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Revista Mexicana de Anestesiología

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ISSN 0484-7903 (Print)
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2014, Number S1

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Rev Mex Anest 2014; 37 (S1)

Sciatic nerve structure and nomenclature: epineurium to paraneurium is this a new paradigm?

Sala-Blanch X
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Language: English
References: 6
Page: 312-313
PDF size: 281.25 Kb.


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We read with interest the study by Perlas et al.,(1) about the sciatic nerve block at the level of its division in the popliteal fossa. We have been developing this technique in our routine practice during the past 7 years and have no doub about the efficacy and safety of this approach(2,3).


REFERENCES

  1. Perlas A, Wong P, Abdallah F, Hazrati LN, Tse C, Chan V. Ultrasound-guided popliteal block through a common paraneural sheath versus conventional injection: a prospective, randomized, double-blind study. Reg AnesthPain Med. 2013;38:218-225.

  2. Sala-Blanch X, de Riva N, Carrera A, Lopez AM, Prats A, Hadzic A. Ultrasound-guidedpopliteal sciatic block with a single injection at the sciatic division results in faster blockonset than the classical nerve stimulator technique. Anesth Analg. 2012;114:1121-1127.

  3. Sala-Blanch X, Lopez AM, Pomes J, Valls-Sole J, Garcia AI, Hadzic A. No clinical or electrophysiologic evidence of nerve injury after intraneural injection during sciatic popliteal block. Anesthesiology. 2011;115:589-595.

  4. Tran de QH, Dugani S, Pham K, Al-Shaafi A, Finlayson RJ. A randomized comparison between subepineural and conventional ultrasound-guided popliteal sciatic nerve block. Reg Anesth Pain Med. 2011;36:548-552.

  5. Prasad A, Perlas A, Ramlogan R, Brull R, Chan V. Ultrasound-guided popliteal block distal to sciatic nerve bifurcation shortens onset time: a prospective randomized double-blind study. Reg Anesth Pain Med. 2010;35:267-271.

  6. Buys MJ, Arndt CD, Vagh F, Hoard A, Gerstein N. Ultrasound-guided sciatic nerve block in the popliteal fossa using a lateral approach: onset time comparing separate tibial and common peroneal nerve injections versus injecting proximal to the bifurcation. Anesth Analg. 2010;110:635-637.




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Rev Mex Anest. 2014;37