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Intraneural Ultrasound-guided Sciatic Nerve Block: Minimum Effective Volume and Electrophysiologic Effects.

Anesthesiology

August 2018

From the Anesthesia, Intensive Care and Pain Therapy, AUSL, IRCCS (Scientific Research and Care Institute), Reggio Emilia, Italy (G.C., F.B., G.F.D.) the Anesthesia, Intensive Care and Pain Therapy, Ospedale di Circolo, Varese, Italy (A.L.A.) the Anesthesia and Intensive Care, IRCCS Ospedale San Raffaele, Italy (M.G.) the Anesthesia and Pain Therapy, ASST Gaetano Pini-CTO, Milano, Italy (V.L.E.C.).

What We Already Know About This Topic: WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Both extra- and intraneural sciatic injection resulted in significant axonal nerve damage. This study aimed to establish the minimum effective volume of intraneural ropivacaine 1% for complete sensory-motor sciatic nerve block in 90% of patients, and related electrophysiologic variations.

Methods: Forty-seven consecutive American Society of Anesthesiologists physical status I-II patients received an ultrasound-guided popliteal intraneural nerve block following the up-and-down biased coin design.

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