Long-term conduction anesthesia of the sciatic nerve in the complex treatment of obliterating atherosclerosis

1993 ◽  
Vol 74 (4) ◽  
pp. 303-303
Author(s):  
V. A. Fominykh ◽  
V. H. Alkhanov

Conductive anesthesia as a therapeutic agent for injuries and diseases of the lower extremities is rarely performed. This is primarily due to the fact that the posterior approach is mainly used to perform the sciatic nerve block, which requires special positioning of the patient and is not suitable for inserting a catheter. The most convenient in this respect is the front access to the sciatic nerve. We catheterized the sciatic nerve according to V.V. Kuzmenkov et al. The method of long-term conduction block of the sciatic nerve (DPBS) was performed in 23 patients.

2010 ◽  
Vol 111 (2) ◽  
pp. 573-575 ◽  
Author(s):  
Attila Bondar ◽  
Michael Egan ◽  
Denis Jochum ◽  
Gérard Amarenco ◽  
Hervé Bouaziz

2009 ◽  
Vol 108 (1) ◽  
pp. 359-363 ◽  
Author(s):  
Antoun Nader ◽  
Mark C. Kendall ◽  
Kenneth D. Candido ◽  
Hubert Benzon ◽  
Robert J. McCarthy

2002 ◽  
Vol 27 (3) ◽  
pp. 333-334
Author(s):  
M CASALSMERCHAN ◽  
F MARTINEZMANAS ◽  
F EHSAN ◽  
A ALONSOGOMEZ ◽  
A FRASCARI ◽  
...  

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0020
Author(s):  
Harin B. Parikh ◽  
Tessa N. Mandler ◽  
Alexia G. Gagliardi ◽  
David R. Howell ◽  
Jay C. Albright

Background: The long-term outcomes of femoral nerve blockade following ACL reconstruction are not well defined. Femoral nerve blocks are typically administered as either a single-injection nerve block (FNB) or a continuous femoral nerve catheter (FNC). Prior work among pediatric patients found knee extension and flexion strength deficits 6 months postoperatively using FNB. However, this work was limited by the use of multiple graft choices and orthopedic surgeons. Purpose/Hypothesis: The purpose of this study was to investigate functional recovery after primary ACL surgery with quadriceps tendon-patellar autograft (QPA) in patients receiving a sciatic nerve block and either FNB or FNC. Our hypothesis was that short-term functional performance would be worse among those who underwent FNC compared to FNB. Methods: We conducted a retrospective chart review of pediatric patients 10-19 years of age who underwent ACL reconstruction with QPA by a single orthopedic surgeon. Surgery was performed at two locations: one of which administered FNB and the other FNC. Both were combined with sciatic nerve block. A physical therapist performed functional asymmetry assessments at approximately 6 months postoperative. We compared single-leg squat symmetry between groups using independent samples t-tests. We compared the proportion of patients in each group who achieved 80% symmetry on single-leg squat and Y-Balance tests, had initiated ballistics and running programs, and demonstrated functional symmetry at the 6-month post-operative appointment using Chi-square analyses. Results: Demographics were similar between groups (Table 1). Single leg percent symmetry of the operative limb was significantly greater in the FNB group compared to the FNC group (Table 2). In addition, a greater proportion of those in the FNB group demonstrated functional symmetry compared to the FNC group during the 6-month assessment (Table 2). There were no proportional differences between the groups for the number of patients who demonstrated 80% symmetry during single-leg squat or Y-Balance test, or had initiated a ballistics or running program at the time of assessment. Conclusion: Pediatric patients in the FNC group demonstrated poorer single-leg squat symmetry and functional symmetry compared to those in the FNB group at 7 months following ACL reconstruction with QPA. These preliminary findings may relate to increased concentration and duration of local anesthetic in the FNC group postoperatively. Providers should be cognizant of the implications of FNC on long-term outcomes of ACL reconstruction. [Table: see text][Table: see text]


2009 ◽  
Vol 108 (2) ◽  
pp. 660-665 ◽  
Author(s):  
Junichi Ota ◽  
Shinichi Sakura ◽  
Kaoru Hara ◽  
Yoji Saito

2001 ◽  
Vol 93 (4) ◽  
pp. 1040-1044 ◽  
Author(s):  
Pia di Benedetto ◽  
Laura Bertini ◽  
Andrea Casati ◽  
Battista Borghi ◽  
Andrea Albertin ◽  
...  

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