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Verma, Samrat
- Anterior Approach of Ultrasound Guided Sciatic Nerve Block for Knee and below Knee Surgeries:A Pilot Study
Abstract Views :307 |
PDF Views:107
Authors
Affiliations
1 Arihant Hospital, Dubey Colony, Mova, Raipur, IN
1 Arihant Hospital, Dubey Colony, Mova, Raipur, IN
Source
Central Journal of ISA, Vol 1, No 1 (2017), Pagination: 21-25Abstract
Background and Aims: Sciatic nerve block with femoral nerve block besides its advantages has been used to achieve complete anaesthesia for knee and below knee surgery. The anterior approach has been the most seldom used due to absence of reliable landmarks and technical difficulty. We evaluated the clinical application of the anterior approach to Sciatic nerve block under ultrasound guidance. Methods: This pilot study was conducted in 30 patients aged 18-59 yrs of ASA I-II who underwent knee and below knee surgery. With patient supine and knee externally rotated, sciatic nerve was approached under ultrasound guidance and 15 ml 0.5% bupivacaine along with 10 ml2% lignocaine with adrenaline was injected. Then 10 ml 0.5% bupivacaine&5 ml 2% lignocaine with adrenaline was injected at femoral nerve. Number of attempts, block execution time, onset of complete sensory and motor block, patient satisfaction was measured. Results: Surgical anaesthesia was achieved in 22 patients. 8 patients needed SAB wereas this was a pilot study no comparisons could be made and hence there was no p valueconsidered as failure of procedure. We observed themean number of attempts required to place the needle at site 3.50 ± 1.106; mean block execution time 9.66 ± 3.63 min; mean onset time of sensory block&motor block was 17.83 ± 7.552 min&24.97 ± 3.479 min respectively. 12 (40%) patients were satisfied with the technique used and reported it as excellent. Conclusion: Results of this study show promising outcome in terms of the number of attempts, block execution time, onset of sensory&motor block and patient satisfaction and indicate the need to conduct this study on a larger scale. We conclude that anterior approach is an excellent alternative approach to other approaches for sciatic nerve block especially in patients with multiple injuries.Keywords
Anterior Approach, Pilot Study, Sciatic Nerve Anatomy, Various Approaches for Block.Full Text
References
- Labat G. Its technique and clinical applications, Regional Anaesthesia, 2nd edition. Philadelphia, Saunders Publishers 1924; 45–55
- Seymor DG, Prigle R. Post-operative complications in the elderly surgical population. Gerontology 1983; 29:262–70.
- Tantry TP, Kadam D, Shetty P, Bhandary S. Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions. Indian Journal of Anaesthesia. 2010; 54(3):235–38.
- Beck GP. Anterior approach to sciatic nerve block. Anesthesiology 1963; 24: 222–4.
- Fuzier R, Fuzier V, Albert N, Barbero C, Villaceque E, Samii K et al. The sciatic nerve block in emergency settings: A comparison between a new anterior and the classic lateral approaches. Med SciMonit 2004; 10(10):563–7.
- Dalens B, Tanguy A, Vanneuville G. Sciatic Nerve Blocks in Children: Comparison of the Posterior, Anterior, and Lateral Approaches in 180 Pediatric Patients. Anesthesia Analgesia 1990; 70:131–7.
- Ericksen ML, Swenson JD, Pace NL. The anatomic relationship of the sciatic nerve to the lesser trochanter: Implications for anterior sciatic nerve block. Anesthesia Analgesia 2002; 95:1071–4.
- Chan V, Nova H, Abbas S, McCartney CJ, Perlas A, Xu DQ. Ultrasound Examination and Localization of the Sciatic Nerve: A Volunteer Study. Anesthesiology 2006; 104:309–14.
- Bromage PR. (1978): Description of the Bromage score. Quoted from Owen, M.D. (1998). 0.25% Ropivacaine is similar to 0.25% bupivacaine for labor analgesia using patient control epidural infusion. Anesthesia Analgesia; 1998.
