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Original Article
Reevaluation of the Sciatic Nerve Block
  1. P. C. Chang, M.D.*,
  2. S. A. Lang, F.R.C.P.C.** and
  3. R. W. Yip, F.R.C.P.C.†
  1. From the Department of Anesthesia, Royal University Hospital, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
  2. *Anesthesia Resident.
  3. **Clinical Assistant Professor of Anesthesia.
  4. †Assistant Professor of Anesthesia.
  1. Address reprint requests to Dr. S.A. Lang, Department of Anesthesia, Royal University Hospital, Saskatoon, Saskatchewan, Canada S7N OXO.

Abstract

Background and Objectives. Sciatic nerve blocks are perceived as unreliable, technically demanding, and uncomfortable. With strict criteria to define success rates, we designed a study to examine the efficacy of two techniques of sciatic nerve block.

Methods. All blocks were performed by a novice in sedated patients using an insulated needle and a nerve stimulator.

Results. Overall success with both techniques was 87.5%. One transient neurologic deficit attributed to the sciatic nerve block was observed; otherwise, the technique provided satisfactory anesthesia without complications.

Conclusions. Patient acceptance was excellent.

  • Anesthetic techniques
  • regional
  • sciatic
  • local anesthetic
  • bupivacaine
  • equipment
  • nerve stimulator
  • complications
  • nerve damage.

https://doi.org/10.1136/rapm-00115550-199318010-00004

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    Footnotes

    • The authors thank members of the Departments of Orthopedics and Anesthesia for their cooperation with this study, and they extend special thanks to the secretaries in the Department of Anesthesia, Royal University Hospital, for their help in preparing this manuscript.