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A patient presented to an orthopedic surgeon (Dr. C) after a right Achilles injury.

Surgical repair was scheduled.

On the day of surgery, the anesthesiologist (Dr. B) performed a popliteal nerve block.

The patient reported severe pain and flinched during the nerve block.

The surgery itself was uncomplicated and he was discharged home.

At the post-op appointment with the orthopedic surgeon, loss of sensation distal to the knee was noted.

The patient was ultimately diagnosed with a sciatic nerve injury just proximal to the knee.

The plaintiff attorney’s summary of facts is shown here:

The lawsuit was filed against the anesthesiologist, his practice group, and the hospital.

The plaintiff filed an expert witness opinion written by an anesthesiologist, as shown here:

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G A6 months ago

Was there any mention of a tourniquet?? How long was the tourniquet on? Thigh tourniquet is also proximal to the knee and can be a contributing factor, I would assume this was a long surgery.

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J CAuthor6 months ago

That is a good point! Although the court documents unfortunately don’t mention a tourniquet.

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Rob O6 months ago

It could also be a combination of the two. Ischemia from a mild compartment syndrome from the injection could have been exacerbated by the tourniquet. I wonder how long it was on? Also, having the tourniquet above the site of the block could also decrease absorption of the potentially offending local anesthetic because of the lack of take-up by the bloodstream...