Techniques and complications of popliteal nerve blocks

Use of popliteal nerve blocks (PNBs) as an alternative or adjunctive therapy to traditional methods of pain control (e.g., systemic or spinal anesthesia and opioids) is increasingly popular in foot and ankle surgery. We reviewed online databases for literature on PNBs in foot and ankle surgery to an...

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Bibliographic Details
Published in:Foot and ankle surgery 2022-10, Vol.28 (7), p.852-857
Main Authors: Blair, Taylor T., Weatherley, Trent S., Panchbhavi, Vinod K.
Format: Article
Language:English
Subjects:
Anesthetics
Lower extremity
Nerve block
Pain management
Post-Surgical pain
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Summary:Use of popliteal nerve blocks (PNBs) as an alternative or adjunctive therapy to traditional methods of pain control (e.g., systemic or spinal anesthesia and opioids) is increasingly popular in foot and ankle surgery. We reviewed online databases for literature on PNBs in foot and ankle surgery to analyze the various techniques and positioning used, the influence of drugs on their efficacy, and possible complications associated with their use. Thirty articles were identified with a predefined search criteria, followed by a review process for relevance. Patient demographics, procedure specifics, and block techniques, such as anesthetic used, can impact the duration and success of a PNB. Administration with ultrasound guidance proved superior to nerve stimulation, and preoperative administration was superior to postoperative administration. PNBs are an effective method to control postoperative pain with minimal complications, leading to decreased analgesic use, earlier discharge, and higher patient satisfaction. Level III, retrospective comparative study
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2021.11.008