A prospective, randomized comparison between the popliteal and subgluteal approaches for continuous sciatic nerve block with stimulating catheters

被引：12

作者：

Taboada, Manuel ^{[1
]}

Rodriguez, Jaime ^{[1
]}

Valino, Cristina ^{[1
]}

Vazquez, Miriam ^{[1
]}

Laya, Araceli ^{[1
]}

Garea, Manuel ^{[1
]}

Carceller, Javier ^{[1
]}

Alvarez, Julian ^{[1
]}

Atanassoff, Vanessa ^{[1
]}

Atanassoff, Peter G. ^{[1
]}

机构：

[1] Univ Santiago de Compostela, Dept Anesthesiol, Hosp Clin Univ Santiago, Santiago De Compostela 15706, Spain

来源：

ANESTHESIA AND ANALGESIA | 2006年 / 103卷 / 01期

关键词：

D O I：

10.1213/01.ane.0000220946.64570.73

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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.

引用

页码：244 / 247

页数：4

共 17 条

[1] Early experience with continuous cervical paravertebral block using a stimulating catheter [J].