Combined femoral and sciatic nerve blockade for lower limb surgeries: ultrasound guidance versus nerve stimulation
Hassan, S., Shawky, K., Attia, Z., Amin, N., Sawan, Z., Higab, A. (2020). Combined femoral and sciatic nerve blockade for lower limb surgeries: ultrasound guidance versus nerve stimulation. EKB Journal Management System, 26(6), 1057-1065. doi: 10.21608/zumj.2019.7252.1036
Samar Abd El-Hamid Hassan; Khaled Shawky; Zainab Attia; Nahla Amin; Zainab Sawan; Ahmad Higab. "Combined femoral and sciatic nerve blockade for lower limb surgeries: ultrasound guidance versus nerve stimulation". EKB Journal Management System, 26, 6, 2020, 1057-1065. doi: 10.21608/zumj.2019.7252.1036
Hassan, S., Shawky, K., Attia, Z., Amin, N., Sawan, Z., Higab, A. (2020). 'Combined femoral and sciatic nerve blockade for lower limb surgeries: ultrasound guidance versus nerve stimulation', EKB Journal Management System, 26(6), pp. 1057-1065. doi: 10.21608/zumj.2019.7252.1036
Hassan, S., Shawky, K., Attia, Z., Amin, N., Sawan, Z., Higab, A. Combined femoral and sciatic nerve blockade for lower limb surgeries: ultrasound guidance versus nerve stimulation. EKB Journal Management System, 2020; 26(6): 1057-1065. doi: 10.21608/zumj.2019.7252.1036

Combined femoral and sciatic nerve blockade for lower limb surgeries: ultrasound guidance versus nerve stimulation

Zagazig University Medical Journal
Article 20, Volume 26, Issue 6, November 2020, Page 1057-1065  XML PDF (728.21 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.7252.1036
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Authors
Samar Abd El-Hamid Hassan email 1; Khaled Shawky2; Zainab Attia3; Nahla Amin3; Zainab Sawanorcid 3; Ahmad Higab3
1Anaesthesia and surgical intensive care, Faculty of Medicine, Zagazig University
2Radiology Department, Facuilty of Medicine, Zagazig University
3Anesthesia department, Faculty of Medicine, Zagazig University
Abstract
Objective: To compare between nerve stimulator guided and ultrasound guided femoral-sciatic nerve block, to find out the method of best outcome and least side effects.
Patients & Methods: The study was performed in Zagazig University Hospital (ZUH), eighty ASA classes I and II adult cooperative patients of both sexes were scheduled for below or at knee level surgery. They anesthetized under femoral-sciatic nerve block. They were randomly allocated into two equal groups, ultrasound guided nerve block (US) group and nerve stimulator group (NS) group (40 patients each) according to the used method for nerve localization.
Results: It was found that there was a statistically significant difference between US and NS groups (P=0.001) regarding the "performance": technique time, the number of attempts of skin puncture, the onset time for complete motor and sensory block, incidence of hematoma formation and the incidence of painful paresthesia during nerve localization..
Conclusion: The ultrasound guided lower limb block was superior to nerve stimulator guided for localization of femoral and sciatic nerve with less performance time, accurate needle placement, less failure rate and less incidence of complications.
Keywords
Ultrasound; nerve stimulator; sciatic femoral block
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