Ultrasound-guided supine posterior approach for popliteal sciatic nerve block

Khabiri, Babak; Hamilton, Charles; Norton, John A.; Arbona, Fernando L.

doi:10.1016/j.jclinane.2012.04.017

Cited by 6 publications

(6 citation statements)

References 3 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2007, Khabiri et al described the “gapped supine” position for ultrasound-guided lateral PSNB [ 4 ]. Subsequently, supine posterior and supine medial approaches were also introduced [ 6 , 7 ]. The CAPS block differs from previously described supine techniques in the literature as it does not require additional assistance, flexion at the hip and knee joints, or any positioning device.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound-Guided CAPS (Crosswise Approach to Popliteal Sciatic) Block: A Novel Technique for Supine Popliteal Fossa Block

Mistry¹,

Sonawane²,

Keshri³

et al. 2022

Cureus

View full text Add to dashboard Cite

The sciatic nerve block in the popliteal fossa is a popular lower extremity block for below-knee surgeries.Here the sciatic nerve is targated at or just above the point of its divergence into the tibial and common peroneal nerves. Amongst the described techniques, the supine approach of popliteal fossa block offers greatest patient comfort but has a few challenges accessing the nerve. We describe a novel ultrasoundguided distal transverse or crosswise approach to popliteal sciatic (CAPS) block performed in five patients in the supine position without unsteadiness of the knee or hip joint.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Hence, PSNB in the supine position has been suggested to provide greater patient comfort. The literature has described various supine PSNB approaches such as posterior, lateral, and medial approaches [6][7][8]. However, in all the aforementioned approaches, lifting the leg or flexion at hip and knee joints is required to perform the block.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided CAPS (Crosswise Approach to Popliteal Sciatic) Block: A Novel Technique for Supine Popliteal Fossa Block

Mistry¹,

Sonawane²,

Keshri³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…Of various methods used for PopNB, blocking the targeting nerve separately provides fast and effective results with patient satisfaction (Buys et al, 2010;Paqueron et al, 1999). The posterior approach is reported to be easy for supine positioning with short needle distance to reach the target structure (Khabiri et al, 2012). Accordingly, the present study investigated the location of nerves and vessels and depths from the skin from the posterior aspect.…”

Section: Introductionmentioning

confidence: 95%

The Effective Injection Point of the Popliteal Region: A Cadaver Dissection Without Removing the Perineurium

Sohn

Lee

et al. 2015

Int. J. Morphol.

View full text Add to dashboard Cite

SUMMARY:The aim of this study was to determine the in-depth anatomical location of the neurovascular structures important for nerve block. Forty fresh specimens from 22 adult Korean cadavers were used for this study. The average angle and depth of the bifurcation point of the sciatic nerve (BC) was 18.7±3.6° and 20.6±7.1 mm, respectively. The point where the nerve branching point out for the muscles on the posterior compartment of leg were expressed in percentage distance relative to the vertical distance from popliteal crease to BC. The medial and lateral sural cutaneous nerve for 129.0% and 116.4%, medial and lateral head of gastrocnemius for 137.2% and 141.9%, the soleus for 179.5%, the deep compartment of leg for 167.0%. Our results provide detailed anatomical information to guide optimal nerve block.

show abstract

“…Editor-Tracheal intubation is still the most common cause of arytenoid dislocation (AD) according to current literature. 1 Although the arytenoid cartilage may be inadvertently traumatized during the blind insertion of the medical devices into the larynx or oesophagus, [2][3][4] there are no published studies assessing whether intraoperative use of a large-bore calibrating orogastric tube may increase the incidence of AD in intubated anaesthetized patients. This study was designed to clarify this issue.…”

Section: Declaration Of Interestmentioning

confidence: 99%

Supine ultrasound-guided popliteal block: a medial approach

Taha¹,

Ahmed²

2016

British Journal of Anaesthesia

View full text Add to dashboard Cite

The popliteal block can provide adequate anaesthesia and analgesia for surgery below the knee. It is usually performed in the lateral or prone position; however, supine block may be needed in some situations. Different leg positions (gapped, figure of four, or different degrees of hip flexion) have been used to obtain enough space to perform the supine block. 1-5 However, in these positions the knee is unsteady, and an assistant, towels, or special equipment is usually required to gain the position. To bypass these requirements and the unsteadiness of the knee, we rest the lateral aspects of the thigh, knee, leg, and foot on the bed (Fig. 1). This can be achieved by using the figureof-four position 5 but with a small degree of knee flexion, with Fig 1 The block techniques. () In Technique 1, the knee is slightly flexed and its lateral aspect rests on the bed. The curved probe is placed on the medial aspect of the thigh. () The sciatic nerve is identified posterolateral to the popliteal vessels. (,) In Technique 2, using the same position, the linear probe is placed on the popliteal fossa while the needle is inserted in the medial aspect of the thigh () and advanced (via the in-plane technique) towards the sciatic nerve ().

show abstract

Ultrasound-guided supine posterior approach for popliteal sciatic nerve block

Cited by 6 publications

References 3 publications

Ultrasound-Guided CAPS (Crosswise Approach to Popliteal Sciatic) Block: A Novel Technique for Supine Popliteal Fossa Block

Ultrasound-Guided CAPS (Crosswise Approach to Popliteal Sciatic) Block: A Novel Technique for Supine Popliteal Fossa Block

The Effective Injection Point of the Popliteal Region: A Cadaver Dissection Without Removing the Perineurium

Supine ultrasound-guided popliteal block: a medial approach

Contact Info

Product

Resources

About