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- Jul 15, 2014
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How many of you guys still do sciatic blocks with the transgluteal approach? Do you find it better/more effective than the popliteal approach?
I ask because transgluteal sciatic blocks are pretty much the only peripheral blocks that I was not trained to do under ultrasound guidance. We always did it w/ PNS due to the depth of the nerve and gluteal contours. If I had to do it by myself, I wouldn't necessarily feel comfortable. But the way I see it, popliteal blocks cover most of the area that a transgluteal would cover anyway, and if the area in between were affected, the patient would probably be better off with neuraxial in the first place. Thoughts?
I ask because transgluteal sciatic blocks are pretty much the only peripheral blocks that I was not trained to do under ultrasound guidance. We always did it w/ PNS due to the depth of the nerve and gluteal contours. If I had to do it by myself, I wouldn't necessarily feel comfortable. But the way I see it, popliteal blocks cover most of the area that a transgluteal would cover anyway, and if the area in between were affected, the patient would probably be better off with neuraxial in the first place. Thoughts?