Popliteal Sciatic Nerve Block in a Pregnant Patient in the Last Trimester


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Gungor I., Tezer T., Polat G. G. , ESEN E., Gunaydin B., Kaya K.

TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION, vol.43, no.4, pp.279-281, 2015 (ESCI) identifier identifier identifier

Abstract

Although regional anaesthesia is a commonly preferred anaesthesia technique for pregnant patients undergoing non-obstetric surgery, peripheral nerve blocks are relatively less administered. The use of popliteal sciatic nerve block for foot-ankle surgery has been presented for a nulliparous parturient at 32 weeks of gestation scheduled to undergo surgical exploration of an arterial pseudoaneurysm on her right plantar surface due to a penetrating stab injury. Since surgery did not require pneumatic tourniquet, the sciatic nerve was blocked via the popliteal approach with a single shot injection of 30 mL of 0.375% levobupivacaine. The operation and the anaesthesia course were uneventful. In conclusion, popliteal sciatic nerve block was successful and uneventful for a short foot surgery not requiring tourniquet application in a parturient in the last trimester.