Sonographic imaging of the sciatic nerve and its division in the popliteal fossa in children

Schwemmer, Ulrich; Markus, Christian; Greim, Clemens‐Alexander; Brederlau, Jörg; Trautner, Herbert; Roewer, Norbert

doi:10.1111/j.1460-9592.2004.01372.x

Cited by 67 publications

(30 citation statements)

References 13 publications

(15 reference statements)

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“…There are numerous reports in the literature of terminal division of sciatic nerve in almost every point between these two anatomical regions. [2][3][4] There is enough reference in the literature that the numerous variants of the sciatic nerve most likely result from a stochastic process of separation of the primitive elements of the sciatic nerve. 2,7-9,10 The lower limb is initially associated with the primitive lumbar and sacral plexuses.…”

Section: Discussionmentioning

confidence: 99%

“…It is often approached in clinical settings in the context of trauma, tumors, vascular lesions in neighbouring structures, entrapment syndromes, hip or femur surgery or percutaneously for lower limb anaesthetic block. [1][2][3][4] Due to potential anatomical variants, the study of sciatic nerve variations on cadavers is important esp. for clinicians planning intervention around the sciatic nerve and its division in the lower extremity.…”

Section: Introductionmentioning

confidence: 99%

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High division of sciatic nerve

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

High division of sciatic nerve

et al. 2014

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“…The use of ultrasound in these patients helped the anesthesiologist avoid vascular puncture during needle placement (van Geffen et al, 2007). Due to the high degree of variability in the division of the sciatic nerve, ultrasound also offers considerable advantages in nerve localization when using the popliteal approach (Schwemmer et al, 2004).…”

Section: Outcome and Discussionmentioning

confidence: 99%

Ultrasound Imaging for Pediatric Anesthesia: A Review

Suresh¹,

Taylor²,

Minhas³

2011

Ultrasound Imaging

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“…US özellikle popliteal bloklarda da oldukça faydalıdır. Raporlara göre siyatik sinirin popliteal bölgede ikiye ayrıldığı seviye yüksek oranda anatomik değişkenlikler göstermektedir (16). Bu nedenle işaret noktaları kullanılarak yapılan siyatik bloklarda başarısız veya yetersiz blok riski her zaman vardır.…”

Section: Gereç Ve Yöntemlerunclassified

Ultrasound-guided regional anesthesia for orthopedic surgery in pediatric patients

Şahin¹,

Şahin²,

Aktas³

et al. 2011

Gaziantep Med J

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ÖzetUltrasonun (US) kullanıma girmesi pediatrik rejyonal anestezide çok önemli gelişmelere yol açmış ve US kılavuzluğu ile zor rejyonal uygulamalar dahi çocuklarda yapılabilir hale gelmiştir. Biz bu çalışmada kliniğimizde ortopedi ameliyat salonunda son 1 yılda opere edilen yaşları 1 ile 16 arasında değişen 81 pediatrik olguya intraoperatif anestezi, analjezi veya postoperatif analjezi amacıyla yaptığımız US kılavuzluğunda periferik sinir ve pleksus bloklarını literatür bilgileri ışığında tartışmayı amaçladık. Bu çalışma için hastaların anestezi formları, rejyonal anestezi değerlendirme formları, hemşire gözlem formları ve hastane çıkış epikrizleri kullanıldı. Hastaların bireysel özellikleri (yaş, cinsiyet, vücut ağırlığı, boy), ASA skorları, anestezi özellikleri, postoperatif analjezi ve motor blok süreleri, ve komplikasyonlar kaydedildi. Hastaların ortalama analjezi süresi üst ekstremite ve alt ekstremite için sırasıyla 5.8 ± 1.6 saat ve 8.7 ± 2.5 saat, motor blok süresi üst ekstremite ve alt ekstremite için sırasıyla 3.6 ± 0.7 saat ve 5.3 ± 1.8 saat olarak bulundu. Üç hastada başarısız veya yetersiz blok mevcuttu. Ortopedik cerrahi uygulanan pediatrik hastalarda rejyonal bloklar US-kılavuzluğunda etkin ve güvenli bir şekilde uygulanabilir ve yüksek başarı, minimal komplikasyon oranına sahiptir. Anahtar kelimeler: Ortopedik cerrahi; pediatrik; rejyonal anestezi; ultrason Abstract Introduction of the use of ultrasound (US) has led to very important developments in pediatric regional anesthesia and made applications, which are hard or even impossible to perform, applicable by the guidance of US. In this study, we aimed to discuss USguided peripheral nerve and plexus blocks that we made for intraoperative anesthesia, analgesia or postoperative analgesia in 81 pediatric patients ranging from ages 1 to 16 who were operated in the last year. For this study, anesthesia forms, evaluation forms of regional anesthesia, observation forms for nurses, and hospital epicrises of patients were used. Demographic data (age, sex, weigh, height), ASA scores, anesthetic properties, postoperative duration of analgesia and motor block and complications of patients were recorded. Estimated mean duration of analgesia for upper and lower extremities were 5.8 ± 1.6 h, and 8.7 ± 2.5 h, respectively, the duration of motor block for upper and lower extremities were 3.6 ± 0.7 h, 5.3 ± 1.8 h, respectively. Failed or insufficient block count was three. In orthopedic surgery applied pediatric patients US-guided regional blocks can be applied effectively and safely and it has high achievement and minimal complication rates.

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Sonographic imaging of the sciatic nerve and its division in the popliteal fossa in children

Abstract: Ultrasound opens a window to detect the anatomy of the sciatic nerve in children. In addition, the surrounding anatomical structures can also be depicted. The results suggest a possibility of safe placement of a cannula for blockade of the sciatic nerve under visual control.

Cited by 67 publications

References 13 publications

High division of sciatic nerve

High division of sciatic nerve

Ultrasound Imaging for Pediatric Anesthesia: A Review

Ultrasound-guided regional anesthesia for orthopedic surgery in pediatric patients

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