Proximal lateral approach to ultrasound-guided sciatic nerve block: where is the correct injection site?

Nielsen, Jens Perch; Tranum‐Jensen, Jørgen; Boegevig, Soeren

doi:10.1136/rapm-2019-100822

Cited by 1 publication

(1 citation statement)

References 5 publications

(5 reference statements)

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“…For lower limb trauma patients, the anterior approach to sciatic nerve block may be a better choice. However, traditional anterior sciatic nerve block has limitations, and studies have shown that it is a technically challenging procedure with high operator requirements and a high failure rate [64,65]. Zou Yinghua et al validated an improved anterior sciatic nerve block approach in which the puncture needle is nearly perpendicular to the ultrasound beam during the puncture process, making the needle visualization clearer, enhancing the safety of the puncture process, and providing nerve block effects comparable to traditional anterior sciatic nerve block [62].…”

Section: Lower Limb Injuriesmentioning

confidence: 99%

Advancing pain management for extremity trauma: the evolution of ultrasound-guided nerve blocks for patients in the supine position in trauma centers

Huaguo,

Kang,

et al. 2024

Eur J Trauma Emerg Surg

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Purpose Trauma, particularly extremity trauma, poses a considerable challenge in healthcare, especially among young adults. Given the severity of patient pain and the risks associated with excessive opioid use, managing acute pain in trauma centers is inherently complex. This study aims to investigate the application and benefits of ultrasound-guided nerve blocks for early pain management in patients with extremity trauma positioned supine. Methods A comprehensive literature review was conducted to assess the effectiveness and advantages of ultrasound-guided peripheral nerve blocks in the acute pain management of extremity trauma patients in the supine position. Special emphasis was placed on evaluating the selection criteria, indications, contraindications, adverse reactions, and potential complications associated with these nerve block techniques. Results Ultrasound-guided nerve blocks represent a safer and more precise option for managing pain in extremity trauma patients placed in the supine position. These techniques offer significant advantages in terms of reducing healthcare expenses, diminishing reliance on opioid medications, and mitigating opioid-related complications. Nonetheless, challenges may arise due to the necessity for patient cooperation during specific nerve block procedures. Conclusion Ultrasound-guided nerve blocks present a promising avenue for early pain management in extremity trauma patients positioned supinely. Their implementation can lead to improved patient outcomes by alleviating pain severity, reducing opioid consumption, and cutting down healthcare costs. Further research and clinical integration of these techniques is imperative to enhance pain management protocols in trauma centers.

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Section: Lower Limb Injuriesmentioning

confidence: 99%