scholarly journals Observation on the Anesthesia Effect of Ultrasound-Guided Nerve Block for Elderly Patients with Lower Limb Fractures

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Lihong Cheng ◽  
Shanzhi Luo
Keyword(s):  
Elderly Patients ◽  
Nerve Block ◽  
Lower Limb ◽  
Adverse Reactions ◽  
Femoral Nerve ◽  
Control Group ◽  
Ultrasound Guided ◽  
Lower Limb Fractures ◽  
Limb Fractures ◽  
Experimental Group

Objective: To explore the anesthesia effect of ultrasound-guided nerve block in elderly patients with lower limb fractures. Methods: From November 2017 to November 2020, 50 elderly patients with lower limb fractures in our hospital were divided into experimental group (25 cases, general anesthesia + femoral nerve and sciatic nerve block) and control group (25 cases, general body anesthesia). Compare the MAP, HR, anesthesia effect, and adverse reactions between the two groups at each time period. Results: Before induction, the difference in MAP and HR between the two groups of patients did not form, p>0.05; the MAP and HR of the experimental group were compared with the control group at the time of skin incision, 1 hour during the operation, and removal of the laryngeal mask, P?0.05; the time of extubation in the experimental group (14.28±3.18) min, awake time (5.57±1.32) min, orientation recovery time (11.89±2.23) min, propofol dosage (191.36±22.48) mg, remifentanil dosage (0.23±0.04) mg, Compared with the control group, P<0.05; the adverse reaction rate of the experimental group (8%, 2/25) was lower than that of the control group (32%, 8/25), P<0.05. Conclusion: The use of ultrasound-guided femoral nerve and sciatic nerve block for elderly patients with lower limb fractures can enhance the effect of anesthesia, effectively reduce the use of anesthetics, and have fewer adverse reactions. It is worthy of promotion.

A Comparision between Femoral Nerve Block, Intravenous Fentanyl and Ketamine as Preemptive Analgesics in Lower Limb Fractures

2018 ◽  
Vol 5 (9) ◽  
pp. 1452-1460
Author(s):  
Anne Kiran Kumar ◽  
◽  
I.S. Priyanka ◽  
Gopinath Ramachandran ◽  
CH. Rama Krishna Prasad ◽  
...  
Keyword(s):  
Nerve Block ◽  
Lower Limb ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Intravenous Fentanyl ◽  
Lower Limb Fractures ◽  
Limb Fractures

Ultrasound-Guided Femoral Nerve Block Anesthesia for Tibiofibular Fracture

2020 ◽  
Vol 10 (6) ◽  
pp. 1333-1337
Author(s):  
Yi Xu ◽  
Jiansheng Fang ◽  
Yanzhi Xia ◽  
Nana Zhang
Keyword(s):  
Internal Fixation ◽  
Nerve Block ◽  
Ultrasound Guidance ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Control Group ◽  
Lateral Side ◽  
Ultrasound Guided ◽  
Blood Oxygen Saturation ◽  
Experimental Group

Objective: The intraspinal anesthesia is the main anesthesia method for the internal fixation of lower limb fracture. It is easy to cause pain aggravation during the process of puncture. Pre-anesthesia by femoral nerve block can reduce the pain of patients. Our purpose study is to complete the internal fixation of tibiofibular fracture through ultrasound-guided femoral nerve block, and to explore its anesthesia effect. Method: A total of 60 patients undergoing internal fixation and reduction of tibiofibular fractures in our hospital in recent years were randomly divided into control group (routine intraspinal anesthesia) and experimental group (addition ultrasoundguided femoral nerve block before intraspinal anesthesia). The localization of femoral nerve under ultrasound guidance was evaluated. The visual analog scale (VAS) of pain at the time of moving from delivery bed to operation bed (T0) and the placement of intraspinal anesthesia (T1) was emulated. The heart rate (HR), mean arterial pressure (MAP) and Blood oxygen saturation (SPO2) were recorded at the time of before operation bed (T2), after operation bed (T3), lateral position during puncture (T4), supine position after puncture immediately (T5), and 3 min after puncture (T6). The mini mental state examination scale (MMSE) were evaluated 2 h before operation (T7) and 2 h after operation (T8). Result: During the ultrasound guidance, the femoral nerve was the light-colored region of the inverted triangular hyperechoic area on the lateral side of the femoral artery. Compared with control group, the VAS score of T1 and the HR and MAP of T4–T6 in the experimental group were significantly lower. Conclusion: Ultrasound-guided femoral nerve block is simple in location, and it is safe and reliable in anesthesia for the internal fixation of tibiofibular fracture.

