Analgesia & Resuscitation : Current ResearchISSN: 2324-903X

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Case Report, Analg Resusc Curr Res Vol: 3 Issue: 1

Continuous Anterior Sciatic Nerve Block: A Case Series

Maged Guirguis1*, Armin F. Deroee2, Sree Kolli2, Alaa A. Abd-Elsayed3 and Sherif Zaky1
1Ochsner health system, New Orleans, Louisiana, USA
2Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA
3Department of Anesthesiology, University of Cincinnati, Cincinnati, Ohio, USA
Corresponding author : Maged Guirguis
Institute of Anesthesia, Pain management department Ochsner Health System 2820 Napoleon Ave, New Orleans , LA 70115, USA
Tel: 440-321-0525
Fax: 216-444-2294
E-mail: [email protected]
Received: September 29, 2013 Accepted: December 24, 2013 Published: January 03, 2014
Citation: Guirguis M, Deroee AF, Sree K, Abd-Elsayed AA, Sherif Z, (2014) Continuous Anterior Sciatic Nerve Block: A Case Series. Analg Resusc: Curr Res 3:1. doi:10.4172/2324-903X.1000112

Abstract

Continuous Anterior Sciatic Nerve Block: A Case Series

Sciatic nerve block is classically performed through posterior or lateral approaches. With the increased use of ultrasound, the anterior approach has gained popularity. An anterior approach should be considered in patients after trauma and severe postoperative pain where patient positioning can be challenging. The anatomical landmark techniques can be difficult for anterior approach and cannot always be relied on due to inconsistency in extremely obese population. The presence of large blood vessels in the needle path and increasing use of anticoagulants, call for the use of ultrasound guidance for anterior approach to sciatic nerve

Keywords: Sciatic nerve block; Anterior approach; Ultrasound guided; Peripheral nerve catheter; Inguinal crease; External rotation; Lesser trochanter; Curvilinear probe

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