Retrospective Investigation of the Efficacy of Blocks for Analgesia in Lower Extremity Surgery

Sertçakacılar, Gökhan; Pektaş, Yaser; Çetingök, Halil; Sabaz, Mehmet Süleyman; Bostancı, İpek; Çukurova, Zafer; Hergünsel, Gülsüm Oya

doi:10.4274/btdmjb.galenos.2018.20181207100323

Cited by 2 publications

(1 citation statement)

References 6 publications

(10 reference statements)

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“…In our clinic, peripheral block at the ankle level is performed both under USG guidance and using anatomical landmarks without the need for USG. In the literature review, there are many studies comparing peripheral block methods among themselves and to spinal anesthesia [7,8]. However, studies comparing ankle block techniques with USG and without the need for USG have generally been conducted on a single nerve [9,10].…”

Section: Introductionmentioning

confidence: 99%

Ayak cerrahisinde kullanılan periferal sinir blok uygulamasında iki metodun karşılaştırılması: USG yardımlı ve anatomic landmark yardımlı.

Uluöz¹,

HERDEM²

2023

Acta Medica Alanya

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ackground Regional anesthesia applications have become popular in lower extremity surgeries. Ankle peripheral nerve block is applied by two methods. These; It is a peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of USG. In our study, we aimed to compare these two methods applied in foot surgeries retrospectively Methods Peripheral block patients performed with the USG-guided (group 1) were 20, anatomical landmarks- guided (group 2) were 20. In both groups, 40 cc of anesthetic mixture was used (bupivacaine + lidocaine). The recorded information of the patients were as follows: Block application time (BAT), surgery readiness time (SRT), duration of surgery (DoS), duration of block anesthesia (DBA) and intraoperative-postoperative VAS score. The results of the VAS applied to the patients postoperatively were obtained. Patients were contacted by phone and asked if they were satisfied with the anesthesia. Results The BAT and DBA values of the patients in Group 1 were high. SRT and VAS 6 values of the patients in group 2 were high. No significant difference was found between the groups in other parameters. No additional dose of anesthetic was needed in group 1 during the intraoperative period. In group 2, local additional dose was administered to 3 patients. Conclusions Peripheral block preparation USG-guided takes a long time. However, it is more comfortable during surgery. USG-guided peripheral nerve block is more advantageous when the possibility of prolonging the duration of surgery for any reason and early postoperative pain control are considered.

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Section: Introductionmentioning

confidence: 99%

Ayak cerrahisinde kullanılan periferal sinir blok uygulamasında iki metodun karşılaştırılması: USG yardımlı ve anatomic landmark yardımlı.

Uluöz¹,

HERDEM²

2023

Acta Medica Alanya

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Efficacy of Adding Adductor Canal Block to Sciatic Nerve Block in Hallux Valgus Surgery

Polat,

Kocoglu,

ozden

et al. 2024

Preprint

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Background Optimal postoperative multimodal analgesia strategies were still under investigation in many orthopedic surgeries. The aims of this study were to determine the effects of adding the adductor canal block to the popliteal sciatic nerve block on sedation need, tourniquet pain, postoperative pain, and patient-surgeon satisfaction in patients operated for hallux valgus correction. Methods In this prospective, randomized, and controlled clinical trial, group S patients were performed only popliteal sciatic nerve block with 10 ml 0,5% bupivacaine and 10 ml 2% prilocaine in the prone position, group S + A were performed adductor canal block with 10 ml of 0,5% bupivacaine and 10 ml of 2% prilocaine with popliteal sciatic nerve block. Results Demographic data, duration of surgery, tourniquet time, surgeon satisfaction, complication rate, motor block time, time to first pain, first analgesic administration time and opioid consumption were similar between the two groups. Sensory and motor block onset time, tourniquet pain and additional sedation need rate were statistically significantly lower and patient satisfaction was significantly higher in Group S + A. Conclusion Adding the adductor canal block to the popliteal sciatic nerve block increases the quality of the peripheral nerve block and patient satisfaction with decreasing tourniquet pain and sedation need in hallux valgus correction surgery.

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Retrospective Investigation of the Efficacy of Blocks for Analgesia in Lower Extremity Surgery

Cited by 2 publications

References 6 publications

Ayak cerrahisinde kullanılan periferal sinir blok uygulamasında iki metodun karşılaştırılması: USG yardımlı ve anatomic landmark yardımlı.

Ayak cerrahisinde kullanılan periferal sinir blok uygulamasında iki metodun karşılaştırılması: USG yardımlı ve anatomic landmark yardımlı.

Efficacy of Adding Adductor Canal Block to Sciatic Nerve Block in Hallux Valgus Surgery

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