Subgluteal Approach Continuous Sciatic Nerve Block for Postoperative Analgesia in Calcaneal Fracture Patients_West China Medical Journal

Authors：

 SULi , LIUYing , XIANGRui , YANGGuang ,  ZHANGLan

Department of Anesthesiology, Orthopedic Hospital of Sichuan Province, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZHANGLan, Email: zlzxm@163.com

Keywords：

Ropivacaine; Subgluteal approach; Continuous sciatic nerve block; Self-controlled intravenous analgesia; Calcaneal fracture surgery

DOI：

10.7507/1002-0179.20140081

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effect and safety of subgluteal approach continous sciatic nerve block with 0.2% ropivacaine for postoperative analgesia in calcaneal fracture patients. Methods Forty calcaneal fracture patients treated from May 2012 to January 2013 were randomly assigned to two groups:20 patients in continuous sciatic nerve block group (group CSB) and 20 patients in self-controlled intravenous analgesia group (group PCIA).Patients in group CSB were given subgluteal approach continuous sciatic nerve block,and PCA pump was connected to give 0.2% ropivacaine via continuous nerve block catheter continuously for analgesia.Patients in group PCIA were given PCA pump directly for self-controlled intravenous analgesia.The movement/rest VAS scores and Ramsay scores at 2,8,24,48 hours after surgery,the dose of other analgesia drugs after surgery,the satisfaction of patients and surgeons,and side effects were recorded. Results The movement and rest visual analogue scale (VSA) scores and the dose of analgesia drugs in group CSB were significantly lower than group PCIA at all time points (P<0.05).The satisfaction of patients and surgeons in group CSB was higher than group PCIA (P<0.05). Conclusion Compared with self-controlled intravenous analgesia,subgluteal approach continuous sciatic nerve block with 0.2% ropivacaine can provide better and safer postoperative analgesia for calcaneal fracture patients.

Citation： SULi, LIUYing, XIANGRui, YANGGuang, ZHANGLan. Subgluteal Approach Continuous Sciatic Nerve Block for Postoperative Analgesia in Calcaneal Fracture Patients. West China Medical Journal, 2014, 29(2): 262-265. doi: 10.7507/1002-0179.20140081 Copy

1.	刘玉芬.跟骨骨折患者术后疼痛的护理[J].护理实践与研究,2010,7(5):72-73.
2.	Taboada M,Alvarez J,Cortés J,et al.The effects of three different approaches on the onset time of sciatic nerve blocks with 0.75% ropivacaine[J].Anesth Analg,2004,98(1):242-247.
3.	Casati A,Fanelli G,Borghi B,et al.Ropivacaine or 2% mepivacaine for lower limb peripheral nerve blocks[J].Anesthesiology,1999,90(4):1047-1052.
4.	Vas L.Continuous sciatic block for leg and foot surgery in 160 children[J].Paediatr Anaesth,2005,15(11):971-978.
5.	van Geffen GJ,Scheuer M,Müller A,et al.Ultrasound-guided bilateral continuous sciatic nerve blocks with stimulating catheters for postoperative pain relief after bilateral lower limb amputations[J].Anaesthesia,2006,61(12):1204-1207.
6.	郑移兵,齐越峰.跟骨骨折治疗研究进展[J].中国骨伤,2012,25(11):962-966.
7.	陈家麟.跟骨关节内骨折内固定手术临床报告[J].实用骨科杂志,2011,17(5):412-416.
8.	王翀,田禾,屈建华,等.切开复位内固定术与保守治疗比较治疗移位的跟骨关节内骨折的系统评价[J].中国循证医学杂志,2007,7(4):276-282.
9.	杨茂伟,初立伟,王旭东,等.跟骨关节内骨折手术治疗与保守治疗的系统评价[J].中国全科医学,2009,12(7):554-557.
10.	Karmakar MK,Kwok WH,Ho AM,et al.Ultrasound-guided sciatic nerve block:description of a new approach at the subgluteal space[J].Br J Anaesth,2007,98(3):390-395.
11.	White PF,Issioui T,Skrivanek GD,et al.The use of a continuous popliteal sciatic nerve block after surgery involving the foot and ankle:does it improve the quality of recovery [J].Anesth Analg,2003,97(5):1303-1309.
12.	Vloka JD,Hadzić A,April E,et al.The division of the sciatic nerve in the popliteal fossa:anatomical implications for popliteal nerve blockade[J].Anesth Analg,2001,92(1):215-217.
13.	Singelyn FJ,Aye F,Gouverneur JM.Continuous popliteal sciatic nerve block:an original technique to provide postoperative analgesia after foot surgery[J].Anesth Analg,1997,84(2):383-386.
14.	伊军,许莉,林惠华.连续坐骨神经阻滞镇痛时B超联合刺激导管放置技术与罗哌卡因应用浓度[J].北京大学学报·医学版,2010,42(5):535-538.

1. 刘玉芬.跟骨骨折患者术后疼痛的护理[J].护理实践与研究,2010,7(5):72-73.
2. Taboada M,Alvarez J,Cortés J,et al.The effects of three different approaches on the onset time of sciatic nerve blocks with 0.75% ropivacaine[J].Anesth Analg,2004,98(1):242-247.
3. Casati A,Fanelli G,Borghi B,et al.Ropivacaine or 2% mepivacaine for lower limb peripheral nerve blocks[J].Anesthesiology,1999,90(4):1047-1052.
4. Vas L.Continuous sciatic block for leg and foot surgery in 160 children[J].Paediatr Anaesth,2005,15(11):971-978.
5. van Geffen GJ,Scheuer M,Müller A,et al.Ultrasound-guided bilateral continuous sciatic nerve blocks with stimulating catheters for postoperative pain relief after bilateral lower limb amputations[J].Anaesthesia,2006,61(12):1204-1207.
6. 郑移兵,齐越峰.跟骨骨折治疗研究进展[J].中国骨伤,2012,25(11):962-966.
7. 陈家麟.跟骨关节内骨折内固定手术临床报告[J].实用骨科杂志,2011,17(5):412-416.
8. 王翀,田禾,屈建华,等.切开复位内固定术与保守治疗比较治疗移位的跟骨关节内骨折的系统评价[J].中国循证医学杂志,2007,7(4):276-282.
9. 杨茂伟,初立伟,王旭东,等.跟骨关节内骨折手术治疗与保守治疗的系统评价[J].中国全科医学,2009,12(7):554-557.
10. Karmakar MK,Kwok WH,Ho AM,et al.Ultrasound-guided sciatic nerve block:description of a new approach at the subgluteal space[J].Br J Anaesth,2007,98(3):390-395.
11. White PF,Issioui T,Skrivanek GD,et al.The use of a continuous popliteal sciatic nerve block after surgery involving the foot and ankle:does it improve the quality of recovery [J].Anesth Analg,2003,97(5):1303-1309.
12. Vloka JD,Hadzić A,April E,et al.The division of the sciatic nerve in the popliteal fossa:anatomical implications for popliteal nerve blockade[J].Anesth Analg,2001,92(1):215-217.
13. Singelyn FJ,Aye F,Gouverneur JM.Continuous popliteal sciatic nerve block:an original technique to provide postoperative analgesia after foot surgery[J].Anesth Analg,1997,84(2):383-386.
14. 伊军,许莉,林惠华.连续坐骨神经阻滞镇痛时B超联合刺激导管放置技术与罗哌卡因应用浓度[J].北京大学学报·医学版,2010,42(5):535-538.

West China Medical Journal

Subgluteal Approach Continuous Sciatic Nerve Block for Postoperative Analgesia in Calcaneal Fracture Patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content