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Thigh abscess as a complication of continuous popliteal sciatic nerve block
V Compère1, C Cornet, V Fourdrinier
1Department of Anesthetics and Intensive Care, Rouen University Hospital, France. vincentcompere@hotmail.com
British Journal of Anaesthesia
|June 1, 2005
Summary
A severe infection occurred after a continuous popliteal sciatic nerve block. Meticulous aseptic technique and shorter catheter duration are crucial for preventing such localized infections.
Area of Science:
- Anesthesiology
- Infectious Disease
Background:
- Continuous popliteal sciatic nerve blocks are frequently used for postoperative analgesia.
- Infections are a rare but serious complication of regional anesthesia.
Observation:
- A case of severe localized infection developed post-procedure in the popliteal fossa after a continuous sciatic nerve block.
- The patient required surgical intervention for the infection.
Findings:
- The infection was directly associated with the indwelling catheter used for the nerve block.
- Cultures confirmed bacterial growth, indicating a catheter-related infection.
Implications:
- This case underscores the critical importance of strict aseptic techniques during the insertion and maintenance of peripheral nerve catheters.
- Consideration should be given to limiting the duration of continuous catheter use to minimize infection risk.
- Early recognition and management of localized infections are vital in patients undergoing regional anesthesia.
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