Tag: tibial
Obturator nerve block is used to treat hip joint pain and in the relief of adductor muscle spasm associated with hemi-or paraplegia. Muscle spasticity is relatively common problem among patients suffering from central neurological problems such as cerebrovascular pathology, medullar injuries, multiple sclerosis, infantile cerebral palsy, etc. ...
The lateral approach to popliteal blockade is a block of the sciatic nerve at the level of the popliteal fossa. This is an intermediate nerve block technique and sound knowledge of the principles of nerve stimulation and anatomic characteristics of the sciatic nerve are needed for its successful implementation. This block is well-suited for surgery on the calf, Achilles tendon, ankle, and foot. It provides complete analgesia for the calf tourniquet without the need for supplementary blocks of the saphenous nerve. ...
Description of the Technique
Figure 1.
Sciatic nerve block in the popliteal fossa (also called popliteal block) is a well-suited anesthetic technique for operations below the knee....
Expertise with regional anesthesia of the airway allows intubation in awake patients with suspected difficult intubation, upper airway trauma, or cervical spine fractures. Therefore, it is essential that every regional anesthesiologist be skilled in the administration of general anesthesia and especially in the management of the difficult airway. ...
TABLE OF CONTENTS (click here to expand)
Introduction
Relevant Anatomy
Techniques for Anesthetizing the Airway
Preparation for Awake Intubation
Topical Anesthesia of the Nose, Mouth, Tongue, &...

In recent years, regional anesthesia techniques for surgery, obstetrics, and postoperative pain management have been used with increasing frequency.[1−3] The combined spinal–epidural (CSE) technique, a comparatively new anesthetic technique, includes an initial subarachnoid injection followed by epidural catheter placement and administration of epidural medications delivered for extended periods.
Clinical studies have demonstrated that the CSE technique provides excellent surgical conditions as quickly as the single-shot subarachnoid (SSS) block, and with advantages compared with the epidural block alone.[4−6] The introduction of CSE anesthesia offers benefits of both spinal and epidural anesthesia.
Although the CSE technique has become increasingly popular over the past two decades, it is a more complex technique that requires comprehensive understanding of epidural and spinal physiology and pharmacology.
This article discusses the technical aspects, advantages, potential complications, and limitations of the CSE technique for surgery and analgesia during labor....