scholarly journals Therapeutic effect of nifedipine combined with enalapril on elderly patients with coronary heart disease complicated with hypertension

2018 ◽  
Vol 2 (6) ◽  
Author(s):  
Xiaoye Wang
Keyword(s):  
Blood Pressure ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Elderly Patients ◽  
Adverse Reactions ◽  
Effective Rate ◽  
Control Group ◽  
Significant Difference ◽  
Pre Treatment ◽  
Experimental Group

【Abstract】Objective: Toanalyze the efficacy of combined drug therapy for elderly patients with coronary heart disease and hypertension.METHODS:Sixty-six elderly patients with coronary heart disease and hypertension were enrolled from December 2017 to November 2018. They were randomly divided into two groups, 33 patients in each group. Patients in the experimental group received nifedipine. In combination with enalapril, patients enrolled in the control group received nifedipine monotherapy.RESULTS:Compared with the control group, the total effective rate, Serum Nitric Oxide (Serum NO) after treatment, CRP after treatment, HCY after treatment, and blood pressure after treatment were significantly improved (P<0.05). Serum NO and treatment before treatment in the 2 groups. There was no significant difference in pre-CRP, pre-treatment HCY, pre-treatment blood pressure, and adverse reactions during treatment (P>0.05).Conclusion: Theelderly patients with coronary heart disease and hypertension are treated with nifedipine and enalapril.

scholarly journals Ultrasound-Guided Continuous Femoral Nerve Block with Dexmedetomidine Combined with Low Concentrations of Ropivacaine for Postoperative Analgesia in Elderly Knee Arthroplasty

2019 ◽  
Vol 28 (5) ◽  
pp. 457-462 ◽  
Author(s):  
Xiao-Ying Zhao ◽  
Er-Fei Zhang ◽  
Xiao-Li Bai ◽  
Zi-Jian Cheng ◽  
Peng-Yun Jia ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Nerve Block ◽  
Knee Arthroplasty ◽  
Postoperative Analgesia ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Ultrasound Guided ◽  
Low Concentrations ◽  
Functional Exercise ◽  
Continuous Femoral Nerve Block

Objectives: This study aims to investigate the clinical effect of dexmedetomidine (DEX) combined with low concentrations of ropivacaine in ultrasound-guided continuous fem­oral nerve block for postoperative analgesia in elderly patients with total knee arthroplasty (TKA). Materials and Methods: Patients were divided into three groups: group C, group D1, and group D2. For postoperative analgesia, patients in group C were given 0.15% ropivacaine, patients in group D1 were given 0.15% ropivacaine + 0.02 μg × kg–1 × h–1 DEX, and patients in group D2 were given 0.15% ropivacaine + 0.05 μg × kg–1 × h–1 DEX. The visual analogue scores in the resting state, active state (AVAS), and passive functional exercise state (PVAS), degree of joint bending, and Ramsay scores were recorded. Results: The Ramsay scores were significantly higher, AVAS scores were significantly lower, PVAS scores were significantly decreased, the degree of joint bending was significantly higher, and the time to the first postoperative ambulation was shorter in groups D1 and D2 than group C. Furthermore, the time to the first postoperative ambulation was shorter in group D2 than in group D1, patients in groups D1 and D2 were more satisfied than patients in group C, and patients in group D2 were more satisfied than patients in group D1. Conclusion: The protocol of 0.05 μg × kg–1 × h–1 of DEX combined with 0.15% ro­pivacaine in ultrasound-guided continuous femoral nerve block for postoperative analgesia in elderly patients with TKA provides a better analgesic effect than without DEX performance.

scholarly journals Effect of Ketoprofenphonophoresis and Femoral Nerve Block in Knee Osteoarthritis

2021 ◽  
Vol 5 (6) ◽  
pp. 72-78
Author(s):  
Fan Fan ◽  
Wei Wei ◽  
Binyan He ◽  
Chaonan Li ◽  
Qing Yang ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Nerve Block ◽  
Femoral Nerve Block ◽  
Combined Treatment ◽  
Femoral Nerve ◽  
Control Group ◽  
Before And After ◽  
Effective Efficiency ◽  
Experimental Group

Objective: To evaluate the effect of ketoprofenphonophoresis and femoral nerve block in knee osteoarthritis. Methods: One hundred and fourteen patients with knee osteoarthritis were randomly divided into two groups. The control group consisted of 57 patients who were treated with only ketoprofenphonophoresis. The experimental group consisted of patients were treated with ketoprofenphonophoresis and femoral nerve block. The patients were followed for more than one month. The treatment effect assessed by observing their WOMAC index before and after therapy. Results: All the patients finished the follow-up. Their WOMAC indexes were reduced after therapy and one month after treatment, especially in the experimental group (P < 0.05). The effective efficiency of ketoprofenphonophoresis and femoral nerve block were higher than that in the control group after treatment and after one month of follow-up (P < 0.05). Conclusion: Compared with only ketoprofenphonophoresis, the combined treatment of ketoprofenphonophoresis and femoral nerve block was more appropriate in knee osteoarthritis.

