[Ultrasound-guided sciatic nerve block in the popliteal fossa for the postoperative pain control after Achilles' tendon repair].
To assess the usefulness of ultrasound-guided sciatic nerve block in the popliteal fossa in the postoperative pain management after Achilles' tendon repair, we compared 15 patients managed by general anesthesia and sciatic nerve block (Group B) with 17 patients managed by general anesthesia alone (Group G). The time required for the nerve block was about 20 minutes on the average, and the success rate was 100%. No significant complication associated with the nerve block was observed. Fentanyl dosing for the postoperative analgesia was significantly smaller in the Group B. Although the postoperative analgesic requirement was comparable, the time to the first postoperative analgesic administration was significantly longer in the Group B. This retrospective study suggests that ultrasound-guided sciatic nerve block in the popliteal fossa provides safe and effective postoperative pain relief after Achilles' tendon repair.
Department of Anesthesia, Kobe University School of Medicine, Kobe 670-0017.
Akemi
A
Nakagawa
Ryuichiro
R
Miyake
Yoshiyuki
Y
Naito
D000125:Achilles Tendon / Q000601:surgery*; D000328:Adult; D000698:Analgesia / Q000379:methods; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000628:therapy*; D012189:Retrospective Studies; D012584:Sciatic Nerve; D014465:Ultrasonics