{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:55:18Z","timestamp":1787028918392,"version":"build-2736575974"},"reference-count":23,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>The anatomy of the sciatic nerve allows it to be blocked at different levels using various anesthetic approaches. However, for several reasons, performing these approaches may be challenging or disadvantageous in specific categories of patients, particularly in obese patients. The objective of this brief technical report is to describe a new technical approach to sciatic nerve block, designed to simplify the procedure for certain categories of patients and less experienced practitioners. Since 2010, more than 5000 procedures have been performed by both experienced anesthesiologists and novice trainees in several hospitals. The ultrasound lateral mid-shaft technique appears to be a safe and effective method for performing a sciatic nerve block, even in obese patients with significant subcutaneous fat and unclear ultrasound images. This approach is particularly beneficial given the various anatomical variations that can occur. By targeting the mid-thigh area, the ultrasound beam accesses anatomical structures that are more superficial, improving the technique\u2019s efficacy. Various hospital groups have been performing this technique as a routine procedure, achieving a success rate of nearly 100%. This impressive success rate exceeds that of other conventional techniques documented in the literature. Additionally, there have been significant improvements in comfort and ease for anesthetists. This method allows the anesthetic to spread around the paraneural sheath, covering the posterior femoral cutaneous nerve. Finally, it is performed in the supine position without the need to mobilize the lower limbs, ensuring patient comfort, especially in cases of fractures or lower limb injuries. Further studies are needed to confirm these results.<\/jats:p>","DOI":"10.3390\/medicina61010100","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T06:25:54Z","timestamp":1736490354000},"page":"100","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Technical Report on the New Ultrasound Lateral Mid-Shaft Approach to the Sciatic Nerve: A Never-Ending Story"],"prefix":"10.3390","volume":"61","author":[{"given":"Giuseppe","family":"Sepolvere","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Tedesco","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Mater Dei Hospital, 70125 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7186-8443","authenticated-orcid":false,"given":"Mario","family":"Cibelli","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3554-8442","authenticated-orcid":false,"given":"Dario","family":"Cirillo","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples \u201cFederico II\u201d, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Sparaco","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9092-3904","authenticated-orcid":false,"given":"Giuseppe","family":"Gagliardi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppina","family":"Costagliola","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loredana","family":"Cristiano","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria Rita","family":"Scialdone","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Rosaria","family":"Pasquariello","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Di Zazzo","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Merola","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirco","family":"Della Valle","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Arminio","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7842-5509","authenticated-orcid":false,"given":"Leonardo Maria","family":"Bottazzo","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Folliero","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, S. Michele Hospital, 81024 Maddaloni, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1715-0991","authenticated-orcid":false,"given":"Giorgio","family":"Ranieri","sequence":"additional","affiliation":[{"name":"Complex Operational Unit of Anesthesia and Operating Units, Department of Emergency and Internal Medicine, Isola Tiberina Hospital, Gemelli Isola, 00186 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico Pietro","family":"Santonastaso","sequence":"additional","affiliation":[{"name":"Anesthesia and Intensive Care Unit, AUSL Romagna, M. Bufalini Hospital, 47521 Cesena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2298-566X","authenticated-orcid":false,"given":"Antonio","family":"Coviello","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples \u201cFederico II\u201d, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1177\/1938640015569769","article-title":"Role of regional anesthesia in foot and ankle surgery","volume":"8","author":"Vadivelu","year":"2015","journal-title":"Foot Ankle Spec."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.bjae.2020.04.004","article-title":"The sciatic nerve block","volume":"20","author":"Shevlin","year":"2020","journal-title":"BJA Educ."},{"key":"ref_3","unstructured":"Standring, S. 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