Regional anesthesia techniques for ambulatory orthopedic surgery

O’Donnell, Brian D.; Iohom, Gabriella

doi:10.1097/aco.0b013e328314b665

Cited by 59 publications

(29 citation statements)

References 52 publications

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“…Spinal anesthesia is a form of regional anesthesia used frequently in various lower abdominal, orthopedic, and gynecologic operations, as well as cesarean sections (1)(2)(3)(4). Its rapid onset and short duration of action, straightforward application, lower costs, and fewer side effects and complications constitute significant advantages for outpatient procedures (2).…”

Section: Introductionmentioning

confidence: 99%

A comparison of the effects of hyperbaric and isobaric bupivacaine spinalanesthesia on hemodynamics and heart rate variability

Toptaş¹,

Uzman²,

İŞİTMEZ³

et al. 2014

Turk J Med Sci

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Molecular Electric Multipole Moment (MEMM) integrals have been derived for diatomic molecular systems, and then some lower multipole moments as dipole moments and quadrupole moments have been calculated for some diatomic molecules. The calculations have been performed by using our analytical formula over Slater-Type orbitals (STOs) with Cade and Huo's basis sets and the GAMESS program package working with Gaussian-Type basis sets (GTOs). The expressions which involve factorials are given in terms of binomial coefficients in order to speed up calculations. The results have been obtained in agreement with data found in the literature.

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Section: Introductionmentioning

confidence: 99%

A comparison of the effects of hyperbaric and isobaric bupivacaine spinalanesthesia on hemodynamics and heart rate variability

Toptaş¹,

Uzman²,

İŞİTMEZ³

et al. 2014

Turk J Med Sci

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“…Regional anesthetic techniques have many advantages when compared to general anaesthesia such as maintenance of patient cooperation and spontaneous breathing, controlling the airway, reducing blood transfusion needs, reducing the incidence of perioperative complications, decreasing analgesic conditions and reducing postoperative opioid consumptions (4,11).…”

Section: Discussionmentioning

confidence: 99%

“…The most frequently used blocks are axillary, infraclavicular, supraclavicular, and interscalene. It blocks the ulnar, median and radial nerves (4). This procedure can be done using a nerve stimulator (NS) or with the guidance of ultrasound (US).…”

Section: Introductionmentioning

confidence: 99%

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Our Experience in Plexus Brachialis Block Using Ultrasonography and Nerve Stimulator

Kaçar¹,

Kılıç²,

Akelma³

et al. 2018

Haseki

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Aim:To compare our experiences of the brachial plexus block (BPB) using nerve stimulator (NS) and ultrasonography (US) for upper limb surgery. Methods:This retrospective study was designed in 186 American Society of Anesthesiologists I-II-III patients undergoing upper extremity surgery under BPB (supraclavicular, interscalene and infraclavicular block) by US guidance and NS. The patients were divided into two groups as US group (n=118) and NS group (n=68). Data on demographical characteristics, premedication, position, regional block approach, number of stimulator needles, dose of local anesthetics, and success rate were recorded.Results: Demographic data were similar and no statistically difference was recorded between the groups in nerve block method (interscalene, supraclavicular, infraclavicular) (p>0.05). 20 mL 0.5% bupivacaine + 10 mL 2% lidocaine were administered. Blocks were performed with a sedation regimen (1-3 mg midazolam). There was a significant difference in success rates between US (94.1%) and NS groups (80.9%) (p<0.005). Horner's syndrome was observed in three patients in NS group (4.4%), and four patients in US group (4.2). In addition, hematoma, local anesthetic toxicity and pneumothorax were observed in 3.1 and one patients, respectively, in NS group. Conclusion:Ultrasonographic guidance improves the success of regional anesthesia and causes less complication compared to block using NS.

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“…(8,9) Regional anaesthesia is becoming increasingly popular for orthopaedic surgery as it offers several advantages over general anaesthesia and a trend towards more peripheral and selective nerve blocks exists. (10) By this aim for upper limb surgery interscalene blocks are ideally suited for shoulder and upper arm surgery, supraclavicular nerve blocks for upper arm, elbow and radial side of forearm and the infraclavicular and axillary block are suited for hand, wrist and forearm surgery. (2) Since then axillary block of the brachial plexus is a suitable anaesthetic technique both for orthopaedic, plastic According to need for supplementary intravenous analgesia, the quality of nerve block will be evaluated as follows  Satisfactory nerve block -No supplemental analgesia required to complete surgery.…”

Section: Introductionmentioning

confidence: 99%

Compar Ison Study of Bupivacaine, Levobupivacaine and Ropivacaine in Axillary Brachial Plexus Block: A Clinical Study

Mehrotra¹,

Baghel²,

Gupta³

2015

jemds

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AIMAim of our study was to assess effect of 0.5% bupivacaine, 0.5% levobupivacaine and 0.5% ropivacaine in axillary brachial plexus block. OBJECTIVETo compare the onset time and duration of sensory and motor blockade of 0.5% bupivacaine, 0.5% levobupivacaine and 0.5% ropivacaine in axillary brachial plexus. MATERIAL AND METHODNinety patients of ASA I and II of age group 20yrs-60yrs of either sex were included in our study undergoing upper limb surgeries in Gandhi Medical College and Hamidia Hospital, Bhopal (MP). The patients were randomly divided into three groups:-Group I (n= 30) : Bupivacaine 0.5%-5mg/ml-30ml, Group II (n= 30) : Levobupivacaine 0.5%-5mg/ml --30ml, Group III (n=30) : Ropivacaine 0.5%-5mg/ml --30ml onset time of sensory and motor block, duration of sensory and motor block and duration of pain relief were recorded. RESULTAnalysis revealed that Ropivacaine provided fast onset of action and better quality of anaesthesia and analgesia than bupivacaine and levobupivacaine when used in axillary brachial plexus blockade. There was no significant difference in duration of sensory blockade between three groups. But Ropivacaine showed lesser duration of motor blockade when compared to bupivacaine and levobupivacaine. CONCLUSIONWe conclude that 0.5% 30ml of ropivacaine in axillary brachial plexus block is a safe dose, allowing practitioner to produce a fast onset of sensory block and long duration of peripheral nerve block with excellent postoperative analgesia and stable hemodynamics. So ropivacaine is a better option for forearm surgeries in axillary brachial plexus block when compared with bupivacaine and levobupivacaine.

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Regional anesthesia techniques for ambulatory orthopedic surgery

Cited by 59 publications

References 52 publications

A comparison of the effects of hyperbaric and isobaric bupivacaine spinalanesthesia on hemodynamics and heart rate variability

A comparison of the effects of hyperbaric and isobaric bupivacaine spinalanesthesia on hemodynamics and heart rate variability

Our Experience in Plexus Brachialis Block Using Ultrasonography and Nerve Stimulator

Compar Ison Study of Bupivacaine, Levobupivacaine and Ropivacaine in Axillary Brachial Plexus Block: A Clinical Study

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