Comparison of Spinal Anesthesia and Ultrasound-Guided Combined Sciatic-Femoral Block on Perioperative Anesthesia and Postoperative Analgesic Effect in Lower Limb Surgery: A Randomized Controlled Clinical Trial
INTRODUCTION[|]The aim of this study was to compare the clinical efficacy and safety of an ultrasound-guided combined sciatic-femoral nerve block (SFNB) with spinal anesthesia (SA) in lower limb surgical procedures in terms of clinical properties, postoperative analgesia, and adverse outcomes.[¤]MET...
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| Format: | Article |
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KARE Publishing
2021-01-01
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| Series: | Southern Clinics of Istanbul Eurasia |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-87587 |
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| author | Yılmaz Karaduman Banu Cevik Burak Yıldız Fatih Doğu Geyik Kemal Tolga Saracoğlu |
| author_facet | Yılmaz Karaduman Banu Cevik Burak Yıldız Fatih Doğu Geyik Kemal Tolga Saracoğlu |
| author_sort | Yılmaz Karaduman |
| collection | DOAJ |
| description | INTRODUCTION[|]The aim of this study was to compare the clinical efficacy and safety of an ultrasound-guided combined sciatic-femoral nerve block (SFNB) with spinal anesthesia (SA) in lower limb surgical procedures in terms of clinical properties, postoperative analgesia, and adverse outcomes.[¤]METHODS[|]This prospective, randomized study comprised 60 patients aged 18–65 years with an American Society of Anesthesiologists physical status of I-III scheduled for a lower limb surgical procedure. The patients were randomly divided into 2 groups to receive either SA (n=30) or an ultrasound-guided combined SFNB (n=30). The duration of the intervention, time to achieve surgical anesthesia, analgesia duration, intraoperative hemodynamic parameters, patient satisfaction, quality of the postoperative analgesia, and adverse outcomes were recorded and analyzed.[¤]RESULTS[|]The duration of the intervention, time to onset of sensorial and motor block, time to start of surgery, motor block reversal time, and time to first postoperative analgesic were significantly longer in the SFNB group (p<0.001). Significantly fewer patients required rescue analgesia in the first postoperative 24 hours compared with the SA group (p<0.001). The intraoperative hemodynamic parameters and adverse outcomes were similar in both groups.[¤]DISCUSSION AND CONCLUSION[|]SFNB is a safe and efficient alternative regional anesthesia technique to SA in lower limb surgical interventions, and particularly for high risk cases where SA is contraindicated. The prolonged duration of postoperative analgesia and reduced need for postoperative analgesic drug consumption were superior to SA in terms of postoperative pain management.[¤] |
| first_indexed | 2024-04-10T10:19:02Z |
| format | Article |
| id | doaj.art-906ceb1e77024a6eaf03aab18feafd6e |
| institution | Directory Open Access Journal |
| issn | 2587-0998 |
| language | English |
| last_indexed | 2024-04-10T10:19:02Z |
| publishDate | 2021-01-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Southern Clinics of Istanbul Eurasia |
| spelling | doaj.art-906ceb1e77024a6eaf03aab18feafd6e2023-02-15T16:21:45ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982021-01-0131437638110.14744/scie.2020.87587SCIE-87587Comparison of Spinal Anesthesia and Ultrasound-Guided Combined Sciatic-Femoral Block on Perioperative Anesthesia and Postoperative Analgesic Effect in Lower Limb Surgery: A Randomized Controlled Clinical TrialYılmaz Karaduman0Banu Cevik1Burak Yıldız2Fatih Doğu Geyik3Kemal Tolga Saracoğlu4Department of Anesthesiology and Reanimation, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Anesthesiology and Reanimation, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Anesthesiology and Reanimation, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Anesthesiology and Reanimation, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Anesthesiology and Reanimation, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyINTRODUCTION[|]The aim of this study was to compare the clinical efficacy and safety of an ultrasound-guided combined sciatic-femoral nerve block (SFNB) with spinal anesthesia (SA) in lower limb surgical procedures in terms of clinical properties, postoperative analgesia, and adverse outcomes.[¤]METHODS[|]This prospective, randomized study comprised 60 patients aged 18–65 years with an American Society of Anesthesiologists physical status of I-III scheduled for a lower limb surgical procedure. The patients were randomly divided into 2 groups to receive either SA (n=30) or an ultrasound-guided combined SFNB (n=30). The duration of the intervention, time to achieve surgical anesthesia, analgesia duration, intraoperative hemodynamic parameters, patient satisfaction, quality of the postoperative analgesia, and adverse outcomes were recorded and analyzed.[¤]RESULTS[|]The duration of the intervention, time to onset of sensorial and motor block, time to start of surgery, motor block reversal time, and time to first postoperative analgesic were significantly longer in the SFNB group (p<0.001). Significantly fewer patients required rescue analgesia in the first postoperative 24 hours compared with the SA group (p<0.001). The intraoperative hemodynamic parameters and adverse outcomes were similar in both groups.[¤]DISCUSSION AND CONCLUSION[|]SFNB is a safe and efficient alternative regional anesthesia technique to SA in lower limb surgical interventions, and particularly for high risk cases where SA is contraindicated. The prolonged duration of postoperative analgesia and reduced need for postoperative analgesic drug consumption were superior to SA in terms of postoperative pain management.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-87587anesthesiafemoral nerve; nerve block; pain; postoperative; sciatic nerve; spinal. |
| spellingShingle | Yılmaz Karaduman Banu Cevik Burak Yıldız Fatih Doğu Geyik Kemal Tolga Saracoğlu Comparison of Spinal Anesthesia and Ultrasound-Guided Combined Sciatic-Femoral Block on Perioperative Anesthesia and Postoperative Analgesic Effect in Lower Limb Surgery: A Randomized Controlled Clinical Trial Southern Clinics of Istanbul Eurasia anesthesia femoral nerve; nerve block; pain; postoperative; sciatic nerve; spinal. |
| title | Comparison of Spinal Anesthesia and Ultrasound-Guided Combined Sciatic-Femoral Block on Perioperative Anesthesia and Postoperative Analgesic Effect in Lower Limb Surgery: A Randomized Controlled Clinical Trial |
| title_full | Comparison of Spinal Anesthesia and Ultrasound-Guided Combined Sciatic-Femoral Block on Perioperative Anesthesia and Postoperative Analgesic Effect in Lower Limb Surgery: A Randomized Controlled Clinical Trial |
| title_fullStr | Comparison of Spinal Anesthesia and Ultrasound-Guided Combined Sciatic-Femoral Block on Perioperative Anesthesia and Postoperative Analgesic Effect in Lower Limb Surgery: A Randomized Controlled Clinical Trial |
| title_full_unstemmed | Comparison of Spinal Anesthesia and Ultrasound-Guided Combined Sciatic-Femoral Block on Perioperative Anesthesia and Postoperative Analgesic Effect in Lower Limb Surgery: A Randomized Controlled Clinical Trial |
| title_short | Comparison of Spinal Anesthesia and Ultrasound-Guided Combined Sciatic-Femoral Block on Perioperative Anesthesia and Postoperative Analgesic Effect in Lower Limb Surgery: A Randomized Controlled Clinical Trial |
| title_sort | comparison of spinal anesthesia and ultrasound guided combined sciatic femoral block on perioperative anesthesia and postoperative analgesic effect in lower limb surgery a randomized controlled clinical trial |
| topic | anesthesia femoral nerve; nerve block; pain; postoperative; sciatic nerve; spinal. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-87587 |
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