Tibial Nerve Block: Supramalleolar or Retromalleolar Approach? A Randomized Trial in 110 Participants
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Tibial Nerve Block: Supramalleolar or Retromalleolar Approach? A Randomized Trial in 110 Participants

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Tibial Nerve Block: Supramalleolar or Retromalleolar Approach? A Randomized Trial in 110 Participants

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dc.contributor.author María Benimeli-Fenollar
dc.contributor.author Montiel Company, José María
dc.contributor.author Almerich Silla, José Manuel
dc.contributor.author Cibrián Ortiz de Anda, Rosa María
dc.contributor.author Macián Romero, Cecili
dc.date.accessioned 2020-06-22T07:14:45Z
dc.date.available 2020-06-22T07:14:45Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/10550/75150
dc.description.abstract Of the five nerves that innervate the foot, the one in which anesthetic blocking presents the greatest difficulty is the tibial nerve. The aim of this clinical trial was to establish a protocol for two tibial nerve block anesthetic techniques to later compare the anesthetic efficiency of retromalleolar blocking and supramalleolar blocking in order to ascertain whether the supramalleolar approach achieved a higher effective blocking rate. A total of 110 tibial nerve blocks were performed. Location of the injection site was based on a prior ultrasound assessment of the tibial nerve. The block administered was 3 mL of 2% mepivacaine. The two anesthetic techniques under study provided very similar clinical results. The tibial nerve success rate was 81.8% for the retromalleolar technique and 78.2% for the supramalleolar technique. No significant differences in absolute latency time (p = 0.287), percentage of effective nerve blocks (p = 0.634), anesthetic block duration (p = 0.895), or pain level during puncture (p = 0.847) were found between the two techniques. The greater ease in locating the tibial nerve at the retromalleolar approach could suggest that this is the technique of choice for tibial nerve blocking, especially in the case of professionals new to the field. The supramalleolar technique could be worth considering for those more experienced professionals
dc.relation.ispartof International Journal Of Environmental Research And Public Health, 2020, vol. 17, num. 11, p. 3860
dc.rights.uri info:eu-repo/semantics/openAccess
dc.source María Benimeli-Fenollar Montiel Company, José María Almerich Silla, José Manuel Cibrián Ortiz de Anda, Rosa María Macián Romero, Cecili 2020 Tibial Nerve Block: Supramalleolar or Retromalleolar Approach? A Randomized Trial in 110 Participants International Journal Of Environmental Research And Public Health 17 11 3860
dc.title Tibial Nerve Block: Supramalleolar or Retromalleolar Approach? A Randomized Trial in 110 Participants
dc.type info:eu-repo/semantics/article
dc.date.updated 2020-06-22T07:14:46Z
dc.identifier.doi https://doi.org/10.3390/ijerph17113860
dc.identifier.idgrec 139532

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