Low volume and high concentration of local anesthetic is more efficacious than high volume and low concentration in Labat's sciatic nerve block: A prospective, randomized comparison

Anesthesia and Analgesia

Volumn 107, Issue 6, 2008, Pages 2085-2088

  Muñiz, Manuel Taboada ^a,d   Rodríguez, Jaime ^a   Bermúdez, María ^a   Valiño, Cristina ^b   Blanco, Noemi ^a   Amor, Marcos ^a   Aguirre, Pilar ^a   Masid, Ana ^a   Cortes, Joaquin ^a   Álvarez, Julián ^a   Atanassoff, Peter G ^c  

^a UNIVERSITY OF SANTIAGO DE COMPOSTELA   (Spain)

^b HOSPITAL DO MEIXOEIRO   (Spain)

^c YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d Instituto de Salud Carlos III   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

LOCAL ANESTHETIC AGENT; MEPIVACAINE;

ADULT; AGED; ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG DOSE COMPARISON; DRUG EFFECT; DRUG EFFICACY; EVOKED MUSCLE RESPONSE; FEMALE; FLEXION CONTRACTURE; FOOT SURGERY; HUMAN; INJECTION; MAJOR CLINICAL STUDY; MALE; MAXIMUM PLASMA CONCENTRATION; MOTOR NERVE BLOCK; NERVE BLOCK; NERVE STIMULATION; PERONEUS NERVE; PLANTARIS MUSCLE; PRICK TEST; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SCIATIC NERVE; SCIATIC NERVE BLOCK; SINGLE DRUG DOSE; TIBIA; VOLUMETRY; METHODOLOGY; MIDDLE AGED;

ADULT; AGED; ANESTHETICS, LOCAL; DOUBLE-BLIND METHOD; FEMALE; HUMANS; MALE; MEPIVACAINE; MIDDLE AGED; NERVE BLOCK; PROSPECTIVE STUDIES; SCIATIC NERVE;

EID: 58149280165     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/ane.0b013e318186641d     Document Type: Article

References (26)

