Case Report

Popliteal Sciatic Nerve Block in a Pregnant Patient in the Last Trimester

10.5152/TJAR.2014.87699

  • İrfan Güngör
  • Tolga Tezer
  • Gülşah Gülsi Polat
  • Erdinç Esen
  • Berrin Günaydın
  • Kadir Kaya

Received Date: 30.04.2014 Accepted Date: 08.10.2014 Turk J Anaesthesiol Reanim 2015;43(4):279-281

Although regional anaesthesia is a commonly preferred anaesthesia technique for pregnant patients undergoing non-obstetric surgery, peripheral nerve blocks are relatively less administered. The use of popliteal sciatic nerve block for foot-ankle surgery has been presented for a nulliparous parturient at 32 weeks of gestation scheduled to undergo surgical exploration of an arterial pseudoaneurysm on her right plantar surface due to a penetrating stab injury. Since surgery did not require pneumatic tourniquet, the sciatic nerve was blocked via the popliteal approach with a single shot injection of 30 mL of 0.375% levobupivacaine. The operation and the anaesthesia course were uneventful. In conclusion, popliteal sciatic nerve block was successful and uneventful for a short foot surgery not requiring tourniquet application in a parturient in the last trimester.

Keywords: Non-obstetric surgery, pregnancy, anaesthesia, peripheral block