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<br /> Ultrasound-guided subgluteal<br /> sciatic nerve block<br /> Philips tutorial<br /> Francis V. Salinas, MD<br /> Staff Anesthesiologist and Section Head of Orthopedic Anesthesia<br /> Coordinator of Ultrasound-Guided Regional Anesthesia Education<br /> Virginia Mason Medical Center Department of Anesthesiology<br /> Table of contents<br /> Ultrasound-guided subgluteal sciatic nerve block<br /> 1 Introduction .......................................................................................................................................... 3<br /> 2 Clinical anatomy............................................................................................................................... 7<br /> 3 Anatomical relationships and the sonographic appearance ...............17<br /> 4 Ultrasound anatomy and techniques .........................................................................23<br /> 5 Clinical pearls and tips .............................<a title="Subgluteal Sciatic Nerve Block Tutorial page 1" href="http://viewer.zmags.com/publication/cdea897c?page=1"> Ultrasound-guided subgluteal sciatic nerve block </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 2" href="http://viewer.zmags.com/publication/cdea897c?page=2"> Table of contents Ultrasound-guided subglutea</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 3" href="http://viewer.zmags.com/publication/cdea897c?page=3"> 1 Introduction The sciatic nerve (SN) is der</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 4" href="http://viewer.zmags.com/publication/cdea897c?page=4"> 1 Introduction More proximal approaches to </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 5" href="http://viewer.zmags.com/publication/cdea897c?page=5"> Figure 1 The surface and deeper projection of the</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 6" href="http://viewer.zmags.com/publication/cdea897c?page=6"> 1 Introduction same (estimated surface ar</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 7" href="http://viewer.zmags.com/publication/cdea897c?page=7"> 2 Clinical anatomy The sciatic nerve is the</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 8" href="http://viewer.zmags.com/publication/cdea897c?page=8"> 2 Clinical anatomy </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 9" href="http://viewer.zmags.com/publication/cdea897c?page=9"> Figure 2b The muscle belly of the LHBF has been r</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 10" href="http://viewer.zmags.com/publication/cdea897c?page=10"> 2 Clinical anatomy The sciatic nerve exits </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 11" href="http://viewer.zmags.com/publication/cdea897c?page=11"> Figure 3 The GM has been removed, exposing the pi</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 12" href="http://viewer.zmags.com/publication/cdea897c?page=12"> 2 Clinical anatomy </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 13" href="http://viewer.zmags.com/publication/cdea897c?page=13"> At the caudal border of the quadratus femoris mus</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 14" href="http://viewer.zmags.com/publication/cdea897c?page=14"> 2 Clinical anatomy </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 15" href="http://viewer.zmags.com/publication/cdea897c?page=15"> Figure 6 Patient is in the prone position.The sci</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 16" href="http://viewer.zmags.com/publication/cdea897c?page=16"> 2 Clinical anatomy Within the lower gluteal</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 17" href="http://viewer.zmags.com/publication/cdea897c?page=17"> 3 Anatomical relationships and sonographic a</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 18" href="http://viewer.zmags.com/publication/cdea897c?page=18"> 3 Anatomical relationships and sonographic a</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 19" href="http://viewer.zmags.com/publication/cdea897c?page=19"> Figure 7b SAX ultrasound image of the SN in the </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 20" href="http://viewer.zmags.com/publication/cdea897c?page=20"> 3 Anatomical relationships and sonographic a</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 21" href="http://viewer.zmags.com/publication/cdea897c?page=21"> The subgluteal space is an intermuscular fascial </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 22" href="http://viewer.zmags.com/publication/cdea897c?page=22"> 3 Anatomical relationships and sonographic a</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 23" href="http://viewer.zmags.com/publication/cdea897c?page=23"> 4 Ultrasound anatomy and techniques Pat</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 24" href="http://viewer.zmags.com/publication/cdea897c?page=24"> 4 Ultrasound anatomy and techniques </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 25" href="http://viewer.zmags.com/publication/cdea897c?page=25"> Figure 9b Patient is in the prone position for U</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 26" href="http://viewer.zmags.com/publication/cdea897c?page=26"> 4 Ultrasound anatomy and techniques Son</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 27" href="http://viewer.zmags.com/publication/cdea897c?page=27"> the laterally-located GT. These two bony sonograp</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 28" href="http://viewer.zmags.com/publication/cdea897c?page=28"> 4 Ultrasound anatomy and techniques SAX</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 29" href="http://viewer.zmags.com/publication/cdea897c?page=29"> 150 mm single injection block needle, or a 17-gau</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 30" href="http://viewer.zmags.com/publication/cdea897c?page=30"> 4 Ultrasound anatomy and techniques </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 31" href="http://viewer.zmags.com/publication/cdea897c?page=31"> Figure 10b Ultrasound transducer position and ne</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 32" href="http://viewer.zmags.com/publication/cdea897c?page=32"> 4 Ultrasound anatomy and techniques </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 33" href="http://viewer.zmags.com/publication/cdea897c?page=33"> Figure 11a The needle tip has been advanced over</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 34" href="http://viewer.zmags.com/publication/cdea897c?page=34"> 4 Ultrasound anatomy and techniques </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 35" href="http://viewer.zmags.com/publication/cdea897c?page=35"> Figure 11c The needle tip is located deep to the</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 36" href="http://viewer.zmags.com/publication/cdea897c?page=36"> 4 Ultrasound anatomy and techniques </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 37" href="http://viewer.zmags.com/publication/cdea897c?page=37"> – If needle visualization is less than ideal, it </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 38" href="http://viewer.zmags.com/publication/cdea897c?page=38"> 4 Ultrasound anatomy and techniques </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 39" href="http://viewer.zmags.com/publication/cdea897c?page=39"> Video 1 SAX, In-Plane Technique. The block needl</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 40" href="http://viewer.zmags.com/publication/cdea897c?page=40"> 4 Ultrasound anatomy and techniques </a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 41" href="http://viewer.zmags.com/publication/cdea897c?page=41"> Video 3 SAX, In-Plane Technique. The block needle</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 42" href="http://viewer.zmags.com/publication/cdea897c?page=42"> 4 Ultrasound anatomy and techniques Subgl</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 43" href="http://viewer.zmags.com/publication/cdea897c?page=43"> 5 Clinical pearls and tips Anisotropy of th</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 44" href="http://viewer.zmags.com/publication/cdea897c?page=44"> 5 Clinical pearls and tips iv. The duratio</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 45" href="http://viewer.zmags.com/publication/cdea897c?page=45"> 6 References 1. Enneking FK, Chan V, Greger</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 46" href="http://viewer.zmags.com/publication/cdea897c?page=46"> 6 References 13. Chan VW, Nova H, Abbas S, et</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 47" href="http://viewer.zmags.com/publication/cdea897c?page=47"> Additional resources Additional resources rel</a> <a title="Subgluteal Sciatic Nerve Block Tutorial page 48" href="http://viewer.zmags.com/publication/cdea897c?page=48"> Philips Healthcare is part of Royal Philips Elect</a>