Innovative Dual-Approach Ultrasound-Guided Anterior Sciatic and Adductor Canal Block for Below-Knee Procedures
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Abstract
Background: Conventional sciatic and adductor canal blocks require separate punctures, potentially increasing procedural time and patient discomfort. Aim: To evaluate the efficacy, safety, and acceptance of a two-in-one ultrasound-guided technique for anterior sciatic and adductor canal blocks through a single puncture for below-knee surgeries. Material and Methods: A prospective study was conducted on 120 patients undergoing elective below-knee surgery. Both blocks were performed under ultrasound guidance via a single puncture at the mid-thigh level. Outcome measures included block performance time, onset of sensory and motor blocks, duration of analgesia, and patient acceptance. Results: The mean time to perform the block was 11.4 ± 0.63 minutes, with sensory and motor block onset at 6.8 ± 0.75 minutes and 11.6 ± 0.89 minutes, respectively. Postoperative analgesia lasted 13.8 ± 0.75 hours. Patient acceptance was high, with 95% favoring the two-in-one approach. Conclusion: The two-in-one technique is efficient, safe, and well-accepted, offering significant benefits over conventional methods by reducing procedural time and enhancing patient comfort.
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Copyright (c) 2025 Dr. Dixita Vaghela, Dr. Pankhuri, Dr. Palak Modi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Dr. Dixita Vaghela, Assistant Professor, Department of Anaesthesiology, Government Medical College, SSG Hospital, Vadodara, Gujarat, India.
Assistant Professor, Department of Anaesthesiology, Government Medical College, SSG Hospital, Vadodara, Gujarat, India.
Dr. Pankhuri, Assistant Professor, Department of Anaesthesiology, Government Medical College, SSG Hospital, Vadodara, Gujarat, India.
Assistant Professor, Department of Anaesthesiology, Government Medical College, SSG Hospital, Vadodara, Gujarat, India.
Dr. Palak Modi, Assistant Professor, Department of Anaesthesiology, Government Medical College, SSG Hospital, Vadodara, Gujarat, India.
Assistant Professor, Department of Anaesthesiology, Government Medical College, SSG Hospital, Vadodara, Gujarat, India.
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