Ultrasound-guided transgluteal sciatic nerve analgesia for refractory back pain in the ED

被引:11
作者
Goldsmith, Andrew J. [1 ,2 ]
Liteplo, Andrew [1 ,2 ]
Hayes, Bryan D. [2 ,3 ]
Duggan, Nicole [1 ,2 ,4 ]
Huang, Calvin [1 ,2 ]
Shokoohi, Hamid [1 ,2 ]
机构
[1] Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USA
[2] Harvard Med Sch, Boston, MA 02115 USA
[3] Massachusetts Gen Hosp, Dept Pharm, Boston, MA 02114 USA
[4] Harvard Affiliated Emergency Med Residency, Boston, MA USA
关键词
Ultrasound; Regional anesthesia; Transgluteal sciatic nerve analgesia; Sciatic radiculopathy; EMERGENCY-DEPARTMENT; SINGLE;
D O I
10.1016/j.ajem.2020.06.001
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Sciatic radicular back pain is a painful condition resulting in approximately 2% of emergency department (ED) visits a year. Typically, the ED treatment has been limited to various analgesic regimens with limited success sometimes resulting in hospital admissions for pain control. Regional anesthesia has become increasing popular for lower-limb analgesia, but has not universally permeated the ED setting. The transgluteal sciatic nerve block (TGSNB) is a procedure that can provide effective analgesia for lower extremity pain. Herein, we present the first technical description and clinical response to ultrasound-guided TGSNB performed by emergency physicians for acute pain control of sciatic back pain through a series of cases. (c) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:1792 / 1795
页数:4
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