Features and principles the spread of local anesthetic blockade of the sciatic nerve at depends on the amount of anesthetic

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dc.contributor.author Piacherski, V.
dc.contributor.author Marachkou, A.
dc.date.accessioned 2017-02-14T09:09:45Z
dc.date.available 2017-02-14T09:09:45Z
dc.date.issued 2014
dc.identifier.citation Piacherski, V. Features and principles the spread of local anesthetic blockade of the sciatic nerve at depends on the amount of anesthetic / V. Piacherski, A. Marochkov // Open Journal of Anesthesiology. - 2014. - № 2. - P. 31-35 ru_RU
dc.identifier.uri http://e.biblio.bru.by/handle/1212121212/4058
dc.description.abstract Aim: To study the features of local anesthetic solution spreading during sciatic nerve block in dependence on the anesthetic solution volume. Material and Methods: One hundred and sixty nine cases of sciatic nerve blocks done under ultrasonic visualization control were analyzed. Sciatic nerve blocks were performed by lidocaine in volumes 30; 25; 20; 15; 12.5; 10; 7.5; 6.5; 5; 4.5 ml. The cross-section area, equal to local anesthetic spreading, was determined; the extension of the anesthetic solution spreading along sciatic nerve was calculated. Results: The anesthetic agent solution spreads along sciatic nerve in proximal and distal direction, forming a kind of cylinder. The minimum volume of the local anesthetic, which covers sciatic nerve in the whole, is 5 ml. A rare (1.77%) variation of sciatic nerve structure was described, in which tibial and common peroneal nerves develop directly from the branches of sacral plexus. Conclusion: The decrease of the local anesthetic volume leads to reduction of its spreading distance and cross-section area. Ultrasonic visualization can provide for sciatic nerve anatomical peculiarities, which can have an effect on the block quality. ru_RU
dc.language.iso en ru_RU
dc.publisher Springer Nature ru_RU
dc.subject sciatic nerve block ru_RU
dc.subject local anesthetic spreading ru_RU
dc.subject ultrasound guided ru_RU
dc.title Features and principles the spread of local anesthetic blockade of the sciatic nerve at depends on the amount of anesthetic ru_RU
dc.type Article ru_RU


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