Evidence map›Paper›PMID 29213283›Full record

ArticleAnesthesiology research and practice2017

Lateral Supratrochanteric Approach to Sciatic and Femoral Nerve Blocks in Children: A Feasibility Study.

Andrew A Albokrinov, Ulbolhan A Fesenko, Taras B Huz, Valentyna M Perova-Sharonova

Open access · goldAbstract read
In one paragraph

Article in Anesthesiology research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Andrew A AlbokrinovLviv Regional Children's Clinic Hospital, Lysenka St. 31, Lviv 79008, Ukraine.ORCID 0000-0001-7401-4059
Ulbolhan A FesenkoDanylo Halytsky Lviv National Medical University, Pekarska St. 69, Lviv 79010, Ukraine.ORCID 0000-0002-7788-2457
Taras B HuzLviv Regional Children's Clinic Hospital, Lysenka St. 31, Lviv 79008, Ukraine.ORCID 0000-0001-5492-4581
Valentyna M Perova-SharonovaLviv Regional Children's Clinic Hospital, Lysenka St. 31, Lviv 79008, Ukraine.ORCID 0000-0002-6701-236X
Lviv City Children's Hospital · UADanylo Halytsky Lviv National Medical University · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSciatic and femoral nerve blocks (SNB and FNB) result in effective lower limb analgesia. Classical SNB and FNB require patient repositioning which can cause pain and discomfort. Alternative approaches to sciatic and femoral nerve blocks in supine patients can be useful. MATERIALS AND

methodsNeurostimulator-guided SNB and FNB from the lateral supratrochanteric approach were performed. Local anesthetic spread in SNB and FNB after radiographic opacification was analyzed. Time and number of attempts to perform blocks, needle depth, and clinical efficacy were assessed.

resultsMean needle passes number and procedure time for SNB were 2.5 ± 0.3 and 2.4 ± 0.2 min, respectively. Mean needle passes number and procedure time for FNB were 2.7 ± 0.27 and 2.59 ± 0.23 min, respectively. Mean skin to nerve distance was 9.1 ± 0.45 cm for SNB and 8.8 ± 0.5 cm for FNB. Radiographic opacification of SNB showed local anesthetic spread close to the sacrum and involvement of sacral plexus nerve roots. Spread of local anesthetic in FNB was typical. Intraoperative fentanyl administration was required in 2 patients (9.5%) with mean dose 1.8 ± 0.2 mcg/kg. Mean postoperative pain score was 0.34 ± 0.08 of 10.

conclusionThe lateral supratrochanteric approach to SNB and FNB in children can be an effective lower limb analgesic technique in supine patients. The trial is registered with ISRCTN70969666.

Identifiers

PMID29213283
PMCPMC5682050
OpenAlexW2766918675

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.