Nuances to Ultrasound-Guided Subgluteal Sciatic Nerve Block Part 1
Full Commentary on “Ultrasound-Guided Sciatic Nerve Block in Overweight and Obese Patients” by Abdallah et al, Regional Anesthesia & Pain Medicine Vol 38, Number 6, Nov-Dec 2013, p547-552 There are a number of points made in this article that I find very interesting and that I believe are worth discussing further. Some of.. read more →
Identifying the Subgluteal Sciatic Nerve
Let’s briefly go over how you should go about finding the sciatic nerve at the subgluteal position. First, patient positioning is important (so is yours, but ergonomics is a subject for another day). Having the patient pull their knee forward and flex at the hip will ‘tighten’ the tissue layers which will bring structures closer.. read more →
SUBGLUTEAL SCIATIC
The subgluteal approach is where I first started blocking the sciatic nerve for total knee arthroplasty (TKA). Since I usually performed the subgluteal sciatic nerve block as a single injection (and some of the extra steps for a continuous block could be omitted) after the continuous femoral block was already secured in place,.. read more →
The ‘Right’ Way
WELL, THAT’S NEW TO ME… I have come in contact at more than one practice lately with an application for a block that I would not have thought reasonable before now. It is the use of a popliteal sciatic nerve block (as a single injection) for posterior knee pain for total knee arthroplasty. I.. read more →