{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T17:15:56Z","timestamp":1767374156655},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,5,18]],"date-time":"2013-05-18T00:00:00Z","timestamp":1368835200000},"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":[[2013,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The parasacral (<jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content>) approach to sciatic nerve blockade has the potential for safe and effective use in children, but has never been studied in this population. Its potential advantages include increased posterior cutaneous nerve block reliability, potential for hip joint analgesia, and decreased nerve depth, making ultrasound guidance easier.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the efficacy of an ultrasound\u2010guided <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> sciatic nerve block in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nineteen patients, 1\u201316\u00a0years old, scheduled for lower limb surgery with peripheral nerve blockade (<jats:styled-content style=\"fixed-case\">PNB<\/jats:styled-content>) were prospectively enrolled. A <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> sciatic block was performed using both ultrasound guidance and nerve stimulation, and 0.5\u00a0ml\u00b7kg<jats:sup>\u22121<\/jats:sup> ropivacaine 0.2% (maximum 20\u00a0ml) was administered. Patient demographics, the time to perform the block, the lowest intensity of nerve stimulation, evoked response, identification of gluteal arteries, and amount of narcotic given were recorded. Postoperatively, pain scores, block success or failure, block duration, and complications were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The block was performed using the <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> approach in 95% of the cases. The success rate was 100% in the <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> sciatic blocks performed. The pain scores for all patients in the first postsurgical hour were zero, except one patient that had a pain score of 3 of 10 at 30\u00a0min; his pain improved to 0 of 10 after administration of one dose of fentanyl and distraction techniques. The blocks lasted 17.3\u00a0\u00b1\u00a05.4\u00a0h. No complications were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">PS<\/jats:styled-content> approach is an effective option for sciatic nerve blockade to provide postoperative pain relief in children having lower extremity surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12194","type":"journal-article","created":{"date-parts":[[2013,5,18]],"date-time":"2013-05-18T21:14:55Z","timestamp":1368911695000},"page":"1042-1047","source":"Crossref","is-referenced-by-count":13,"title":["Ultrasound\u2010guided parasacral approach to the sciatic nerve block in children"],"prefix":"10.1111","volume":"23","author":[{"given":"Jennifer M.","family":"Dillow","sequence":"first","affiliation":[{"name":"Department of Anesthesiology &amp; Critical Care Medicine University of New Mexico Hospital Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randy L.","family":"Rosett","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Critical Care Medicine University of New Mexico Hospital Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy R.","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Critical Care Medicine University of New Mexico Hospital Albuquerque NM USA"},{"name":"Department of Anthropology University of New Mexico Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Firoz S.","family":"Vagh","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Critical Care Medicine University of New Mexico Hospital Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A.","family":"Hruschka","sequence":"additional","affiliation":[{"name":"Maine Medical Center Portland ME USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas C. K.","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Critical Care Medicine University of New Mexico Hospital Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181c5dfd7"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2009.07.009"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000195439.54650.dc"},{"key":"e_1_2_7_5_1","first-page":"193","article-title":"Parasacral approach to block the sciatic nerve: a 400\u2010case survey","volume":"30","author":"Ripart J","year":"2005","journal-title":"Reg Anesth Pain Med"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e3181a04d8e"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer216"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-011-9630-3"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003643-200209000-00011"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20893"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2008.02433.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2006.02020.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2004.03669.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem092"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000217196.34354.5a"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aei157"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2010.03325.x"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpan.12194","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.12194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T21:19:55Z","timestamp":1696195195000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.12194"}},"subtitle":[],"editor":[{"given":"Per\u2010Arne","family":"Lonnqvist","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2013,5,18]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1111\/pan.12194"],"URL":"https:\/\/doi.org\/10.1111\/pan.12194","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,18]]}}}