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The Effect of Opening Injection Pressure Monitoring Device to Detect Needle Nerve Contact During Ultrasound Guided Popleatial Approach in Diabetic Patients for Below Knee Amputation

Iraqi Postgraduate Medical Journal, 2021, Volume 20, Issue 2, Pages 110-115
10.52573/ipmj.2020.168618

Abstract

BACKGROUND:                                                                                                                                              Ultrasound-guided popliteal sciatic nerve blocks is a useful approach for below- knee surgery. Using the injection pressure monitoring device.
OBJECTIVE:
This study to assess the role of opening Injection Pressure monitoring device in providing and avoid nerve injury in patients who underwent, popliteal sciatic nerve block under ultrasound-guided.                                                                                      
METHODS:
This study involve fifty patients underwent unilateral below knee amputation were randomly assigned under ultrasound-guided popliteal sciatic nerve block and femoral nerve block have been done, with use opening Injection Pressure monitoring device and additional ultrasound guided.
RESULTS:                                      :                                                                                       
Regarding the pressure of the injections monitoring , we noticed that in this study, the highest proportion of study patients recorded needle nerve contact (44%) ,needed low pressure CONCLUSION:                                                                                                                                                There is high incidence of intraneural needle placement or needle neve  contact of nerve under ultrasound guide.                                                                                                                     
Keywords:

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