title: Ultrasound-guided bilateral continuous sciatic nerve blocks with stimulating catheters for postoperative pain relief after bilateral lower limb amputations.
abstract: The performance of continuous bilateral sciatic nerve blocks under ultrasonographic control using stimulating catheters is described in a 4-year-old child with VACTERL syndrome. Ultrasound showed an abnormal vascular and nerve supply to the lower limbs. The use of ultrasound guidance made successful continuous sciatic nerve blocks possible in a child in whom the traditional method of nerve localisation was unlikely to succeed for anatomical reasons.
authors.affiliation: Department of Anaesthesiology, Radboud University Medical Centre, Nijmegen, The Netherlands. g.vangeffen@anes.umcn.nl
authors.forename: G J
authors.initials: GJ
authors.lastname: van Geffen
authors.forename: M
authors.initials: M
authors.lastname: Scheuer
authors.forename: A
authors.initials: A
authors.lastname: Müller
authors.forename: J
authors.initials: J
authors.lastname: Garderniers
authors.forename: M
authors.initials: M
authors.lastname: Gielen
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery; D000671:Amputation, Surgical; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007866:Leg / Q000002:abnormalities / Q000601:surgery; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control*; D012584:Sciatic Nerve / Q000000981:diagnostic imaging*; D018084:Ultrasonography, Interventional / Q000379:methods*