Technical Report on the New Ultrasound Lateral Mid-Shaft Approach to the Sciatic Nerve: A Never-Ending Story

被引：0

作者：

Sepolvere, Giuseppe ^{[1
]}

Tedesco, Mario ^{[2
]}

Cibelli, Mario ^{[3
]}

Cirillo, Dario ^{[4
]}

Sparaco, Angelo ^{[1
]}

Gagliardi, Giuseppe ^{[1
]}

Costagliola, Giuseppina ^{[1
]}

Cristiano, Loredana ^{[1
]}

Scialdone, Valeria Rita ^{[1
]}

Pasquariello, Maria Rosaria ^{[1
]}

Di Zazzo, Fabrizio ^{[1
]}

Merola, Luigi ^{[1
]}

Della Valle, Mirco ^{[1
]}

Arminio, Daniela ^{[1
]}

Bottazzo, Leonardo Maria ^{[1
]}

Folliero, Marco ^{[1
]}

Ranieri, Giorgio ^{[5
]}

Santonastaso, Domenico Pietro ^{[6
]}

Coviello, Antonio ^{[4
]}

机构：

[1] S Michele Hosp, Dept Anaesthesia, I-81024 Maddaloni, Italy

[2] Mater Dei Hosp, Dept Anaesthesia, I-70125 Bari, Italy

[3] Univ Hosp Birmingham NHS Fdn Trust, Dept Anaesthesia & Crit Care Med, Birmingham B15 2GW, England

[4] Univ Naples Federico II, Dept Neurosci Reprod & Odontostomatol Sci, I-80131 Naples, Italy

[5] Isola Tiberina Hosp, Dept Emergency & Internal Med, Complex Operat Unit, Anesthesia & Operating Units, I-00186 Rome, Italy

[6] Osped Gen Provinciale M Bufalini, Anesthesia & Intens Care Unit, AUSL Romagna, I-47521 Cesena, Italy

来源：

MEDICINA-LITHUANIA | 2025年 / 61卷 / 01期

关键词：

loco-regional anesthesia; nerve block; sciatic nerve; lower limb; GUIDED REGIONAL ANESTHESIA; PARANEURAL SHEATH; BLOCK; INJECTION;

D O I：

10.3390/medicina61010100

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The anatomy of the sciatic nerve allows it to be blocked at different levels using various anesthetic approaches. However, for several reasons, performing these approaches may be challenging or disadvantageous in specific categories of patients, particularly in obese patients. The objective of this brief technical report is to describe a new technical approach to sciatic nerve block, designed to simplify the procedure for certain categories of patients and less experienced practitioners. Since 2010, more than 5000 procedures have been performed by both experienced anesthesiologists and novice trainees in several hospitals. The ultrasound lateral mid-shaft technique appears to be a safe and effective method for performing a sciatic nerve block, even in obese patients with significant subcutaneous fat and unclear ultrasound images. This approach is particularly beneficial given the various anatomical variations that can occur. By targeting the mid-thigh area, the ultrasound beam accesses anatomical structures that are more superficial, improving the technique's efficacy. Various hospital groups have been performing this technique as a routine procedure, achieving a success rate of nearly 100%. This impressive success rate exceeds that of other conventional techniques documented in the literature. Additionally, there have been significant improvements in comfort and ease for anesthetists. This method allows the anesthetic to spread around the paraneural sheath, covering the posterior femoral cutaneous nerve. Finally, it is performed in the supine position without the need to mobilize the lower limbs, ensuring patient comfort, especially in cases of fractures or lower limb injuries. Further studies are needed to confirm these results.

引用

页数：12