Email this article Two clinical cases of unintentionally prolonged sciatic nerve block
- Authors: Tsvetkov V.G.1, Lakhin R.E.1, Stukalov A.V.1
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Affiliations:
- S. M. Kirov Military Medical Academy
- Issue: Vol 15, No 2 (2021)
- Pages: 163-168
- Section: Case report
- URL: https://journals.rcsi.science/1993-6508/article/view/90120
- DOI: https://doi.org/10.17816/1993-6508-2021-15-2-163-168
- ID: 90120
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Abstract
This study describes two clinical cases of unexpectedly long duration of motor block after anterior sciatic nerve block. In two patients who underwent total knee replacement, the motor block reversion in the area of sciatic nerve innervation did not occur at the expected time. Ultrasound examination revealed the deposition of a local anesthetic near the sciatic nerve. In these two clinical cases, unintentionally prolonged sciatic nerve blockade was caused by combined age-related factors of reduced tissue perfusion and the vasoconstrictor properties of levobupivacaine. Subsequently, the block was successfully resolved in 36–38 h without any neurological consequences.
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##article.viewOnOriginalSite##About the authors
Vasiliy G. Tsvetkov
S. M. Kirov Military Medical Academy
Email: doctor-lahin@yandex.ru
ORCID iD: 0000-0003-4980-597X
Russian Federation, 6, st. Akademika Lebedeva, St. Petersburg, 194044
Roman E. Lakhin
S. M. Kirov Military Medical Academy
Author for correspondence.
Email: doctor-lahin@yandex.ru
ORCID iD: 0000-0001-6431-439X
MD, PhD, DSc, professor
Russian Federation, 6, st. Akademika Lebedeva, St. Petersburg, 194044Anatoliy V. Stukalov
S. M. Kirov Military Medical Academy
Email: doctor-lahin@yandex.ru
ORCID iD: 0000-0002-3869-9043
Russian Federation, 6, st. Akademika Lebedeva, St. Petersburg, 194044
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