Distribution of sciatic nerve division in children: a prospective observational study using an ultrasound device

Ideno, Satoshi; Miyazawa, Noriko; Shinto, Ajit; Minoshima, Rie; Wakamiya, Rie; Yamamoto, Shinichi; Seki, Hiroyuki; Morisaki, Hiroshi

doi:10.1111/pan.13080

Cited by 3 publications

(4 citation statements)

References 3 publications

(2 reference statements)

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“…Recent imaging studies have developed ultrasound‐guided techniques for children, for more reliable and effective anesthetic blockades of the nerves in the head and neck (Sola et al, ), trunk (Willschke et al, ; Suresh and Chan, ; Weintraud et al, ), and upper (De Jose Maria et al, ; Ponde and Diwan, ) and lower (Oberndorfer et al, ; Sandeman and Dilley, ) extremities. A few have also described the benefits of ultrasonography in the blockade of the SN in the popliteal fossa in pediatric patient (Van Geffen et al, ; Ideno et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have reported the success of the blockade in the popliteal fossa in minimizing complications and postoperative pain (Singelyn et al, ; Konrad and Johr, ; Creech and Meyr, ). A few have developed landmark (Berniere et al, ; Grasu et al, ; Acar et al, ) and ultrasound‐guided (Van Geffen et al, ; Ideno et al, ) techniques for achieving faster and easier analgesia in children.…”

Section: Introductionmentioning

confidence: 99%

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A computed tomography and magnetic resonance imaging study of the variations of the sciatic nerve branches of the pediatric knee: Implications for peripheral nerve blockade

et al. 2019

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In pediatric patients, peripheral anesthetic blockade of the sciatic nerve is useful for postoperative pain relief after orthopedic procedures of the lower limb. The identification of the sciatic and its branches relative to the surrounding anatomical structures of the knee significantly contribute to the successful nerve blockade. However, reports have demonstrated complications arising from the inadequate and inconsistent understanding of the anatomy of the nerves in the knee region. In addition, the paucity of information regarding the location of the nerves of the knee throughout the pediatric development needs to be addressed in order for peripheral nerve blockades to become more readily used among the pediatric population. This clinical imaging study therefore aimed to document and analyze the relative morphometric relationship of the nerves in the knee region throughout the different stages of pediatric development. The locations of the sciatic, tibial, and common fibular nerves were measured in relation to relevant anatomical structures in 142 pediatric magnetic resonance imaging and computed tomography. A strong correlation was found between age and the distance from the common fibular nerve to the semitendinosus muscle, and thus can be used to predict stature. Significant differences were found between males and females, specifically after puberty, suggesting that sexual dimorphism emerges more distinctively at puberty. In order to predict the location of the nerves at the popliteal fossa, a regression formula using the patient's age and bicondylar width was created. These finding may have significant implications for popliteal approach of the sciatic nerve blockade in pediatric patients. Clin. Anat. 32:836-850, 2019.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A computed tomography and magnetic resonance imaging study of the variations of the sciatic nerve branches of the pediatric knee: Implications for peripheral nerve blockade

et al. 2019

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“…Al igual que como ocurre en los bloqueos de extremidad superior, las técnicas utilizadas derivan de las desarrolladas en adultos, con pequeños ajustes según la anatomía y fisiología del paciente pediátrico. Por ejemplo, al momento de realizar el bloqueo ciático subglúteo, la cara medial del trocánter mayor es hipo ecoica y su tamaño dependerá de la edad del paciente, visualizándose de forma más evidente en niños mayores de 8 años (45). Para el bloqueo ciático Página 117 página 118 poplíteo, se ha descrito una amplia variabilidad entre individuos respecto del punto de división del nervio ciático.…”

Section: Bloqueos Extremidad Inferiorunclassified

“…No se han logrado ajustar fórmulas que ayuden a predecir de forma adecuada el punto de división. Con el uso de ultrasonido, Ideo et al observaron en 2/3 de los pacientes la división del ciático se encuentra en el ¼ distal del fémur (45).…”

Section: Bloqueos Extremidad Inferiorunclassified

Bloqueos Regionales en Cirugía Pediátrica Ambulatoria

2020

Curso De Anestesia Regional Para Cirugía Ambulatoria

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Un porcentaje importante de la cirugía pediátrica se realiza de manera ambulatoria. Esto probablemente se verá acrecentado en el contexto de la pandemia del SARS-Cov2. El uso de la anestesia regional también ha aumentado en la práctica diaria de la anestesia pediátrica.Objetivo: Resumir el uso de la anestesia regional en la cirugía ambulatoria pediátrica. Materiales y métodos:Revisión bibliográfica exhaustiva, no sistemática.Resultados: Existe información de grandes series respecto de los beneficios y seguridad en el uso de anestesia regional en pediatría. El efecto de los bloqueos puede ser prolongado a través del uso de coadyuvantes y bloqueos continuos. Se han descrito y estudiado bloqueos para cabeza y cuello, tronco y extremidades, además de su uso en cirugías específicas.Conclusión: La cirugía ambulatoria ofrece múltiples beneficios para los pacientes pediátricos. Si bien se han estudiado los principales bloqueos para las cirugías más frecuentes, está pendiente ampliar conocimientos con cohortes más grandes, en el contexto de otras cirugías, nuevos bloqueos y bloqueos continuos, seguridad y protocolos de manejo clínico.

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The influence of age on the anatomical variability of sciatic nerve divisions in the thigh: an ultrasound study

2021

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Distribution of sciatic nerve division in children: a prospective observational study using an ultrasound device

Cited by 3 publications

References 3 publications

A computed tomography and magnetic resonance imaging study of the variations of the sciatic nerve branches of the pediatric knee: Implications for peripheral nerve blockade

A computed tomography and magnetic resonance imaging study of the variations of the sciatic nerve branches of the pediatric knee: Implications for peripheral nerve blockade

Bloqueos Regionales en Cirugía Pediátrica Ambulatoria

The influence of age on the anatomical variability of sciatic nerve divisions in the thigh: an ultrasound study

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