- Amin Wafik A, Abou SMO, Saeed Mervat F, Mohammad Sohair F, AbdelHaleem TM, Shabaan EA. Continuous Sciatic Nerve Block: Comparative Study between the Parasacral, Lateral and Anterior Approaches for Lower Limb Surgery. Middle East Journal of Anesthesiology 2010; 20(5):695–702.
- Ota J, Sakura S, Hara K, Saito Y. Ultrasound-Guided Anterior Approach to Sciatic Nerve Block: A Comparison with the Posterior Approach. Anesthesia Analgesia 2009; 108:660–5.
- Alsatli RA. Comparison of ultrasound-guided anterior versus transgluteal sciatic nerve blockade for knee surgery. Anesthesia Essays and Research 2012 Jan-June; 6(1):29–33.
- Dolan J. Ultrasound-guided anterior sciatic nerve block in the proximal thigh: an in-plane approach improving the needle view and respecting fascial planes. British Journal of Anaesthesia 2013 Feb; 110(2):319–20
- Chelly JE, Delaunay L. A New Anterior Approach to the Sciatic Nerve Block. Anesthesiology 1999; 91:1655–60.
- Van Elstraete AC, Poey C, Lebrun T, Pastureau F. New Landmarks for the Anterior Approach to the Sciatic Nerve Block: Imaging and Clinical Study. Anesthesia Analgesia 2002; 95:214–8.
- An Unforeseen Complication of Suctioning an Endotracheal Tube having Murphy's Eye
Abstract Views :283 |
PDF Views:85
Authors
Affiliations
1 Pt J N M Medical College, Raipur (C.G.), IN
1 Pt J N M Medical College, Raipur (C.G.), IN
Source
Central Journal of ISA, Vol 1, No 2 (2017), Pagination: 81-82Abstract
Endotracheal Tube (ETT) suction is necessary to clear secretions, to maintain patency, to optimize oxygenation and ventilation in an intubated patient. The goal of ETT suctioning should be to maximize the amount of secretion removed with minimal adverse effects. We report an unusual case of suction catheter impaction while endotracheal suctioning.Keywords
Endotracheal Tube, Suction.Full Text
References
- Jackson GNB, Bartlett R, Yentis SM. Forces required to remove bougies from tracheal tubes. Anaesthesia. 2009; 64:320–2. https://doi.org/10.1111/j.1365-2044.2008.05761.x PMid:19302648.
- Sharma PK, Khan RM, Kaul N. An unnoticed broken sheathed metallic stylet in an Endotracheal Tube. SQU MED J. 2010; 10:126–8.
- Kubo K, Nakao S, Kawabata Y, Nishimae H, Masuko S, Shingu K. An unusual case of airway obstruction at the tip of an endotrachealtube caused by insertion of a nasogastric tube. J Anesth. 2008; 22:52–4. https://doi.org/10.1007/s00540-007-0563-5 PMid:18306014.
- Takrouri MS, Nafakh R, Abbas AA. Suction catheter impaction in preformed nasal endotracheal tube (PNETT) during pediatricdental anesthesiahazard notice. Internet J Anesth. 2008; 22:1.
- Gupta A, Mohta A, Kamal G, Bathla S. Impaction of suction catheter – Complication of endotracheal suctioning. Indian J Crit Care Med. 2010; 14:222. https://doi.org/10.4103/0972-5229.76092 PMid:21572759 PMCid: PMC3085229.
- Jagannathan N, Pak TY. An unusual complication of endotracheal tube suctioning. J Anesth. 2009; 23:170–1. https://doi.org/10.1007/s00540-008-0707-2 PMid:19234851.
- Raut MS, Joshi S, Maheshwari A. Stuck suction catheter in endotracheal tube. Indian J Crit Care Med. 2015; 19:113–5. https://doi.org/10.4103/0972-5229.151020 PMid:25722554 PMCid:PMC4339896.
- Dubey PK, Sanjeev OP. Impaction of suction catheter during paediatric anaesthesia. Anaesthesia. 2013; 68:102–18. https://doi.org/10.1111/anae.12104 PMid:23231612.