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Acute Pain Management Protocol for Distal Tibia/Fibula, Ankle and Foot Procedures

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First Aid Perioperative Ultrasound
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Foot and ankle surgeries are among the fastest growing category of procedures performed in the US by volume each year. Following surgical correction of deformities post-operative analgesia is frequently a concern and past research indicates that orthopedic surgeries involving the foot and ankle are some of the most painful procedures performed. In considering this, and given the national push for enhanced recovery and opioid sparing strategies during select surgeries, regional blocks are highly efficacious in conjunction with multimodal pain medication bundles in providing opioid-sparing perioperative analgesia. In this chapter we will discuss the practical application of eight regional blocks for foot and ankle surgery. Blocks covered include the femoral nerve block, adductor canal block, popliteal sciatic nerve block, and five ankle nerve blocks (saphenous, tibial, superficial peroneal, deep peroneal, and sural) which target one or more terminal nerve branches for surgeries distal to the ankle. Following presentation of a brief clinical scenario, high yield information on each block and key labeled ultrasound images will be provided to aid clinicians in understanding relevant ultrasound anatomy.

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Correspondence to Benjamin Allen Howie .

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Howie, B.A., Yu, V., Li, J., Zhang, X. (2023). Acute Pain Management Protocol for Distal Tibia/Fibula, Ankle and Foot Procedures. In: Li, J., Jiang, W., Vadivelu, N. (eds) First Aid Perioperative Ultrasound. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-21290-1

  • Online ISBN: 978-3-031-21291-8

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