Techniques and complications of popliteal nerve blocks

Blair, Taylor T.; Weatherley, Trent S.; Panchbhavi, Vinod K.

doi:10.1016/j.fas.2021.11.008

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…History of Peripheral Nerve Blocks Popliteal nerve blocks are increasing in popularity because of their effectiveness in controlling postoperative pain with minimal complications 91 . Epidural nerve blocks have been used as well, but they require inpatient monitoring and longer hospitalization, making a popliteal or ankle nerve block preferred for foot and ankle procedures 92 .…”

Section: Regional Anesthesiamentioning

confidence: 99%

“What Keeps Me up at Night”: Complications in Foot and Ankle Surgery

Mener,

Castillo,

Denove

et al. 2024

JBJS Journal of Orthopaedics for Physician Assistants

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Foot and ankle surgery has a number of potential complications that are generalizable to orthopaedic surgery, such as deep vein thrombosis (DVTs), complex regional pain syndrome (CRPS), and complications related to regional anesthesia. However, the characteristics of these complications differ because of the anatomical location and unique procedures within foot and ankle surgery. In this article, we summarize the symptoms, diagnosis, and treatment of common complications within foot and ankle surgery that cause grief for both orthopaedic providers and patients alike, such as persistent swelling, CRPS, and DVTs.

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Section: Regional Anesthesiamentioning

confidence: 99%

“What Keeps Me up at Night”: Complications in Foot and Ankle Surgery

Mener,

Castillo,

Denove

et al. 2024

JBJS Journal of Orthopaedics for Physician Assistants

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show abstract

“…Like all other PN blocks, block failure, hemorrhage, infection, nerve damage, and allergy to LA drugs are the complications associated with popliteal nerve block. [ 77 ]…”

Section: Lower Limbmentioning

confidence: 99%

Regional anesthesia for geriatric population

Al Harbi,

Alshaghroud,

Aljahdali

et al. 2023

Saudi Journal of Anaesthesia

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Advancements in modern health care over 20 years have substantially increased the average lifespan in developed countries, and the fastest growing population is the elderly population. The proportion of people in Saudi Arabia aged 60 or more is predicted to be 25 percent of the total population of 40 million by the end of 2050. Moreover, the number of people aged 80 or more is expected to reach 1.6 million or 4 percent of the total population in the same period. Improvements in surgical techniques, anesthesia, and intensive care units make surgical interventions in older and sicker patients possible. It is estimated that over half of the population older than 65 years will require surgical intervention at least once during the remainder of their lives. Therefore, elderly patients are becoming an even larger part of anesthetic practice. Regional anesthesia (RA) is frequently used in elderly patients, especially during orthopedic surgery, genitourologic and gynecologic procedures, and hernia repair. Although age can no longer be considered a contraindication to anesthesia and surgery, anesthesia-related morbidity and mortality remain higher among elderly than among young adult surgical patients. Undoubtedly, peripheral nerve (PN) blocks improve analgesia and reduce opioid consumption and their associated side effects. This is beneficial in the perioperative care of elderly patients who may have less physiologic reserve to withstand the side effects of general anesthesia (GA).

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Comparison of nerve block and spinal anesthesia in second toe pulp free flap surgery for fingertip reconstruction

Yu,

Kim,

Park

2024

JPHS

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Toe pulp flap surgery is a viable option for soft tissue defects of the fingertips, effectively addressing patient needs and fingertip characteristics. The preferred anesthesia for lower-extremity surgery includes spinal and regional anesthesia. However, the choice between these methods depends on patient safety and surgical efficacy. In this retrospective study, we aimed to ascertain the optimal anesthetic technique by examining the efficacy, safety, pain control, and potential side effects of spinal and peripheral nerve block anesthetics. We included 40 patients aged 18–60 years who underwent partial second toe pulp free flap surgery for fingertip reconstruction. Twenty patients received spinal anesthesia (SA), while the remaining 20 received peripheral nerve block anesthesia. We conducted a comparative analysis of postoperative pain scores, adverse effects, analgesic usage, and patient satisfaction scores associated with each anesthesia method. Independent t-test, Mann–Whitney U test, and chi-squared test were performed. The SA group exhibited hypotension, bradycardia, urinary retention, and postdural puncture headache rates of 10%, 10%, 5%, and 5%, respectively. A significant difference in the timing of first analgesic use was observed (spinal, 3.7 ± 0.8 vs. peripheral nerve block, 13.2 ± 6.6; P = 0.006). Visual analog scale (VAS) scores of the patients at the 2nd, 4th, and 6th h were significantly lower in the peripheral nerve block group (P < 0.001, P < 0.001, P < 0.001, respectively). VAS scores at 12 and 24 h were similar between the groups (P = 0.07, P = 0.135, respectively). Peripheral nerve block anesthesia is superior to SA for partial second toe pulp free flap surgery, offering lower complication rates, reduced postoperative pain, and improved patient comfort.

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Techniques and complications of popliteal nerve blocks

Cited by 3 publications

References 29 publications

“What Keeps Me up at Night”: Complications in Foot and Ankle Surgery

“What Keeps Me up at Night”: Complications in Foot and Ankle Surgery

Regional anesthesia for geriatric population

Comparison of nerve block and spinal anesthesia in second toe pulp free flap surgery for fingertip reconstruction

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