Ultrasound‐guided bilateral continuous sciatic nerve blocks with stimulating catheters for postoperative pain relief after bilateral lower limb amputations*

Geffen, Geert‐Jan van; Scheuer, M.; Müller, AK; Garderniers, J.; Gielen, M.J.M.

doi:10.1111/j.1365-2044.2006.04832.x

Cited by 27 publications

(7 citation statements)

References 19 publications

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“…The combination of nerve stimulation (insulated needle or stimulating catheter) and ultrasound guidance for catheter placement is controversially discussed in the literature, and often the difficulties are major compared to the single use of either technique [101, 140–142]. …”

Section: Cpnb Insertion Techniquesmentioning

confidence: 99%

The Role of Continuous Peripheral Nerve Blocks

Aguirre

Moral

Cobo

et al. 2012

Anesthesiology Research and Practice

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A continuous peripheral nerve block (cPNB) is provided in the hospital and ambulatory setting. The most common use of CPNBs is in the peri- and postoperative period but different indications have been described like the treatment of chronic pain such as cancer-induced pain, complex regional pain syndrome or phantom limb pain. The documented benefits strongly depend on the analgesia quality and include decreasing baseline/dynamic pain, reducing additional analgesic requirements, decrease of postoperative joint inflammation and inflammatory markers, sleep disturbances and opioid-related side effects, increase of patient satisfaction and ambulation/functioning improvement, an accelerated resumption of passive joint range-of-motion, reducing time until discharge readiness, decrease in blood loss/blood transfusions, potential reduction of the incidence of postsurgical chronic pain and reduction of costs. Evidence deriving from randomized controlled trials suggests that in some situations there are also prolonged benefits of regional anesthesia after catheter removal in addition to the immediate postoperative effects. Unfortunately, there are only few data demonstrating benefits after catheter removal and the evidence of medium- or long-term improvements in health-related quality of life measures is still lacking. This review will give an overview of the advantages and adverse effects of cPNBs.

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Section: Cpnb Insertion Techniquesmentioning

confidence: 99%

The Role of Continuous Peripheral Nerve Blocks

Aguirre

Moral

Cobo

et al. 2012

Anesthesiology Research and Practice

View full text Add to dashboard Cite

show abstract

“…In a separate case report, the observation of an abnormal vascular and nerve supply was noted while performing ultrasound-guided bilateral sciatic nerve blocks in a child with Vater syndrome [11].…”

Section: Discussionmentioning

confidence: 94%

Ultrasound-guided proximal and distal sciatic nerve blocks in children

Geffen

Pirotte

Gielen

et al. 2010

Journal of Clinical Anesthesia

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“…Sciatic nerve block: This block has been described as an effective therapeutic option for reducing CRPS I‐related neuropathic pain, cancer‐related pain, and lower extremity phantom limb pain . Single‐shot blockade can be performed; however, continuous regional analgesia by perineural catheter placement is preferred for long‐term analgesia and facilitation of physical therapy . Currently, the most widely used approach for chronic pain treatment is via the popliteal fossa, in which the nerve is identified with ultrasound guidance, followed by administration of local anesthetic at various concentrations—along with possible adjuvants such as alpha‐2 agonists—based on the nature and intensity of pain …”

Section: Discussionmentioning

confidence: 99%

Interventional Procedures for Chronic Pain in Children and Adolescents: A Review of the Current Evidence

2015

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This review discusses the role of interventional procedures in the treatment of chronic pain in children and adolescents. Due to lack of scientific evidence, significant controversy surrounds the utility of invasive techniques for managing pediatric chronic pain states. Interventional procedures are a widely accepted modality for pain management in adults. The use of such techniques in children is supported only by case reports, case series, and very few randomized controlled studies. In addition, the potential for severe complications leaves open a debate on the safety of these invasive procedures, which must be confirmed by more extensive and accurate prospective studies.

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Ultrasound‐guided bilateral continuous sciatic nerve blocks with stimulating catheters for postoperative pain relief after bilateral lower limb amputations*

Cited by 27 publications

References 19 publications

The Role of Continuous Peripheral Nerve Blocks

The Role of Continuous Peripheral Nerve Blocks

Ultrasound-guided proximal and distal sciatic nerve blocks in children

Interventional Procedures for Chronic Pain in Children and Adolescents: A Review of the Current Evidence

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