[Optimization of the sciatic nerve blockade as a methods of anesthesia/analgesia].

Developmented and introduction into clinical practice of the sciatic nerve blockade as method of guided anesthesia/analgesia for pain syndromes and surgical interventions on the lower legs. Anaesthesia was analyzed in 35 patients. In 15 patients used the blockade of the sciatic nerve bifurcation proposed method with the popliteal fossa in acute and chronic pain syndromes and comparison with spinal anesthesia in 20. Blockade of the sciatic nerve at the site of its bifurcation provides a highly efficient and long-lasting nerve block zones of innervation is sufficient to perform the surgery. The exact setting of the catheter in place bifurcation of the sciatic nerve enables continued use of selective blockade of the nerve trunk for analgesia in critical ischemia of the lower limbs tissues without the risk of toxicity of local anesthetics. This technique sciatic nerve blockade provides better postoperative analgesia, reduction pharmacological stress, normalization of sleep the patient compared with spinal anesthesia. The proposed bifurcation of the sciatic nerve block is recommended for wider clinical use as a means of anesthesia in surgery the nerve innervation area as a highly effective means of combating acute and chronic pain syndrome.