Two clinical cases of unintentionally prolonged sciatic nerve block

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详细

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.

作者简介

Vasiliy Tsvetkov

S. M. Kirov Military Medical Academy

Email: doctor-lahin@yandex.ru
ORCID iD: 0000-0003-4980-597X
俄罗斯联邦, 6, st. Akademika Lebedeva, St. Petersburg, 194044

Roman Lakhin

S. M. Kirov Military Medical Academy

编辑信件的主要联系方式.
Email: doctor-lahin@yandex.ru
ORCID iD: 0000-0001-6431-439X

MD, PhD, DSc, professor

俄罗斯联邦, 6, st. Akademika Lebedeva, St. Petersburg, 194044

Anatoliy Stukalov

S. M. Kirov Military Medical Academy

Email: doctor-lahin@yandex.ru
ORCID iD: 0000-0002-3869-9043
俄罗斯联邦, 6, st. Akademika Lebedeva, St. Petersburg, 194044

参考

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2. Fig. 1. Sciatic nerve block by anteromedial access. A – scheme of the blockade. Б – Sonogram of the blockade (Сед – sciatic nerve)

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3. Fig. 2. Ultrasound examination from the back of the thigh. A – Scan 18 hours after the blockade. Б – 26 hours after the blockade (Сед – sciatic nerve, MA – local anesthetic)

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