Intraneural injection during nerve stimulator-guided sciatic nerve block at the popliteal fossa

British Journal of Anaesthesia

Volumn 102, Issue 6, 2009, Pages 855-861

  Sala Blanch, X ^a   Lopez A M ^a   Carazo, J ^a   Hadzic, A ^b   Carrera, A ^a   Pomes J ^a   Valls Sole J ^a  

^a UNIVERSITY OF BARCELONA   (Spain)

^b Och Spine at New York Presbyterian Hospitals   (United States)

Author keywords

Anaesthetic techniques, regional, sciatic; Monitoring, ultrasound; Nerve, damage

Indexed keywords

MIDAZOLAM; LOCAL ANESTHETIC AGENT;

ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL EVALUATION; CONTROLLED STUDY; FASCICULATION; FEMALE; HALLUX VALGUS; HUMAN; LOCAL ANESTHESIA; MALE; MOTOR PERFORMANCE; NERVE BLOCK; NERVE STIMULATION; POPLITEAL VEIN; PRIORITY JOURNAL; SCIATIC NERVE; SWELLING; ULTRASOUND; AGED; ANATOMY AND HISTOLOGY; DRUG EFFECTS; ECHOGRAPHY; ELECTROSTIMULATION; ENDOSCOPIC ECHOGRAPHY; KNEE; MIDDLE AGED; MOVEMENT (PHYSIOLOGY); PHYSIOLOGY; PROCEDURES; SENSATION;

AGED; ANESTHETICS, LOCAL; ELECTRIC STIMULATION; FEMALE; HALLUX VALGUS; HUMANS; KNEE JOINT; MALE; MIDDLE AGED; MOVEMENT; NERVE BLOCK; SCIATIC NERVE; SENSATION; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 67649424578     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aep097     Document Type: Article

References (18)

1. De Andres JA, Sala-Blanch X. Peripheral nerve stimulation in the practice of brachial plexus anesthesia: a review. Reg Anesth Pain Med 2001; 26: 478-83
2. De Andres JA, Alonso-Inigo JM, Sala-Blanch X, et al. Nerve stimulation in regional anesthesia: theory and practice. Best Pract Res Clin Anaesthesiol 2005; 19: 153-74
3. Bollini CA, Urmey WF, Vascello L, et al. Relationship between evoked motor response and sensory paresthesia in interscalene brachial plexus block. Reg Anesth Pain Med 2003; 28: 384-8
4. Choyce A, Chan VW, Middleton WJ, et al. What is the relationship between paresthesia and nerve stimulation for axillary brachial plexus block? Reg Anesth Pain Med 2001; 26: 100-4
5. Urmey WF, Stanton J. Inability to consistently elicit a motor response following sensory paresthesia during interscalene block administration. Anesthesiology 2002; 96: 552-4
6. Tsai TP, Vuckovic I, Dilberovic F, et al. Intensity of the stimulating current may not be a reliable indicator of intraneural needle placement. Reg Anesth Pain Med 2008; 33: 207-10
7. Bigeleisen PE. Nerve puncture and apparent intraneural injection during ultrasound-guided axillary block does not invariably result in neurologic injury. Anesthesiology 2006; 105: 779-83
8. Chan VW, Brull R, McCartney CJ, et al. An ultrasonographic and histological study of intraneural injection and electrical stimulation in pigs. Anesth Analg 2007; 104: 1281-4
9. Rivas E, Sala-Blanch X, Bargallo X, et al. Ultrasound-guided posterior approach to block the sciatic nerve at the popliteal fossa. Rev Esp Anestesiol Reanim 2004; 51: 604-7
10. Sala-Blanch X, Pomes J, Matute P, et al. Intraneural injection during anterior approach for sciatic nerve block. Anesthesiology 2004; 101: 1027-30
11. Sala X, Domingo V, Bargallo X, et al. Intraneural sciatic nerve puncture in the popliteal fossa demonstrated by ultrasound. Rev Esp Anestesiol Reanim 2006; 53: 269-70
12. Robards C, Hadzic A, Somasundaram L, et al. Intraneural injection with low currents stimulation during popliteal sciatic nerve block. Anesth Analg 2009; in press
13. Brull R, Chan VW, McCartney CJ, et al. Ultrasound detects intra-neural injection. Anesthesiology 2007; 106: 1244
14. Vloka JD, Hadzic A, April E, et al. The division of the sciatic nerve in the popliteal fossa: anatomical implications for popliteal nerve blockade. Anesth Analg 2001; 92: 215-7
15. Rigaud M, Filip P, Lirk P, et al. Guidance of block needle insertion by electrical nerve stimulation: a pilot study of the resulting distribution of injected solution in dogs. Anesthesiology 2008; 109: 473-8
16. Ruiz A, Sala X, Bargallo X, et al. Influence of arm abduction on the anatomic relations of infraclavicular brachial plexus: an ultrasound study. Anesth Analg 2009; 108: 364-6
17. Sala-Blanch X, Ribalta T, Rivas E, et al. Structural injury to the human sciatic nerve after intraneural needle insertion. Reg Anesth Pain Med 2009; 34: in press
18. Rodriguez J, Taboada M, Blanco M, et al. Intraneural catheterization of the sciatic nerve in humans: a pilot study. Reg Anesth Pain Med 2008; 33: 285-90