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PEDIATRIC ANESTHESIA

Sciatic Nerve Block in a Child: A Sonographic Approach

Department of Anesthesia and Perioperative Care, University of California, San Francisco, California

Address correspondence and reprint requests to Andrew T. Gray, MD, PhD, Department of Anesthesia and Perioperative Care, Rm. 3C-38, San Francisco General Hospital, University of California, San Francisco, CA 94110. Address e-mail to graya{at}anesthesia.ucsf.edu

Ultrasound technology can facilitate peripheral nerve blocks in clinical practice. In this case report, ultrasound imaging was used to identify the sciatic nerve and guide local anesthetic injection in the subgluteal region of a child undergoing Achilles tendon lengthening. Sonographic guidance may be especially useful for peripheral nerve blocks in children because the neural imaging is often excellent and reference landmarks are variable.

IMPLICATIONS: In this case report, ultrasound was used to identify the sciatic nerve and guide local anesthetic injection in the subgluteal region of a child. Sonographic guidance may be especially useful for peripheral nerve blocks in children because the neural imaging is often excellent and reference landmarks are variable.

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