scholarly journals Analysis of Ultrasound-guided Ilioinguinal and Iliohypogastric Nerve Block in Tension-Free Inguinal Hernia Repair in Elderly Patients

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Qikai Liao ◽  
Dongmei Xie
Keyword(s):  
Inguinal Hernia ◽  
Elderly Patients ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Block ◽  
Control Group ◽  
Study Group ◽  
Ultrasound Guided ◽  
Hernia Sac ◽  
Tension Free

Objective: To explore the value of ultrasound-guided ilioinguinal and iliohypogastric nerve block (IINB) in tension-free inguinal hernia repair in elderly patients. Methods: A total of 70 elderly patients with tension-free inguinal hernia repair who treated in the hospital from April 2018 to November 2019 were selected and divided into two groups according to the random number table method, with 35 cases each. The control group underwent infiltration of local anesthesia(LA), and the study group added with IINB. The visual analogue scale (VAS) scores of the two groups of patients were compared. Results: The VAS score of the study group when pulling the hernia sac was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: IINB has good analgesic effect in tension-free inguinal hernia repair in elderly patients, and it is worth promoting.

The Effects of Music as Therapy on the Overall Well-Being of Elderly Patients on Maintenance Hemodialysis

2011 ◽  
Vol 14 (3) ◽  
pp. 277-285 ◽  
Author(s):  
Yen-Ju Lin ◽  
Kuo-Cheng Lu ◽  
Ching-Min Chen ◽  
Chia-Chi Chang
Keyword(s):  
Elderly Patients ◽  
Adverse Reactions ◽  
Well Being ◽  
Complementary Therapy ◽  
Maintenance Hemodialysis ◽  
Control Group ◽  
Music Listening ◽  
Finger Temperature ◽  
Convenience Sample ◽  
Experimental Group

In this study, the authors explored the use of music during hemodialysis (HD) as a complementary therapy to improve overall well-being in elderly patients. The authors recruited a convenience sample of 88 patients on maintenance HD from a teaching hospital in northern Taiwan and randomly assigned them to either an experimental group ( n = 44) or a control group ( n = 44). In the first week, participants in the experimental group created their own music playlists. During the second week, these participants listened to music from their own playlists during each HD session (three times/week). The authors evaluated the effects of music as therapy by assessing its impact on perceived stressors and adverse reactions during HD (HD Adverse Reactions Self-Assessment Scale and HD Stressor Scale [HSS]) and measuring changes in physiological indices during the course of the music listening. After 1 week of the use of music as therapy during HD, the authors noted significant reductions in the frequency and severity of adverse reactions during dialysis and in scores on the HSS, p < .001. The authors also observed significantly decreased respiratory rate and significantly increased finger temperature and oxygen saturation, p < .001, during the same period. In conclusion, listening to music during HD may promote overall patient well-being. It may thus serve as a complementary form of therapy that facilitates care and delivery of adequate dialysis and thus improves overall patient well-being in the long run.

scholarly journals Analysis on Reasons for Post-Operative DVT of Patients with Lower Limb Fracture in Mining Area and Early Nursing Intervention

2015 ◽  
Vol 4 (3) ◽  
pp. 10 ◽  
Author(s):  
Yunjian Liu
Keyword(s):  
Lower Limb ◽  
Statistical Significance ◽  
Mining Area ◽  
Nursing Intervention ◽  
Control Group ◽  
Observation Group ◽  
Early Recovery ◽  
Limb Fracture ◽  
Lower Limb Fractures ◽  
Limb Fractures

<strong>Objective: </strong>To explore the effectiveness of the early nursing intervention in preventing postoperative deep vein thrombosis (DVT) of patients with lower limb fractures in the mining area. <strong>Methods</strong>: One hundred (100) patients with lower limb fracture in our hospital were evenly and randomly divided into two groups, namely the observation group and the control group respectively. The early nursing intervention was applied on patients in the observation group, and conventional orthopedic postoperative nursing was applied on patients in the control group.<strong> Results</strong>: Among 100 patients selected, 15 patients were elderly, accounting for 15%, 26 patients suffered from the obesity, accounting 26%, there were 25 patients with hypertension, accounting for 25%, 16 patients suffered from diabetes, accounting for 16%, 8 patients suffered from anemia, accounting for 8%, 38 patients had hobbies on the alcohol and tobacco, accounting for 38%, 9 patients had lower limb varicose veins, accounting for 9%, and 35 patients suffered from lower extremity edema, accounting for 35%. The incidence of DVT of patients in the observation group was obviously lower than that of patients in the control group, and the difference was of statistical significance.<strong> Conclusions</strong>: Early nursing intervention can effectively reduce the incidence of postoperative DVT of patients with lower limb fractures, and it contributes to early recovery of patients.

