Combined Saphenous-Sciatic Nerve Blockade Superior to Femoral-Sciatic Nerve Blockade for Postoperative Analgesia Following Foot and Ankle Surgery

Lollo, Loreto

doi:10.15406/jaccoa.2015.03.00095

Cited by 2 publications

(3 citation statements)

References 23 publications

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“…And they also reported that combined popliteal sciatic and saphenous nerve blockade resulted in lower immediate postoperative pain scores in opioid naïve females and reduced immediate postoperative rescue opioid analgesic dosages in all patient groups. [30]…”

Section: Discussionmentioning

confidence: 99%

“…[1] For instance, osteoporosis-related complications such as hip fractures are common in the growing geriatric population. [2] These patients are often high-risk surgical candidates with limited cardiopulmonary reserve. [3] Successful central neuraxial block (CNB) or peripheral nerve block (PNB) may avoid complications associated with general anesthesia such as airway difficulties, postoperative respiratory impairment and haemodynamic instability.…”

Section: Introductionmentioning

confidence: 99%

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Regional Anaesthesia Techniques for Orthopaedic Surgery at Tertiary Care Teaching Hospital

Dr. Jamanjai Zeba Khanam,

Dr. Nasihuddin

2024

IARJMSR

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Background: Regional anaesthesia has found its uses in many aspects of orthopaedic surgery including more recently, spine surgery. Neuraxial or regional anaesthesia are often the preferred techniques for surgical anaesthesia in patients with multiple comorbidities. For instance, osteoporosis-related complications such as hip fractures are common in the growing geriatric population. Orthopaedic surgery aims to recover functional capacity in patients but it carries a specific morbidity and mortality. Orthopaedic surgery conveys several challenges for the anaesthesiologist, including prevention of thromboembolic complications, reduction of peri- and postoperative bleeding and management of autologus blood transfusion and postoperative pain. Material and Methods: This is a prospective study was conducted in the Department of orthopaedic and Anaesthesia at Shadan Institute of Medical Sciences, Teaching Hospital and Research Center. Three hundred and ten consecutive cases posted for orthopaedic surgeries were taken up for study. Anaesthesia technique was decided based on the nature of surgery, willingness and medical status of the patient and experience of the anaesthesiologists. RA was planned whenever possible. In the morning of operation the RA technique was explained to the patients and intravenous (IV) access established. Preoperative medication was given using IV fentanyl and midazolam in titrated doses. Ketamine was used in children and appropriate block given using standard technique. Nerve stimulator was used wherever applicable Results: Age of the patients ranged from three months to 92 years. Maximum number of patients belonged to the age group of 21- 50 years (63.2%). As per the demographic data. In our study, Knee arthroscopy and repair was 28.38%, Femoral was 17.41%, Radius and ulna was 15.16% and least were Ankle and foot, Wrist and hand surgery was 1.93%. In our study Subarachnoid block was 40.96% followed by Combined spinalepidural 17.09%, General anaesthesia 12.90%. Conclusion: In a conclusion, the use of regional anesthesia techniques for postoperative outcomes in orthopedic surgeries has been investigated in lots of clinical studies and case reports. Most of the authors proposed that regional anesthesia in orthopedic patients may be associated with better postoperative pain control and a reduction in intraoperative blood loss when compared with general anesthesia. In the future regional anesthesia techniques will be more preferable anesthetic technique in orthopedic surgeries

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Regional Anaesthesia Techniques for Orthopaedic Surgery at Tertiary Care Teaching Hospital

Dr. Jamanjai Zeba Khanam,

Dr. Nasihuddin

2024

IARJMSR

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show abstract

“…Lollo L & Stogicza A [46] compared the postoperative analgesic properties of combined femoral and sciatic nerve blockade with those of combined saphenous and sciatic nerve blockade in patients that underwent foot and ankle surgery. They reported that combined saphenoussciatic nerve blockade was superior to femoral-sciatic nerve blockade for postoperative analgesia following foot and ankle surgery.…”

Section: Foot and Ankle Surgerymentioning

confidence: 99%

Regional Anesthesia Techniques in Orthopedic Surgery

Eroğlu¹

2016

JACCOA

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Background: The effect of regional anesthesia techniques on orthopedic surgeries is very actual topic in current clinical practice. Aim:The aim of this review article was to research regional anesthesia techniques for postoperative pain control and outcomes in orthopedic surgeries. Methods:The English literature was reviewed based on a search regional anesthesia and orthopedic surgery in clinical studies.Major findings: A number of authors proposed that regional anesthesia in orthopedic patients may be associated with better postoperative pain control and a reduction in intraoperative blood loss when compared with general anesthesia. Conclusion:In the future regional anesthesia techniques will be more preferable anesthetic technique in orthopedic surgeries.

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Combined Saphenous-Sciatic Nerve Blockade Superior to Femoral-Sciatic Nerve Blockade for Postoperative Analgesia Following Foot and Ankle Surgery

Cited by 2 publications

References 23 publications

Regional Anaesthesia Techniques for Orthopaedic Surgery at Tertiary Care Teaching Hospital

Regional Anaesthesia Techniques for Orthopaedic Surgery at Tertiary Care Teaching Hospital

Regional Anesthesia Techniques in Orthopedic Surgery

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