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KMID : 1040020170080010042
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International Journal of Pain
2017 Volume.8 No. 1 p.42 ~ p.45
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A Case Report: Sciatic Nerve-Sparing Epidural Anesthesia for Intrapelvic High-Intensity Focused Ultrasound (HIFU) Therapy ?Considerations and Pitfalls
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Lee Chang-Soon
Kim Hyun-Bin
Kim Bo-Rim
Moon Jee-Youn
Lee Sang-Chul
Kim Yong-Chul
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Abstract
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High-intensity focused ultrasound (HIFU) therapy on pelvic diseases requires sensory block of abdominal peritoneum and intrapelvic visceral organs, but sciatic nerve has to be preserved to prevent iatrogenic nerve injury. Epidural anesthesia with catheterization is suitable for dense selective block, early recovery, and postoperative analgesics with PCA. Adequate catheter position and infusion regimen is proposed in this case.
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KEYWORD
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high-intensity focused ultrasound, epidural anesthesia, epidural catheterization, patient-controlled analgesia, sciatic nerve
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