{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:54:54Z","timestamp":1772160894967,"version":"3.50.1"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,9,25]],"date-time":"2012-09-25T00:00:00Z","timestamp":1348531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2013,1]]},"abstract":"Summary<\/jats:title>\n \n Background and objectives<\/jats:title>\n Arthrogryposis multiplex congenital is hallmarked with immobile joints and muscle fibrosis. The main objective of this study was to compare the success rate of ultrasound\u2010guided sciatic and femoral nerve blocks with nerve stimulations in children diagnosed with distal arthrogryposis multiplex congenita.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n Sixty children aged 8\u00a0months to 2\u00a0years posted for foot surgery were randomly assigned to group\n NS<\/jats:styled-content>\n and group\n US<\/jats:styled-content>\n of 30 each. Under general anesthesia, femoro\u2010sciatic block was performed with nerve stimulator guidance in group\n NS<\/jats:styled-content>\n and ultrasound guidance in group\n US<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Group\n NS<\/jats:styled-content>\n : 23 of 30 (76.7%) children showed ankle movement with sciatic neurostimulation. In 7 (23.6%), distal motor response could not be elicited and the block was abandoned. Out of 23 children who could be given femoral block, in 12 (52%) patients quadriceps contractions were not elicited and fascia iliaca block was given. All 23 blocks were successful.\n CHIPPS<\/jats:styled-content>\n score at 1, 4, 6, 8, and 10\u00a0h was 1.05\u00a0\u00b1\u00a00.90, 1.82\u00a0\u00b1\u00a01.18, 3.36\u00a0\u00b1\u00a01.65, 2.23\u00a0\u00b1\u00a02.02, and 1.18\u00a0\u00b1\u00a01.14, respectively. Group\n US<\/jats:styled-content>\n : In 29 of 30 patients (96.6%), sciatic nerve was visualized with ultrasonography. All 29 children received femoral block, and they were successful. The odds of success in group\n US<\/jats:styled-content>\n were 8.9 (95% confidence interval [1.0, 77.9]) as compared with\n NS<\/jats:styled-content>\n group. The difference in success rate was statistically significant (\n P<\/jats:italic>\n \u00a0=\u00a00.026). The analgesic duration difference in the\n US<\/jats:styled-content>\n and\n NS<\/jats:styled-content>\n groups was a mean 7.62\u00a0\u00b1\u00a00.57\u00a0h in group\n NS<\/jats:styled-content>\n and 8.60\u00a0\u00b1\u00a00.66\u00a0h in group\n US<\/jats:styled-content>\n (statistically significant [\n P<\/jats:italic>\n \u00a0<\u00a00.001]).\n CHIPPS<\/jats:styled-content>\n score at 1, 4, 6, 8, and 10\u00a0h was 0.79\u00a0\u00b1\u00a00.96, 1.61\u00a0\u00b1\u00a00.92, 2.96\u00a0\u00b1\u00a01.04, 2.36\u00a0\u00b1\u00a02.54, and 1.14\u00a0\u00b1\u00a01.01, respectively. The difference between the\n CHIPPS<\/jats:styled-content>\n score was not statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Ultrasonography<\/jats:styled-content>\n significantly increases the success rate of sciatic and femoral block in arthrogryposis.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/pan.12022","type":"journal-article","created":{"date-parts":[[2012,9,25]],"date-time":"2012-09-25T17:08:39Z","timestamp":1348592919000},"page":"74-78","source":"Crossref","is-referenced-by-count":31,"title":["Comparison of success rate of ultrasound\u2010guided sciatic and femoral nerve block and neurostimulation in children with arthrogryposis multiplex congenita: a randomized clinical trial"],"prefix":"10.1111","volume":"23","author":[{"given":"Vrushali","family":"Ponde","sequence":"first","affiliation":[{"name":"All India Institute of Physical Medicine and Rehabilitation Centre Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankit P.","family":"Desai","sequence":"additional","affiliation":[{"name":"Bai Jerbai Wadia Hospital for Children Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipal","family":"Shah","sequence":"additional","affiliation":[{"name":"Bai Jerbai Wadia Hospital for Children Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,9,25]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"44","article-title":"Genetic aspects of arthrogryposis","volume":"194","author":"Hall JG","year":"1985","journal-title":"Clin Orthop"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2002.121148"},{"key":"e_1_2_7_4_1","first-page":"528","volume-title":"Pediatric Anesthesia: Principles and Practice","author":"Dalens BJ","year":"2002"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000138036.83973.9A"},{"key":"e_1_2_7_6_1","first-page":"411","article-title":"Utility of ultrasound guidance over nerve stimulator for sciatic and femoral nerve block in arthrogryposis multiplex congenita","volume":"23","author":"Ponde V","year":"2007","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000163491.75592.01"},{"key":"e_1_2_7_8_1","first-page":"218","article-title":"Assessing pain responses during general anesthesia","volume":"69","author":"Margareta S","year":"2001","journal-title":"AANA J"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2005.01676.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen384"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpan.12022","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.12022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T18:26:28Z","timestamp":1698690388000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.12022"}},"subtitle":[],"editor":[{"given":"Adrian","family":"Bosenberg","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2012,9,25]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1111\/pan.12022"],"URL":"https:\/\/doi.org\/10.1111\/pan.12022","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.717958770.793463034","asserted-by":"object"}]},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,25]]}}}