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Comparison of Parasacral and Posterior Sciatic Nerve Blocks Combined with Lumbar Plexus Block
Ertan Öztürk1, İsmail Gökyar2, Berrin Günaydın3
1Department of Anaesthesiology, American Hospital, İstanbul, Turkey.
Objective:
The aim of this study is to compare the effects of parasacral and posterior Winnie approaches when combined with the inguinal paravascular approach for lumbar plexus block.
Methods:
After the approval of the Ethics Committee, 40 patients scheduled to undergo arthroscopic knee surgery were enrolled. The patients were randomly assigned into two groups in a double-blind manner to perform sciatic nerve block either by the parasacral technique (Group I) or by the posterior approach (Group II).
Results:
The obturator nerve motor block success rate was found to be 80% (16/20) in Group I, whereas it was 10% (2/20) in Group II (p<0.05).
Conclusion:
Inguinal paravascular block with parasacral sciatic nerve block led to a much higher incidence of obturator nerve motor block when compared to the inguinal paravascular block with posterior sciatic nerve block during knee arthroscopies.
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