Continuous parasacral sciatic nerve block: two case reports.

G F Morris; S A Lang

doi:10.1016/s1098-7339(97)80036-3

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Continuous parasacral sciatic nerve block: two case reports.

G F Morris·S A Lang

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Abstract

OBJECTIVE: This study investigated the use of a continuous parasacral sciatic nerve block for anesthesia and postoperative analgesia for lower extremity surgery. METHODS: A continuous parasacral sciatic nerve block was performed in two patients (triple ankle arthrodesis and below-knee amputation). The sacral plexus was identified using an insulated Tuohy needle and a nerve stimulator. A catheter was placed near the elements of the sacral plexus via the Tuohy needle. RESULTS: In both patients, surgical anesthesia was successfully established through the parasacral catheter with lidocaine 1% (1/200,000 epinephrine), and postoperative analgesia was successfully established with a bolus of bupivacaine 0.375% (1/200,000 epinephrine) and maintained with a continuous infusion of bupivacaine 0.1% (8 mL/h) for 48 hours. CONCLUSION: We conclude that continuous parasacral sciatic nerve block can provide anesthesia and long-term analgesia for operative procedures of the foot and leg.

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Amputation, Surgical Anesthesia, Local Anesthetics, Local Arthritis, Rheumatoid Bupivacaine Female Humans Lidocaine Male Middle Aged Nerve Block Postoperative Pain Pilot Projects Sciatic Nerve Case Reports Journal Article

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G F Morris, S A Lang. Continuous parasacral sciatic nerve block: two case reports.. https://doi.org/10.1016/s1098-7339(97)80036-3

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