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Popliteal Sciatic Nerve Block in a Pregnant Patient in the Last Trimester

İrfan Güngör1, Tolga Tezer1, Gülşah Gülsi Polat1

  • 1Department of Anaesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey.

Turkish Journal of Anaesthesiology and Reanimation
|July 2, 2016
PubMed

Although regional anaesthesia is a commonly preferred anaesthesia technique for pregnant patients undergoing non-obstetric surgery, peripheral nerve blocks are relatively less administered. The use of popliteal sciatic nerve block for foot-ankle surgery has been presented for a nulliparous parturient at 32 weeks of gestation scheduled to undergo surgical exploration of an arterial pseudoaneurysm on her right plantar surface due to a penetrating stab injury. Since surgery did not require pneumatic tourniquet, the sciatic nerve was blocked via the popliteal approach with a single shot injection of 30 mL of 0.375% levobupivacaine. The operation and the anaesthesia course were uneventful. In conclusion, popliteal sciatic nerve block was successful and uneventful for a short foot surgery not requiring tourniquet application in a parturient in the last trimester.

Keywords:
Non-obstetric surgeryanaesthesiaperipheral blockpregnancy

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