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Case Reports
Ultrasound-guided transgluteal sciatic nerve analgesia for refractory back pain in the ED: A case series.
- Andrew J Goldsmith, Andrew Liteplo, Bryan D Hayes, Nicole Duggan, Calvin Huang, and Hamid Shokoohi.
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America. Electronic address: ajgoldsmith@partners.org.
- Am J Emerg Med. 2020 Sep 1; 38 (9): 179217951792-1795.
AbstractSciatic radicular back pain is a painful condition resulting in approximately 2% of emergency department (ED) visits a year. Typically, the ED treatment has been limited to various analgesic regimens with limited success sometimes resulting in hospital admissions for pain control. Regional anesthesia has become increasing popular for lower-limb analgesia, but has not universally permeated the ED setting. The transgluteal sciatic nerve block (TGSNB) is a procedure that can provide effective analgesia for lower extremity pain. Herein, we present the first technical description and clinical response to ultrasound-guided TGSNB performed by emergency physicians for acute pain control of sciatic back pain through a series of cases.Copyright © 2020 Elsevier Inc. All rights reserved.
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