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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

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Related Experiment Video

Updated: Jul 4, 2026

Efficacy of Fu's Subcutaneous Needling on Sciatic Nerve Pain: Behavioral and Electrophysiological Changes in a Chronic Constriction Injury Rat Model
08:20

Efficacy of Fu's Subcutaneous Needling on Sciatic Nerve Pain: Behavioral and Electrophysiological Changes in a Chronic Constriction Injury Rat Model

Published on: June 30, 2023

[Ultrasound-guided sciatic nerve block].

Junichi Ota1, Kaoru Hara

  • 1Department of Anesthesiology, Shimane University Faculty of Medicine, Izumo 693-8501.

Masui. the Japanese Journal of Anesthesiology
|June 4, 2008
PubMed
Summary

Ultrasound guidance improves the reliability and safety of sciatic nerve blocks for lower limb surgery anesthesia and analgesia. This article details anatomy, sonographic features, and techniques for three common approaches.

Area of Science:

  • Anesthesiology
  • Anatomy
  • Medical Imaging

Background:

  • Sciatic nerve blocks are crucial for lower limb anesthesia and analgesia.
  • Traditional landmark-based techniques present technical challenges and limit clinical application.
  • Ultrasound technology offers improved visualization for peripheral nerve blocks.

Purpose of the Study:

  • To describe the anatomy and sonographic features of the sciatic nerve.
  • To detail ultrasound-guided techniques for subgluteal, anterior, and popliteal sciatic nerve block approaches.
  • To discuss the application of ultrasound-guided sciatic nerve blocks for postoperative analgesia.

Main Methods:

  • Anatomical review of the sciatic nerve.
  • Description of sonographic visualization of the sciatic nerve and surrounding structures.

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Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

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  • Detailed procedural steps for three ultrasound-guided approaches: subgluteal, anterior, and popliteal.
  • Main Results:

    • Ultrasound guidance enhances visualization, potentially increasing block success and safety.
    • Three distinct ultrasound-guided approaches (subgluteal, anterior, popliteal) are described.
    • The technique facilitates reliable sciatic nerve block placement for surgical anesthesia and postoperative pain management.

    Conclusions:

    • Ultrasound-guided sciatic nerve block is a reliable and safe technique for lower limb anesthesia and analgesia.
    • The described approaches provide a practical framework for clinicians.
    • This technique holds significant potential for improving patient outcomes in lower limb surgery.