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Anesth Analg 2006;103:244-247
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000220946.64570.73

REGIONAL ANESTHESIA

A Prospective, Randomized Comparison Between the Popliteal and Subgluteal Approaches for Continuous Sciatic Nerve Block with Stimulating Catheters

Manuel Taboada, MD, PhD, Jaime Rodríguez, MD, PhD, Cristina Valiño, MD, Miriam Vazquez, MD, Araceli Laya, MD, Manuel Garea, MD, Javier Carceller, MD, Julian Alvarez, MD, PhD, Vanessa Atanassoff, and Peter G. Atanassoff, MD

From the University of Santiago de Compostela, Department of Anesthesiology, Hospital Clínico Universitario de Santiago, Spain.

Address correspondence and reprint requests to Manuel Taboada Muñiz, Department of Anesthesiology, Hospital Clínico Universitario de Santiago, Travesía da Choupana s/n. 15706 Santiago de Compostela, Spain. Address e-mail to manutabo{at}yahoo.es.

In this prospective, blinded study, we randomized 56 patients undergoing hallux valgus repair to receive continuous sciatic nerve block using a subgluteal (n = 28) or a posterior popliteal approach (n = 28) with a perineural stimulating catheter. Postoperatively, the stimulating catheter was connected to a patient-controlled analgesia pump with 0.0625% levobupivacaine (basal infusion rate of 3 mL/h, patient-controlled bolus dose of 3 mL, and lockout time of 20 min). Both approaches provided similar postoperative analgesia; however, local anesthetic consumption was larger in the popliteal group (4.9 ± 1.4 mL/h) compared with the subgluteal group (3.8 ± 1.1 mL/h; P < 0.05). We conclude continuous postoperative analgesia using stimulating catheters was effective at both injection sites; however, a subgluteal approach reduced the overall amount of local anesthetic.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.