nishikawa K,Terai T,Yukioka H,Asada A

    更新日期:1998-06-01 00:00:00

  • Antiemetic activity of propofol after sevoflurane and desflurane anesthesia for outpatient laparoscopic cholecystectomy.

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    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199810000-00007

    authors: Song D,Whitten CW,White PF,Yu SY,Zarate E

    更新日期:1998-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000542-200103000-00020

    authors: Joo DT,Gong D,Sonner JM,Jia Z,MacDonald JF,Eger EI 2nd,Orser BA

    更新日期:2001-03-01 00:00:00

  • Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

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    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/ALN.0b013e3181cf892d

    authors: Cohen SP,Hayek SM,Datta S,Bajwa ZH,Larkin TM,Griffith S,Hobelmann G,Christo PJ,White R

    更新日期:2010-03-01 00:00:00

  • Gabapentin suppresses cutaneous hyperalgesia following heat-capsaicin sensitization.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200207000-00015

    authors: Dirks J,Petersen KL,Rowbotham MC,Dahl JB

    更新日期:2002-07-01 00:00:00

  • Sevoflurane Exposure during the Critical Period Affects Synaptic Transmission and Mitochondrial Respiration but Not Long-term Behavior in Mice.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000001470

    authors: Chung W,Ryu MJ,Heo JY,Lee S,Yoon S,Park H,Park S,Kim Y,Kim YH,Yoon SH,Shin YS,Lee WH,Ju X,Kweon GR,Ko Y

    更新日期:2017-02-01 00:00:00

  • Alfentanil pharmacokinetics and metabolism in humans.

    abstract::The metabolism of alfentanil was studied in three healthy subjects after a 1-h infusion of 2.5 mg alfentanil-3H. One of the subjects was a poor hydroxylator of debrisoquine. Pharmacokinetic parameters were similar in the three subjects and were in the same range as those reported for volunteers. The majority of the ad...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198810000-00012

    authors: Meuldermans W,Van Peer A,Hendrickx J,Woestenborghs R,Lauwers W,Heykants J,Vanden Bussche G,Van Craeyvelt H,Van der Aa P

    更新日期:1988-10-01 00:00:00

  • Individual differences in acute pain-induced endogenous analgesia predict time to resolution of postoperative pain in the rat.

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    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000593

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  • Postoperative hyperoxia (60%) worsens hepatic injury in mice.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000447

    authors: Zangl Q,Martignoni A,Jackson SH,Ohta A,Klaunberg B,Kaufmann I,Lukashev D,Ward JM,Sitkovsky M,Thiel M,Choukèr A

    更新日期:2014-12-01 00:00:00

  • Analysis of the clinical variables associated with recrudescence after malignant hyperthermia reactions.

    abstract:BACKGROUND:Some patients develop recrudescence after a malignant hyperthermia (MH) reaction, but it is not clear which patients are at risk. The authors analyzed clinical variables associated with recrudescence after a clinical MH episode. METHODS:Data were obtained from Adverse Metabolic Reaction to Anesthesia report...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/01.anes.0000265148.86566.68

    authors: Burkman JM,Posner KL,Domino KB

    更新日期:2007-05-01 00:00:00

  • Effects of nitrous oxide on human regional cerebral blood flow and isolated pial arteries.

    abstract:BACKGROUND:Results from previous studies on the effect of nitrous oxide (N2O) on the cerebral circulation are conflicting. Early reports claim N2O to have no effect whereas recent findings demonstrate a cerebral cortical vasodilatation during N2O inhalation, but the regional cerebral blood flow (CBF) in the subcortical...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199408000-00018

    authors: Reinstrup P,Ryding E,Algotsson L,Berntman L,Uski T

    更新日期:1994-08-01 00:00:00

  • Preoperative orthostatic dysfunction is associated with an increased incidence of postoperative nausea and vomiting.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) occurs frequently after gynecologic surgery. Because hemodynamic condition seems to be influential, women presenting with preoperative orthostatic dysregulation may have an increased risk for PONV. The aim of the present study was to assess the relationship between pr...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200206000-00017

    authors: Pusch F,Berger A,Wildling E,Zimpfer M,Moser M,Sam C,Krafft P

    更新日期:2002-06-01 00:00:00

  • Lack of analgesic activity of morphine-6-glucuronide after short-term intravenous administration in healthy volunteers.

    abstract:BACKGROUND:The analgesic activity of morphine-6-glucuronide (M-6-G) is well recognized for its contribution to the effects of morphine and its possible use as an opioid analgesic with a wider therapeutic range than morphine. The present study attempted to quantify the relative contribution of M-6-G to analgesia observe...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199712000-00014

    authors: Lötsch J,Kobal G,Stockmann A,Brune K,Geisslinger G

    更新日期:1997-12-01 00:00:00

  • Postoperative nausea and vomiting. Its etiology, treatment, and prevention.

    abstract::In a recent editorial, Kapur described perioperative nausea and vomiting as "the big 'little problem' following ambulatory surgery."257 Although the actual morbidity associated with nausea is relatively low in health outpatients, it should not be considered an unavoidable part of the perioperative experience. The avai...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/00000542-199207000-00023

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    更新日期:1992-07-01 00:00:00

  • Involvement of adenosine in the antiinflammatory action of ketamine.

    abstract:BACKGROUND:Ketamine is an anesthetic drug. Subanesthetic doses of ketamine have been shown to reduce interleukin-6 concentrations after surgery and to reduce mortality and the production of tumor necrosis factor alpha and interleukin 6 in septic animals. Similarly, adenosine was shown to reduce tumor necrosis factor al...

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    doi:10.1097/00000542-200506000-00017

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  • Pulmonary vascular effects of isoflurane anesthesia after left lung autotransplantation in chronically instrumented dogs.

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  • Hemodynamic interactions of verapamil and isoflurane.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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  • Perioperative systemic magnesium to minimize postoperative pain: a meta-analysis of randomized controlled trials.

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    pub_type: 杂志文章,meta分析,评审

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