A comparison of the posterior and lateral approach to the sciatic nerve in the popliteal fossa

Tilburg, Christopher Van; Jongh, Karen De; Vercauteren, M.; Hoffmann, V

doi:10.1016/j.rapm.2005.07.095

Cited by 1 publication

(1 citation statement)

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“…Popliteal blocks may require more needle passes to observe the desired motor response upon nerve stimulation but afterwards higher success rates and longer lasting anaesthesia without further neurological complications are noticed as compared with non‐diabetics (66, 67). As a consequence, it may be questioned whether with neuraxial techniques patients may still feel needle or catheter contact with nerve structures.…”

Section: Peripheral Neurological Deficitmentioning

confidence: 99%

Anaesthetic considerations for patients with a pre‐existing neurological deficit: are neuraxial techniques safe?

Vercauteren

Heytens

2007

Acta Anaesthesiol Scand

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Pre-existing neurological and muscular disease may be a specific concern for anaesthetists as they need to consider the effect of anaesthesia upon the disease, vice versa, and the interaction of anaesthesia with the medication taken by the patient. Despite a lack of controlled studies, many anaesthetists, being afraid of a claim, will prefer general rather than regional anaesthesia in these patients. Nevertheless regional anaesthesia certainly merits its place because it offers undeniable advantages. A good pre-operative examination is very important while patients should also be informed about peri-operative implications of anaesthesia, surgery and stress. Paraesthesias, epinephrine and high concentrations of local anaesthetics should be avoided in the majority of the diseases. Some diseases may benefit from epidural anaesthesia while for others a spinal technique may be the technique of preference. Special attention should be paid to patients with spinal stenosis despite recent reassuring reports with respect to safety of regional anaesthetic techniques. Anaesthetists should not automatically take all responsibility in case of progressive or new deficit after the procedure.

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Section: Peripheral Neurological Deficitmentioning

confidence: 99%