scholarly journals Observation on the Analgesic Effect of Bilateral Inferior Alveolar Nerve Block Combined With Parecoxib Sodium for Mandibular Orthognathic Surgery

2020 ◽  
Vol 5 (4) ◽  
Author(s):  
Jie Lin
Keyword(s):  
Nerve Block ◽  
Orthognathic Surgery ◽  
Adverse Reactions ◽  
Inferior Alveolar Nerve ◽  
Sedation Score ◽  
Control Group ◽  
Inferior Alveolar Nerve Block ◽  
Intravenous Analgesia ◽  
Experimental Group ◽  
Ramsay Sedation Score

Background: To compare the analgesic effect and safety of bilateral inferior alveolar nerve block combined with parecoxib sodium analgesia and simple intravenous analgesia pump in analgesia after orthognathic surgery. Methods: Forty patients with simple ascending sagittal split osteotomy and ankle plasty were randomly divided into the experimental group and the control group, with 20 patients in each group. The experimental group received 2 ml 1% on both sides. Ropivacaine was treated with inferior alveolar nerve block anesthesia. Immediately after surgery, parecoxib sodium 40 mg was intravenously administered. The control group was given an intravenous analgesia pump for analgesia. Pain intensity (VAS pain score) and Ramsay sedation score were recorded at 2h, 4h, 8h, 24h, 48h after operation, and the incidence of postoperative adverse reactions was observed. Results: There was no significant difference in pain intensity and Ramsay sedation score between the two groups at each time point (P>0.05). During the analgesic treatment, the incidence of nausea and vomiting (P=0.046) in the experimental group was significantly lower than that in the control group (P<0.05). Conclusion: Bilateral inferior alveolar nerve block combined with parecoxib sodium analgesia and simple intravenous analgesia pump are effective for analgesia after mandibular orthognathic surgery, but the incidence of adverse reactions is significantly lower, more suitable for Analgesia after mandibular orthognathic surgery.

The efficiency of O-(beta-hydroxyethyl)-rutosides in reducing the incidence of superficial venous insufficiency in patients with calf muscle pump dysfunction

2016 ◽  
Vol 32 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Cenk Eray Yildiz ◽  
Cenk Conkbayir ◽  
Eldeniz Huseynov ◽  
Omer Ali Sayin ◽  
Okan Tok ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Lower Limb ◽  
Calf Muscle ◽  
Control Group ◽  
Venous Disease ◽  
Muscle Pump ◽  
Calf Muscle Pump ◽  
Lower Extremity Muscle ◽  
Lower Limb Fractures ◽  
Limb Fractures

Objective We aimed to evaluate the efficiency of O-(beta-Hydroxyethyl)-rutosides (Oxerutin) in reducing the incidence of venous system disease among patients with calf muscle pump dysfunction secondary to immobilization due to lower-limb fractures. Methods A total of 60 patients with lower-limb fractures and immobilized in plaster casts were included in this study randomized into control (n = 30; mean: 30.37 ± 6.03 years; 73.3% males; no treatment) and experiment (n = 30; mean: 31.67 ± 4.76 years; 66.6% males; Oxerutin, 500 mg po q12hr) treatment groups. Doppler ultrasound was performed to evaluate the effect of oxerutin on the alterations in the venous circulation. Results Patients in the control group were determined to be more commonly affected from the below-knee immobilization in terms of venous dysfunction in the great saphenous vein in the below-knee region when compared with the patients in the oxerutin treatment group (46.7 vs. 13.3%, respectively; p = 0.011). Incidence of reflux in the small saphenous vein was more common in the control group during the healing period when compared with the experiment group (40.0 vs. 10.0%, respectively; p = 0.017). None of the patients developed venous thrombosis. Conclusions In conclusion, the impairment of the lower extremity muscle pump should be considered as an important risk factor for venous disease, and should be evaluated. O-(beta-Hydroxyethyl)-rutosides during 6–8 week cast immobilization for a lower limb fracture may be an effective prophylactic regimen in reducing the incidence of reflux in the below-knee superficial veins.

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