A prospective, randomized comparison between the popliteal and subgluteal approaches for continuous sciatic nerve block with stimulating catheters
In this prospective, blinded study, we randomized 56 patients undergoing hallux valgus repair to receive continuous sciatic nerve block using a subgluteal (n = 28) or a posterior popliteal approach (n = 28) with a perineural stimulating catheter. Postoperatively, the stimulating catheter was connected to a patient-controlled analgesia pump with 0.0625% levobupivacaine (basal infusion rate of 3 mL/h, patient-controlled bolus dose of 3 mL, and lockout time of 20 min). Both approaches provided similar postoperative analgesia; however, local anesthetic consumption was larger in the popliteal group (4.9 +/- 1.4 mL/h) compared with the subgluteal group (3.8 +/- 1.1 mL/h; P < 0.05). We conclude continuous postoperative analgesia using stimulating catheters was effective at both injection sites; however, a subgluteal approach reduced the overall amount of local anesthetic.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2006 |
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| Erschienen: |
2006 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:103 |
|---|---|
| Enthalten in: |
Anesthesia and analgesia - 103(2006), 1 vom: 22. Juli, Seite 244-7, table of contents |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Taboada, Manuel [VerfasserIn] |
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| Themen: |
A5H73K9U3W |
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| Anmerkungen: |
Date Completed 16.08.2006 Date Revised 01.12.2018 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM163659141 |
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| 100 | 1 | |a Taboada, Manuel |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A prospective, randomized comparison between the popliteal and subgluteal approaches for continuous sciatic nerve block with stimulating catheters |
| 264 | 1 | |c 2006 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Completed 16.08.2006 | ||
| 500 | |a Date Revised 01.12.2018 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a In this prospective, blinded study, we randomized 56 patients undergoing hallux valgus repair to receive continuous sciatic nerve block using a subgluteal (n = 28) or a posterior popliteal approach (n = 28) with a perineural stimulating catheter. Postoperatively, the stimulating catheter was connected to a patient-controlled analgesia pump with 0.0625% levobupivacaine (basal infusion rate of 3 mL/h, patient-controlled bolus dose of 3 mL, and lockout time of 20 min). Both approaches provided similar postoperative analgesia; however, local anesthetic consumption was larger in the popliteal group (4.9 +/- 1.4 mL/h) compared with the subgluteal group (3.8 +/- 1.1 mL/h; P < 0.05). We conclude continuous postoperative analgesia using stimulating catheters was effective at both injection sites; however, a subgluteal approach reduced the overall amount of local anesthetic | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 7 | |a Anesthetics, Local |2 NLM | |
| 650 | 7 | |a Levobupivacaine |2 NLM | |
| 650 | 7 | |a A5H73K9U3W |2 NLM | |
| 650 | 7 | |a Bupivacaine |2 NLM | |
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| 700 | 1 | |a Rodríguez, Jaime |e verfasserin |4 aut | |
| 700 | 1 | |a Valiño, Cristina |e verfasserin |4 aut | |
| 700 | 1 | |a Vazquez, Miriam |e verfasserin |4 aut | |
| 700 | 1 | |a Laya, Araceli |e verfasserin |4 aut | |
| 700 | 1 | |a Garea, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Carceller, Javier |e verfasserin |4 aut | |
| 700 | 1 | |a Alvarez, Julian |e verfasserin |4 aut | |
| 700 | 1 | |a Atanassoff, Vanessa |e verfasserin |4 aut | |
| 700 | 1 | |a Atanassoff, Peter G |e verfasserin |4 aut | |
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