Landmark Technique vs Ultrasound-Guided Approach for Posterior Tibial Nerve Block in Cadaver Models

Shah, Ashish; Morris, Sara; Alexander, Bradley; McKissack, Haley; Jones, James R.; Tedder, Chandler; Jha, Aaradhana J.; Desai, Rasesh

doi:10.1007/s43465-019-00012-6

Cited by 14 publications

(13 citation statements)

References 19 publications

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“…13 Shah et al demonstrated the superior accuracy of ultrasound for targeting the posterior tibial nerve and avoiding surrounding structures. 14 This accuracy translates into increased block success and fewer incidents of intravascular injection and systemic toxicity. 4 , 13 , 14 Each of our patients reported significant pain relief that was achieved in less than 10 minutes, and no patient experienced adverse effects.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound-Guided Posterior Tibial Nerve Block for Frostbite of the Plantar Surfaces: A Case Series

Burl

Latshaw

Dreyfuss

2022

Clinical Practice and Cases in Emergency Medicine

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Introduction: Frostbite is a painful condition that requires rapid identification and wound care to optimize outcomes. The posterior tibial nerve (PTN) block, however, has yet to be described in the literature for pain control of frostbite injuries on the plantar surfaces. Case Series: In this case series we discuss three patients who presented with bilateral frostbite on the plantar surfaces. Ultrasound-guided PTN blocks were performed on these patients and pain control was achieved in under 10 minutes, facilitating burn care. No patient experienced adverse effects. All patients had been scheduled for future debridement that was either not performed or performed using intravenous (IV) medications due to pain control issues. Conclusion: The ultrasound-guided PTN block facilitated proper wound debridement that was previously intolerable with oral and IV pain medications. This case series highlights the efficacy, safety, and accessibility of this block for frostbite pain control in the emergency department. Additionally, it emphasizes the potential role of ultrasound-guided PTN blocks as part of a multi-modal pain control strategy in other clinical settings.

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Section: Discussionmentioning

confidence: 99%

“… 14 This accuracy translates into increased block success and fewer incidents of intravascular injection and systemic toxicity. 4 , 13 , 14 Each of our patients reported significant pain relief that was achieved in less than 10 minutes, and no patient experienced adverse effects.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Posterior Tibial Nerve Block for Frostbite of the Plantar Surfaces: A Case Series

Burl

Latshaw

Dreyfuss

2022

Clinical Practice and Cases in Emergency Medicine

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“…Although the posterior tibial nerve block has been described using anatomic landmarks, 8 an ultrasound-guided approach allows for improved precision in localizing the nerve and intentional avoidance of the posterior tibial vasculature which lies in close proximity. 9 The posterior tibial nerve block, when successful, anesthetizes the vast majority of the plantar aspect of the foot (Image 2B).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Guided Posterior Tibial Nerve Block to Facilitate Foreign Body Removal in a School-Aged Child

Binder

Murphy

Constantine

2020

Global Pediatric Health

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Ultrasound is increasingly becoming the standard of care for the detection and localization of radiolucent foreign bodies in the Emergency Department. How Does Your Research Contribute to the Field? We describe the technique for using point-of-care ultrasound to detect retained foreign bodies in the sole of the foot, and demonstrate that (posterior tibial) nerve blocks can be successfully performed in relatively young children.

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“…Block success had odds ratios ranging from 3.01 to 3.33 when performed with ultrasound guidance (UG) as compared to PNS or landmarkbased approaches. A small cadaveric study simulating a posterior tibial nerve block with injection of dye showed a 100% success rate with UG compared with 40% success when performed using anatomic landmarks [32]. The consensus is whenever possible, RA should be performed under UG [10,11].…”

Section: General Considerations When Performing Regional Anesthesiamentioning

confidence: 99%

“…The posterior tibial nerve block (PTNB) is ideal for anesthetizing the plantar aspect of the foot for foreign body removals, abscess drainage, and complex laceration repairs. As numerous anatomic variations might lead to failure following landmark-guided PTNBs, UG for this block is preferred [32,38]. The posterior tibial (PT) nerve runs near the PT artery and vein which are key to identifying the nerve [39].…”

Section: Lower Extremitymentioning

confidence: 99%

Regional Anesthesia in the Emergency Department: an Overview of Common Nerve Block Techniques and Recent Literature

Malik

Thom

Haber

et al. 2022

Curr Emerg Hosp Med Rep

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Purpose of Review This review seeks to discuss the use of RA in the ED including benefits of administration, types of RA by anatomic location, complications and management, teaching methods currently in practice, and future applications of RA in the ED. Recent Findings The early use of RA in pain management may reduce the transition of acute to chronic pain. Multiple plane blocks have emerged as feasible and efficacious for ED pain complaints and are now being safely utilized. Summary Adverse effects of opioids and their potential for abuse have necessitated the exploration of substitute therapies. Regional anesthesia (RA) is a safe and effective alternative to opioid treatment for pain in the emergency department (ED). RA can manage pain for a wide variety of injuries while avoiding the risks of opioid use and decreasing length of stay when compared to other forms of analgesia and anesthesia, without compromising patient satisfaction.

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Landmark Technique vs Ultrasound-Guided Approach for Posterior Tibial Nerve Block in Cadaver Models

Cited by 14 publications

References 19 publications

Ultrasound-Guided Posterior Tibial Nerve Block for Frostbite of the Plantar Surfaces: A Case Series

Ultrasound-Guided Posterior Tibial Nerve Block for Frostbite of the Plantar Surfaces: A Case Series

Ultrasound Guided Posterior Tibial Nerve Block to Facilitate Foreign Body Removal in a School-Aged Child

Regional Anesthesia in the Emergency Department: an Overview of Common Nerve Block Techniques and Recent Literature

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