This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (20) Citing Articles via Google Scholar Google Scholar Articles by Rodríguez, J. Articles by Álvarez, J. Search for Related Content PubMed PubMed Citation Articles by Rodríguez, J. Articles by Álvarez, J.

---

REGIONAL ANESTHESIA

Stimulating Popliteal Catheters for Postoperative Analgesia After Hallux Valgus Repair

Jaime Rodríguez, MD, PhD, Manuel Taboada, MD, Javier Carceller, MD, Juan Lagunilla, MD, Maria Bárcena, MD, and Julián Álvarez, MD, PhD

Department of Anesthesiology, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain

Address correspondence and reprint requests to Jaime Rodríguez, Department of Anesthesiology, Hospital Clínico de Santiago, Trav. da Choupana, s.n. 15706, Santiago de Compostela, Spain. Address e-mail to jaimerodriguezgarcia{at}nacom.es.

Stimulating catheters have been recently introduced in clinical practice. We assessed the efficacy of stimulating and nonstimulating catheter placement for pain control and local anesthetic requirements after hallux valgus repair with continuous sciatic popliteal nerve block in this comparative, randomized, blinded-to-observer study of 48 patients. A stimulating catheter was placed in groups S-125 and S-0625. The same catheter was inserted without stimulation in group NS-125. An infusion of 0.125% levobupivacaine was given in groups S-125 and NS-125, whereas 0.0625% levobupivacaine was used in group S-0625. All patients received an infusion of the test drug at a basal rate of 3 mL/h, with the possibility of an additional bolus of 3 mL every hour. Verbal analog scale (VAS) scores for pain were assessed between 6–8 h and between 19–23 h postoperatively. Multiple attempts were required for catheter insertion in all patients in groups S-125 and S-0625. Lower median (range) VAS scores for pain (0–100 points) were found in group S-125 at 6–8 h postoperatively when compared with groups S-0625 and NS-125: 5 (0–17.5) versus 60 (15–80) and 70 (25–80), respectively (P < 0.05); and lower VAS scores for pain were also found in group S-125 at 19–23 h when compared with group NS-125: 0 (0–0) and 7.5 (0–10), respectively (P < 0.05). Fewer patients required IV opioid analgesia in group S-125 than in groups S-0625 and NS-125: 0, 5, and 7 patients, respectively (P < 0.05). We conclude that efficacy in pain control was increased with stimulating catheter placement.

This article has been cited by other articles:

				E. R. Mariano, V. J. Loland, N. S. Sandhu, R. H. Bellars, M. L. Bishop, R. Afra, S. T. Ball, R. S. Meyer, R. C. Maldonado, and B. M. Ilfeld Ultrasound Guidance Versus Electrical Stimulation for Femoral Perineural Catheter Insertion J. Ultrasound Med., November 1, 2009; 28(11): 1453 - 1460. [Abstract] [Full Text] [PDF]

				M. Taboada, J. Rodriguez, C. Valino, M. Vazquez, M. Bermudez, J. Alvarez, and P. G. Atanassoff Two Unusual Cases of Urinary Incontinence During Continuous Sciatic Nerve Block with Stimulating Catheters Anesth. Analg., March 1, 2009; 108(3): 1042 - 1043. [Abstract] [Full Text] [PDF]

				B. M. Ilfeld, L. T. Le, J. Ramjohn, V. J. Loland, A. N. Wadhwa, J. C. Gerancher, E. M. Renehan, D. I. Sessler, J. J. Shuster, D. W. Theriaque, et al. The Effects of Local Anesthetic Concentration and Dose on Continuous Infraclavicular Nerve Blocks: A Multicenter, Randomized, Observer-Masked, Controlled Study Anesth. Analg., January 1, 2009; 108(1): 345 - 350. [Abstract] [Full Text] [PDF]

				M. Taboada, J. Rodriguez, M. Bermudez, C. Valino, B. Ulloa, F. Aneiros, F. Gude, J. Cortes, J. Alvarez, and P. G. Atanassoff A "New" Automated Bolus Technique for Continuous Popliteal Block: A Prospective, Randomized Comparison with a Continuous Infusion Technique Anesth. Analg., October 1, 2008; 107(4): 1433 - 1437. [Abstract] [Full Text] [PDF]

				B. M. Ilfeld, V. J. Loland, J. C. Gerancher, A. N. Wadhwa, E. M. Renehan, D. I. Sessler, J. J. Shuster, D. W. Theriaque, R. C. Maldonado, E. R. Mariano, et al. The Effects of Varying Local Anesthetic Concentration and Volume on Continuous Popliteal Sciatic Nerve Blocks: A Dual-Center, Randomized, Controlled Study Anesth. Analg., August 1, 2008; 107(2): 701 - 707. [Abstract] [Full Text] [PDF]

				M. J. Barrington, D. J. Olive, C. A. McCutcheon, C. Scarff, S. Said, R. Kluger, N. Gillett, and P. Choong Stimulating Catheters for Continuous Femoral Nerve Blockade After Total Knee Arthroplasty: A Randomized, Controlled, Double-Blinded Trial Anesth. Analg., April 1, 2008; 106(4): 1316 - 1321. [Abstract] [Full Text] [PDF]

				E. J. Chidiac and S. Perov Outpatient Continuous Peripheral Nerve Catheters Anesth. Analg., May 1, 2007; 104(5): 1303 - 1304. [Full Text] [PDF]

				M. F. Stevens, R. Werdehausen, E. Golla, S. Braun, H. Hermanns, A. Ilg, R. Willers, and P. Lipfert Does Interscalene Catheter Placement with Stimulating Catheters Improve Postoperative Pain or Functional Outcome After Shoulder Surgery? A Prospective, Randomized and Double-Blinded Trial Anesth. Analg., February 1, 2007; 104(2): 442 - 447. [Abstract] [Full Text] [PDF]

				M. Taboada, J. Rodriguez, C. Valino, M. Vazquez, A. Laya, M. Garea, J. Carceller, J. Alvarez, V. Atanassoff, and P. G. Atanassoff A prospective, randomized comparison between the popliteal and subgluteal approaches for continuous sciatic nerve block with stimulating catheters. Anesth. Analg., July 1, 2006; 103(1): 244 - 247. [Abstract] [Full Text] [PDF]