Peripheral or central nerve blocks for foot surgery: a prospective, randomized clinical comparison

Casati, Andrea; Grispigni, C.; Aldegheri, Giorgio; Vinciguerra, F.; Sciascia, A.; Fraschini, G.; Fanelli, Guido

doi:10.1046/j.1460-9584.2002.00316.x

Cited by 5 publications

(14 citation statements)

References 21 publications

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“…Prolonged analgesia was observed in all these cases. 29 Our study also proved less adverse effect and longer postoperative analgesia in sciatic femoral group (p < 0.005).…”

Section: Resultssupporting

confidence: 70%

A Comparative Study of Clinical Effects of Spinal Bupivacaine Versus Sciatic-Femoral Nerve Block (Anterior Approach) in High Risk Geriatric Patient for Lower Limb Orthopaedic Procedures

Maiti¹,

Gharami²,

Bhattacharya³

et al. 2017

jemds

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BACKGROUNDSpinal anaesthesia is widely used for lower limb orthopaedic procedure in all age groups. The procedure is safe, but may lead to cardiovascular instability in high risk geriatric patient. Recently, sciatic-femoral nerve block is being used with satisfactory result.The aim of the study was to compare the onset and duration of sensory and motor blockade, intensity and duration of postoperative analgesia, intraoperative and postoperative haemodynamics in between two groups, one receiving spinal anaesthesia and the other sciatic-femoral block (Anterior approach) in high risk geriatric age group.

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“…Prolonged analgesia was observed in all these cases. 29 Our study also proved less adverse effect and longer postoperative analgesia in sciatic femoral group (p < 0.005).…”

Section: Resultssupporting

confidence: 70%

A Comparative Study of Clinical Effects of Spinal Bupivacaine Versus Sciatic-Femoral Nerve Block (Anterior Approach) in High Risk Geriatric Patient for Lower Limb Orthopaedic Procedures

Maiti¹,

Gharami²,

Bhattacharya³

et al. 2017

jemds

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“…A popliteal sciatic nerve block combined with either a saphenous or femoral nerve block allows the use of a calf tourniquet and provides anaesthesia comparable with neuraxial techniques. However, the peripheral blocks result in less urinary retention and prolonged postoperative analgesia [62]. When performed with long‐acting LAs such as ropivacaine or bupivacaine, a single‐injection block can provide 12–24 h of analgesia.…”

Section: Regional Anaesthesia For Lower Extremity Ambulatory Surgerymentioning

confidence: 99%

Regional anaesthesia in day‐stay and short‐stay surgery

Kopp

Horlocker

2010

Anaesthesia

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Summary The goals for ambulatory surgery are rapid recovery with minimal side effects, adequate postoperative pain control, rapid patient discharge and overall cost containment. The addition of regional anaesthetic techniques has been shown to decrease nausea, postoperative pain scores and the need for post‐anaesthesia care unit monitoring. The use of regional anaesthesia is increasing as studies confirm the goals for ambulatory anaesthesia can be met with a combination of regional anaesthesia and a multimodal pain management regimen.

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“…Finally, nine studies satisfied the inclusion criteria and were incorporated into this study [7][8][9][10][11][12][13][14][15]. Two studies included below-knee amputation (BKA), and the authors of two studies provided additional data excluding BKA at our e-mail on request [10,15].…”

Section: Study Selectionmentioning

confidence: 99%

“…Therefore, these techniques are traditionally not used as a single anesthetic technique for foot and/or ankle surgery but are combined with general anesthesia or spinal anesthesia for postoperative pain relief [5,6]. However, some studies have recently demonstrated that PNBs alone or combined can provide adequate anesthesia in foot and ankle surgery [7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Comparison of a Peripheral Nerve Block versus Spinal Anesthesia in Foot or Ankle Surgery: A Systematic Review and Meta-Analysis with a Trial Sequential Analysis

Lee

Kim

et al. 2023

JPM

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Background: This systematic review and meta-analysis with trial sequential analysis (TSA) aimed to compare perioperative outcomes of peripheral nerve blocks (PNBs) and spinal anesthesia (SA) in elective foot and ankle surgery. Methods: The study protocol was registered in PROSPERO (CRD42021229597). Researchers independently searched PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials for relevant randomized controlled trials (RCTs). Results: Analysis of nine RCTs (n = 802; 399 PNBs, 403 SA) revealed significantly shorter block performance times (WMD: 7.470; 95% CI 6.072 to 8.868), the onset of sensory (WMD: 7.483; 95% CI 2.837 to 12.130) and motor blocks (WMD: 9.071; 95% CI 4.049 to 14.094), durations of sensory (WMD: 458.53; 95% CI 328.296 to 588.765) and motor blocks (WMD: 247.416; 95% CI 95.625 to 399.208), and significantly higher postoperative analgesic requirements (SMD: −1.091; 95% CI −1.634 to −0.549) in the SA group. Additionally, systolic blood pressure (SBP) at 30 min (WMD: 13.950; 95% CI 4.603 to 23.298) was lower in the SA group. Conclusion(s): The SA demonstrated shorter block performance time, faster onset and shorter duration of sensory and motor blocks, higher postoperative analgesic requirements, and lower SBP at 30 min compared to PNBs in elective foot and ankle surgery.

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Peripheral or central nerve blocks for foot surgery: a prospective, randomized clinical comparison

Cited by 5 publications

References 21 publications

A Comparative Study of Clinical Effects of Spinal Bupivacaine Versus Sciatic-Femoral Nerve Block (Anterior Approach) in High Risk Geriatric Patient for Lower Limb Orthopaedic Procedures

A Comparative Study of Clinical Effects of Spinal Bupivacaine Versus Sciatic-Femoral Nerve Block (Anterior Approach) in High Risk Geriatric Patient for Lower Limb Orthopaedic Procedures

Regional anaesthesia in day‐stay and short‐stay surgery

Comparison of a Peripheral Nerve Block versus Spinal Anesthesia in Foot or Ankle Surgery: A Systematic Review and Meta-Analysis with a Trial Sequential Analysis

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