Sural Nerve Block

Overview

4.9 out of 5 (7 Reviews)

Credits

1.00

Post Assessment Questions

4

Start Date

1 Sep 2023

Last Review Date

25 Nov 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

60 Minutes


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Activity Description

The sural nerve block is a regional anesthetic technique commonly used as an alternative or adjunct to general anesthesia for foot and ankle surgeries. Peripheral nerve blockade of the sural nerve is relatively easy to perform, as the nerve runs superficially near the ankle. The first report describing the sural nerve block dates back to 1965 when McCutcheon noted a 10% failure rate. Ultrasound-guided sural nerve blockade is a more modern approach; the small size of the nerve often makes it difficult to visualize, and perivascular techniques may enhance the success of the block.

A traditional ankle block consists of peripheral nerve blocks to 4 major nerves of the ankle—the superficial peroneal, deep peroneal, saphenous, and tibial nerves. The inclusion of the sural nerve block depends on the surgical exposure. However, the sural nerve block should always be included, regardless of the surgical site, as it provides important deep sensory coverage of the lateral foot and ankle, such as vibration sensation, which enhances patient comfort. This activity reviews the clinical applications and indications for sural nerve blocks, emphasizing the critical role of the healthcare team in optimizing patient care and managing the condition. This activity also underscores the importance of effective collaboration among interprofessional healthcare providers to achieve successful outcomes for patients undergoing foot and ankle surgery.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the clinical indications for a sural nerve block in foot and ankle surgeries, including its role in providing sensory coverage for the lateral foot and ankle.

  • Implement the sural nerve block technique effectively, ensuring proper needle placement and local anesthetic administration for optimal analgesia.

  • Apply appropriate patient monitoring and safety measures during the procedure, including ensuring the availability of resuscitation equipment and the presence of a dedicated nurse.

  • Collaborate with anesthesiologists, nurses, and surgeons to optimize outcomes and address any complications during the sural nerve block procedure.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Orthopaedic Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment Examination requirements of the American Board of Orthopaedic Surgery’s (ABOS) Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Bhupendra M. on 5/5/2021

Jason H. on 12/1/2021

Nathan S. on 6/25/2022

Russell C. on 7/30/2022

Denise W. on 10/28/2023

Stacey S. on 3/17/2024

William S. on 12/2/2024

Unlimited Physician CME

Stay up to date on the latest medical knowledge with 6820 CME activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 8100.5 hours of CME.

Learn About Lifetime CME

Single Activity

Take this single activity

$49 1 activity

6 Month Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

$329 per half year per user

1 Year Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

$499 per 1 year per user