PubMed HealthSearch

PubMed · 8760637

[Sciatic nerves block].

Abstract

Sciatic nerve block is considered difficult to perform, but very useful for lower limb anaesthesia and analgesia. The use of a nerve stimulator makes the technique easier. Functionally, it is better to consider that there are three independent sciatic nerves, namely, the posterior cutaneous nerve, the tibial nerve and the common peroneal nerve. Searching for blocking these three nerves and especially the latter two, specifically improve the reliability and quality of blockade.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

P J Zetlaoui. 1996. [Sciatic nerves block].. https://pubmed.ncbi.nlm.nih.gov/8760637/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Toxicity of intraocular lidocaine and bupivacaine.

PURPOSE: To study the toxicity of intraocular lidocaine, bupivacaine, and a combination of the two anesthetics. METHODS: The right eyes of 34 rabbits were divided into eight groups, and each was injected intravitreally with 0.2 ml of lidocaine hydrochloride in a 2%, 1%, 0.5%, or 0.25% concentration, or bupivacaine hydrochloride in a 0.75%, 0.5%, or 0.25% concentration, or a 1:1 mixture of lidocaine 2% and bupivacaine 0.75%. The left eyes of four of these rabbits received an injection of balanced saline solution. Electroretinograms were recorded before injection and 30 minutes, 90 minutes, 3 hours, 6 hours, 24 hours, and 1 week after injection. The amplitude and the implicit time were analyzed. The rabbits were killed 1 week after injection and the eyes evaluated histologically. RESULTS: No adverse clinical reaction and no histologic abnormality was observed in any of the nine groups after injection. The a- and b-waves of the electroretinograms in the control group injected with balanced saline solution, and the a-waves of the experimental groups that received injections of lidocaine, bupivacaine, or the mixture, were normal. The b-waves of the experimental groups demonstrated a marked decrease in the amplitude and an increase (P < .05) in the implicit time after intravitreal injection. Electroretinogram responses recovered within 24 hours. CONCLUSIONS: Intravitreal injection of 0.2 ml of lidocaine up to 2%, or of bupivacaine up to 0.75%, and the mixture of lidocaine 2% and bupivacaine 0.75%, induced reversible electroretinogram changes in the rabbit retina. No histologic abnormalities were observed.

Anesthetics, Local

Intradermal proximal field block: an innovative anesthetic technique for levonorgestrel implant removal.

BACKGROUND: Levonorgestrel implant removal is a common office procedure. These procedures can be difficult and uncomfortable for the woman. Many removal techniques use only small amounts of lidocaine to diminish tissue distortion and to allow palpation of the implants. We report an alternative technique that can maximize the anesthesia during removal procedures. TECHNIQUE: Using the "ice saline" technique, lidocaine is infiltrated proximal to the implant tips, creating a field block of the superficial medial antebrachial cutaneous nerves and anesthetizing the operative site without injecting lidocaine around the implants. EXPERIENCE: We began using this technique 3 years ago and have used it for more than 50 removals. There have been no complications, and the block appears to reduce the pain reported. CONCLUSION: The proximal intradermal field block is an alternative anesthetic technique for levonorgestrel implant removal.

Anesthetics, Local

Comparison of methods for the reduction of acute pain produced by rubber ring castration or tail docking of week-old lambs.

Behavioural and plasma cortisol changes were recorded for groups of eight Suffolk x Greyface lambs subjected to castration or tail docking using rubber rings with and without local anaesthetic treatment. Immediately after application of the rubber ring, local anaesthetic (2 x 0.2 ml 2% lignocaine) was administered either by needle and syringe or by high-pressure needleless injection into each side of the neck of the scrotum or tail at the site of the ring, or by high pressure needleless injection into the testes before ring application. In other groups, the innervation to the scrotum or tail was disabled by crushing with a powered bloodless castrator just proximal to the ring. Measurements were recorded in groups of control (handled) lambs, with and without local anaesthetic treatment. Application of local anaesthetic by high pressure needleless injection had little effect on either plasma cortisol values or behaviour of control lambs. For castration, application of the bloodless castrator and/or local anaesthetic at the ring site reduced the peak plasma cortisol concentration by 50% (P < or = 0.01), the incidence of active behavioural responses by 80 and 64% (P < or = 0.01) respectively, and the time spent in abnormal postures by 68 and 59% (P < or = 0.01) respectively. Both methods were effective in reducing pain for tail docking [active behavioural responses reduced by more than 80% (P < or = 0.01) and abnormal postures by 56% (P < or = 0.01)], although local anaesthetic was more effective, reducing the peak cortisol by 60% (P < or = 0.01) [crushing by 44% (P > 0.05)]. Injection of local anaesthetic into the testes was less effective than injection into the neck of the scrotum at the site of the ring [reduction in abnormal lying postures (P < or = 0.05), 45 vs 71%, respectively]. The rapid action, effectiveness, and ease of application of these experimental methods may provide the basis for commercially viable methods for reducing the acute pain produced by rubber ring castration and tail docking of lambs.

Anesthetics, Local