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- Jacques E Chelly, Jennifer Greger, Andrea Casati, Tameem Al-Samsam, William McGarvey, and Thomas Clanton.
- Department of Anesthesiology, The University of Texas Medical School at Houston, 77030-1503, USA. chelje@anes.upmc.edu
- Foot Ankle Int. 2002 Aug 1;23(8):749-52.
UnlabelledWe developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia.MethodsA 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper positioning of the insulated needle, a 20-gauge catheter was placed in proximity to the sciatic nerve.ResultsContinuous lateral sciatic infusion of 0.2% ropivacaine was associated with a significant reduction of morphine consumption by 29% and 62% during postoperative days one and two, respectively, in patients who underwent open reduction and internal fixation of the ankle.ConclusionContinuous lateral sciatic infusion of 0.2% ropivacaine represents an alternative for acute postoperative pain control after major ankle and foot surgery.
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