Ultrasound-guided sciatic nerve block in Wistar rat cadavers: Relevant anatomy and injection distribution

Objective To investigate the feasibility of an ultrasound- guided sciatic nerve block by describing the sonoanatomy and comparing the distribution of two volumes of bupivacaine dye solution for nerve staining. Study design Randomized, experimental, assessor-blinded cadaveric study. Animals A total of 40 adult female Wistar rat cadavers. Methods After studying the sonoanatomy of the sciatic nerve and adjacent structures using a high-resolution linear transducer (19-5- 5 MHz), rat cadavers were randomly divided into two groups that were administered either 0.1 mL (group 0.1) or 0.2 mL (group 0.2) of bupivacaine dye solution per nerve, delivered via an in-plane technique. The extent of nerve staining was subsequently evaluated following dissection. Statistical analysis consisted of assessing data distribution using the Shapiro- Wilk test, followed by paired t-tests for continuous data, Mann- Whitney U test and McNemar's test for categorical data. Statistical significance was defined as p < 0.05. Results The sciatic nerve was identified bilaterally as a double ellipsoid-shaped image, surrounded by a hyperechoic fascia separating the biceps femoris from the adductor muscle. The hypoechoic structure formed by the bupivacaine dye solution around the nerve was effectively visualized using ultrasound imaging. Sciatic nerve staining was successfully achieved in all pelvic limbs, with dye spread of 4.82 +/- 1.55 mm and 5.47 +/- 2.18 mm in groups 0.1 and 0.2, respectively (p = 0.128). Conclusions and clinical relevance This study achieved a detailed understanding of the sonoanatomy of the sciatic nerve and its adjacent structures, highlighting the feasibility of the ultrasound-guided technique for injection in Wistar rats. Furthermore, the results show a comparable distribution of dye solution in both groups. Use of the ultrasound- guided sciatic nerve block technique in rats not only exhibits substantial potential for regional anesthesia but also opens avenues for translational studies.