Ultrasound-guided ankle block: An attractive anaesthetic technique for foot surgery

Girón-Arango, Laura; Vásquez-Sadder, María Isabel; González-Obregón, María Patricia; Gamero-Fajardo, Carlos Enrique

doi:10.1016/j.rcae.2015.07.003

Cited by 2 publications

(7 citation statements)

References 21 publications

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Section: Anatomymentioning

confidence: 99%

“…Blood vessels accompany the deep peroneal, posterior tibial, saphenous, and sural nerves, providing valuable anatomical landmarks for ultrasound-guided approaches (Figure 1) [30]. The sensory innervation regions corresponding to each nerve in the foot are illustrated in (Figure 2) [30]. While it has been suggested that the saphenous nerve may be necessary in only 3% of patients undergoing foot surgery [23], it is recommended to perform a complete block rather than a selective one, regardless of the type of surgery, due to frequent overlap in nerve territories [17].…”

Section: Anatomymentioning

confidence: 99%

“…Care should be taken to differentiate the flexor hallucis longus tendon, which lies deep to the tibial nerve and may be mistaken for a nerve structure due to similar sonoanatomical characteristics [30].…”

Section: Tibial Nervementioning

confidence: 99%

“…If the sural nerve is not immediately visible, the peroneal sheath can be located, with the nerve typically found anteriorly and outside it. Another method to aid in visualizing the sural nerve is to apply a tourniquet to the upper third of the leg to distend the small saphenous vein and facilitate locating the nerve (as shown in Figure 15) [30,43].…”

Section: Sural Nervementioning

confidence: 99%

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Eco-Guided Ankle Block: Analgesia and Anesthetic Technique for Foot Surgery

De La Espriella

2024

Contemporary Approach to Trauma and Emergency Surgery

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Regional anesthesia for foot surgery has become increasingly popular, there are different reasons including: most surgeries are ambulatory, great pain management during the early postoperative phase, reduced time spent in the post-anesthesia care unit, and minimizing opioid use during the perioperative period are achieved through effective ankle blockade. This procedure involves blocking the five nerves responsible for sensory supply to the area below the malleoli. It can be used both as an anesthetic technique (used together with general or neuraxial anesthesia), as well as analgesia in the context of multimodal analgesia providing adequate post-operative analgesia. All five nerves can be blocked using ultrasonography, allowing for lower latency and a smaller volume of local anesthetic.

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Section: Anatomymentioning

confidence: 99%

Section: Anatomymentioning

confidence: 99%

Section: Tibial Nervementioning

confidence: 99%

Section: Sural Nervementioning

confidence: 99%

See 2 more Smart Citations

Eco-Guided Ankle Block: Analgesia and Anesthetic Technique for Foot Surgery

De La Espriella

2024

Contemporary Approach to Trauma and Emergency Surgery

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“…El bloqueo del tobillo comprende el bloqueo de los nervios tibial, peroneo superficial, peroneo profundo, sural y safeno, los cuales proveen inervación distal a los maléolos tibial y peroneo. El bloqueo completo o selectivo de los nervios del pie se ha utilizado como técnica anestésica única en cirugía de pie (cuando no hay utilización de torniquete neumático durante el procedimiento), y para el control de dolor posoperatorio, dolor crónico postraumático, neuropático, y musculoesquelético, en diferentes patologías o condiciones ortopédicas de tobillo y pie (7)(8)(19)(20)(21)(22).…”

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