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British Journal of Anaesthesia 2007 98(3):390-395; doi:10.1093/bja/ael364
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Ultrasound-guided sciatic nerve block: description of a new approach at the subgluteal space

M. K. Karmakar*, W. H. Kwok, A. M. Ho, K. Tsang, P. T. Chui and T. Gin

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong, SAR, China

* Corresponding author: Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong, SAR China. E-mail: karmakar{at}cuhk.edu.hk

Sciatic nerve block is frequently used for anaesthesia or analgesia during orthopaedic foot surgery and there are several different approaches to the sciatic nerve. This report describes a new approach to the sciatic nerve using ultrasound. Local anesthetic was injected into the ‘subgluteal space’ under ultrasound guidance which was effective in producing sciatic nerve block in a small series of five patients. The anatomy, sonographic features, technique of identifying the subgluteal space, and potential advantages of this approach to the sciatic nerve are discussed.

Keywords: anaesthetic, techniques, regional, sciatic;; nerve, nerve block, ultrasound guided, subgluteal


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E-letters:

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Ultrasound-guided sciatic nerve block: description of a new approach at the subgluteal space
Shiv k Singh, et al.
British Journal of Anaesthesia, 30 Mar 2007 [Full text]
Ultrasound-guided Subgluteal Sciatic nerve block
Sherif Abbas, et al.
British Journal of Anaesthesia, 29 May 2007 [Full text]
Subtle Differences between Ultrasound Guided Subgluteal Sciatic Nerve Block at the Subgluteal Space
M.K. Karmakar, et al.
British Journal of Anaesthesia, 10 Jun 2007 [Full text]

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