Ultrasound-guided femoro–sciatic nerve block with and without using nerve locator for below-knee surgeries

Background Femoral and sciatic nerve blocks is a suitable technique for below-knee surgeries compared with neuroaxial and general anesthetic techniques. Objectives To evaluate the efficacy of ultrasound-guided femoral and sciatic nerve blocks with and without using a nerve locator in below-knee surg...

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Published in:Research and Opinion in Anesthesia & Intensive Care 2020-01, Vol.7 (1), p.1-7
Main Authors: Walash, Ibrahim Ibrahim, Mostafa, Ashraf, Rayan, Ayman Abdel-Maksoud, Sultan, Wesam
Format: Article
Language:English
Subjects:
Anesthesia
Bupivacaine
Hemodynamics
Intensive care
Iodine
Knee
Medical research
Medicine, Experimental
Patients
Performance evaluation
Statistical analysis
Surgery
Ultrasonic imaging
Veins & arteries
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Mostafa, Ashraf
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Sultan, Wesam
description Background Femoral and sciatic nerve blocks is a suitable technique for below-knee surgeries compared with neuroaxial and general anesthetic techniques. Objectives To evaluate the efficacy of ultrasound-guided femoral and sciatic nerve blocks with and without using a nerve locator in below-knee surgeries. Patients and methods Between May 2017 and May 2018, we conducted our randomized, observer-blinded prospective clinical study. Sixty patients underwent below-knee surgeries in Menoufia University Hospitals were involved and divided into two groups of 30 patients each. The groups were assigned into two: group A received ultrasound-guided femoral and sciatic nerve block and in group B, nerve block was done using combined ultrasound with a nerve locator. Results The onset time of motor block was significantly shorter in the nerve locator group than in the ultrasound-only group (P
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Objectives To evaluate the efficacy of ultrasound-guided femoral and sciatic nerve blocks with and without using a nerve locator in below-knee surgeries. Patients and methods Between May 2017 and May 2018, we conducted our randomized, observer-blinded prospective clinical study. Sixty patients underwent below-knee surgeries in Menoufia University Hospitals were involved and divided into two groups of 30 patients each. The groups were assigned into two: group A received ultrasound-guided femoral and sciatic nerve block and in group B, nerve block was done using combined ultrasound with a nerve locator. Results The onset time of motor block was significantly shorter in the nerve locator group than in the ultrasound-only group (P&lt;0.001). There was no significant statistical difference among the studied groups as regards the heart rate, blood pressure, and onset time of sensory block. 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Objectives To evaluate the efficacy of ultrasound-guided femoral and sciatic nerve blocks with and without using a nerve locator in below-knee surgeries. Patients and methods Between May 2017 and May 2018, we conducted our randomized, observer-blinded prospective clinical study. Sixty patients underwent below-knee surgeries in Menoufia University Hospitals were involved and divided into two groups of 30 patients each. The groups were assigned into two: group A received ultrasound-guided femoral and sciatic nerve block and in group B, nerve block was done using combined ultrasound with a nerve locator. Results The onset time of motor block was significantly shorter in the nerve locator group than in the ultrasound-only group (P&lt;0.001). There was no significant statistical difference among the studied groups as regards the heart rate, blood pressure, and onset time of sensory block. 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subjects Anesthesia
Bupivacaine
Hemodynamics
Intensive care
Iodine
Knee
Medical research
Medicine, Experimental
Patients
Performance evaluation
Statistical analysis
Surgery
Ultrasonic imaging
Veins & arteries
title Ultrasound-guided femoro–sciatic nerve block with and without using nerve locator for below-knee surgeries
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