1. Vloka JD, Hadzic A. The intensity of the current at which sciatic nerve stimulation is achieved is more important factor in determining the quality of nerve block than the type of motor response obtained. Anesthesiology 1998;88:1408-10
2. Benzon HT, Kim C, Benzon HP, Silverstein ME, Jericho B, Prillaman K, Buenaventura R. Correlation between evoked motor response of the sciatic nerve and sensory blockade. Anesthesiology 1997;87:547-52
3. Taboada M, A' lvarez J, Corte's J, RodrI'guez J, Atanassoff PG. Lateral approach to the sciatic nerve block in the popliteal fossa: correlation between evoked motor response and sensory block. Reg Anesth Pain Med 2003;28:450-5
4. Sukhani R, Nader A, Candido KD, Doty R Jr, Benzon HT, Yaghmour E, Kendall M, McCarthy R. Nerve stimulatorassisted evoked motor response predicts the latency and success of a single-injection sciatic block. Anesth Analg 2004;99:584-8
5. Taboada M, Atanassoff PG, RodrI'guez J, Corte's J, Del Rio S, Lagunilla J, Gude F, Alvarez J. Plantar flexion seems more reliable than dorsiflexion with Labat's sciatic nerve block: a prospective, randomized comparison. Anesth Analg 2005;100: 250-4
6. Pianezza A, Gilbert ML, Minville V, Filsinger D, Gobert Q, Gue'rot A, Fuzier R, Fourcade O. A modified mid-femoral approach to the sciatic nerve block: a correlation between evoked motor response and sensory block. Anesth Analg 2007;105:528-30
7. Hagon BS, Itani O, Bidgoli JH, Van der Linden PJ. Parasacral sciatic nerve block: does the elicited motor response predict the success rate? Anesth Analg 2007;105:263-6
8. Taboada M,A' lvarez J, Corte's J, RodrI'guez J, Rabanal S, Gude F, Atanassoff A, Atanassoff PG. The effects of three different approaches on the onset time of sciatic nerve blocks with 0.75% ropivacaine. Anesth Analg 2004;98:242-7
9. Fournier R, Weber A, Gamulin Z. Posterior labat vs. lateral popliteal sciatic block: posterior sciatic block has quicker onset and shorter duration of anaesthesia. Acta Anaesthesiol Scand 2005;49:683-6
10. Taboada M, RodrI'guez J, Del Rio S, Lagunilla J, Carceller J, Alvarez J, Atanassoff PG. Does the site of injection distal to the greater trochanter make a difference in lateral sciatic nerve blockade? Anesth Analg 2005;101:1188-91
11. Cuvillon P, Ripart J, Jeannes P, Mahamat A, Boisson C, L'Hermite J, Vernes E, de la Coussaye JE. Comparison of the parasacral approach and the posterior approach, with singleand double-injection techniques, to block the sciatic nerve. Anesthesiology 2003;98:1436-41
12. Bailey SL, Parkinson SK, Little WL, Simmerman SR. Sciatic nerve block. A comparison of single versus double injection technique. Reg Anesth 1994;19:9-13
13. Paqueron X, Bouaziz H, Macalou D, Labaille T, Merle M, Laxenaire MC, Benhamou D. The lateral approach to the sciatic nerve at the popliteal fossa: one or two injections? Anesth Analg 1999;89:1221-5
14. Taboada M, Alvarez J, Corte's J, RodrI'guez J, Atanassoff PG. Is a double-injection technique superior to a single injection in posterior subgluteal sciatic nerve block? Acta Anaesthesiol Scand 2004;48:883-7
15. March X, Pineda O, Garcia MM, Carame's D, Villalonga A. The posterior approach to the sciatic nerve in the popliteal fossa: a comparison of single- versus double-injection technique. Anesth Analg 2006;103:1571-3
16. Bernard JM, Macaire P. Dose-range effects of clonidine added to lidocaine for brachial plexus block. Anesthesiology 1997;87: 277-84
17. Casati A, Fanelli G, Borghi B, Torri G. Ropivacaine or 2% mepivacaine for lower limb peripheral nerve blocks. Anesthesiology 1999;90:1047-52
18. Taboada M, Corte's J, RodrI'guez J, Ulloa B, Alvarez J, Atanassoff PG. Lateral approach to the sciatic nerve in the popliteal fossa: a comparison between 1.5% mepivacaine and 0.75% ropivacaine. Reg Anesth Pain Med 2003;28:516-20
19. Vester-Andersen T, Husum B, Lindeburg T, Borrits L, Gøthgen I. Perivascular axillary block IV: blockade following 40, 50 or 60 mL of mepivacaine 1% with adrenaline. Acta Anaesthesiol Scand 1984;28:99-105
20. Rucci FS, Barbagli R, Pippa P, Boccaccini A. The optimal dose of local anesthetic in the orthogonal two-needle technique. Extent of sensory block after the injection of 20, 20 and 40 mL of anesthetic solution. Eur J Anaesthesiol 1997;14:281-6
21. Shirmek F, Deusch H. New technique of sciatic nerve block in the popliteal fossa. Eur J Anaesthesia 1995;12:163-9
22. Taboada M, Rodriguez J, Valiño C, Carceller J, Bascuas B, Oliveira J, Alvarez J, Gude F, Atanassoff PG. What is the minimum effective volume of local anesthetic required for sciatic nerve blockade? A prospective, randomized comparison between a popliteal and a subgluteal approach. Anesth Analg 2006;102:593-7
23. Nakayama M, Yamamoto J, Ichinose H, Yamamoto S, Kanaya N, Namiki A. Effects of volume and concentration of lidocaine on epidural anesthesia in pregnant females. Eur J Anaesthesiol 2002;19:808-11
24. Krenn H, Deusch E, Balogh B, Jellinek H, Oczenski W, Plainer- Zöchling E, Fitzgerald RD. Increasing the injection volume by dilution improves the onset of motor blockade, but not sensory blockade of ropivacaine for brachial plexus block. Eur J Anaesthesiol 2003;20:21-5
25. Cappelleri G, Aldegheri G, Ruggieri F, Mamo D, Fanelli G, Casati A. Minimum effective anesthetic concentration (MEAC) for sciatic nerve block: subgluteus and popliteal approaches. Can J Anaesth 2007;54:283-9
26. Casati A, Baciarello M, Di Cianni S, Danelli G, De Marco G, Leone S, Rossi M, Fanelli G. Effects of ultrasound guidance on the minimum effective anaesthetic volume required to block the femoral nerve. Br J Anaesth 2008;98:823-7