scholarly journals The comparison of combined femoral-sciatic nerve block with spinal anesthesia at lower extremity surgery

2014 ◽  
Vol 5 (2) ◽  
Author(s):  
Feyzi Çelik ◽  
Selim Almaz ◽  
Gönül ölmez Kavak ◽  
Erdal Doğan ◽  
Orhan Tokgöz ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Lower Extremity ◽  
Spinal Anesthesia ◽  
Nerve Block ◽  
Sciatic Nerve Block

scholarly journals Sciatic Nerve Block in Single Nerve Block Technique for Unilateral Foot Surgery - an Alternative to Spinal Anaesthesia

2019 ◽  
Vol 37 (4) ◽  
pp. 181-185
Author(s):  
Mozibul Haque ◽  
Muhammad Delwar Hussain ◽  
Md Zulfiker Ali Faruquee ◽  
Md Rabiul Alam ◽  
Md Zahedul Islam
Keyword(s):  
Sciatic Nerve ◽  
Lower Extremity ◽  
Spinal Anesthesia ◽  
Regional Anesthesia ◽  
Nerve Block ◽  
Popliteal Fossa ◽  
Sciatic Nerve Block ◽  
Foot Surgery ◽  
Patient Discomfort ◽  
First Pain

Background: In lower extremity surgeries, central neuraxial block or peripheral regional anesthesia technique can be used, mainly in elderly patients. This study investigates the efficiency of spinal anesthesia and sciatic nerve block techniques in lower extremity surgery. Spinal anesthesia may impair hemodynamic stability; peripheral nerve blocks targeting the sciatic nerve may be a useful alternative. Objective: To compare Unilateral Spinal Anesthesia versus Popliteal Block in patients undergoing elective foot surgery to determine the method of better outcome. Patients and Methods: This randomized comparative study was carried out on fifty co-operative patients of both sexes who were scheduled for elective foot surgeries. According to the used method of regional anesthesia, patients were divided into: (S) group unilateral intrathecal block with low-dose (7.5mg) of hyperbaric bupivacaine plus intrathecal fentanyl (25 mcg) and (P) group in which the sciatic nerve at the popliteal fossa was blocked via posterior approach by injecting 20ml 0.5% bupivacaine (100mg). The difficulty of the block performance, level of patient discomfort, block performance time, onset of sensory and motor blocks, time in hours to the first request for supplemental systemic analgesia postoperatively, its total consumption for 24 hours postoperatively and associated side effects were recorded in each group. Results: Statistically, it was found no significant differences between the demographic characteristics as well as the duration of surgery between the groups. The groups did differ significantly in the difficulty of the block performance. However, a longer duration for performing the block was observed in the P group. The level of patient discomfort was significantly lesser in the P group. The onset of complete sensory block was significantly longer in the P group. Hemodynamic profiles of our patients were found to be remarkably stable throughout the intraoperative period. In the P group, the time to first pain medication was significant longer. Moreover, the total dosage of analgesics during the first 24 hours postoperatively in group P was highly significant lesser compared to the other groups. Conclusion: Sciatic nerve block at the popliteal fossa is an ideal alternative where it is preferable to avoid spinal anesthesia for foot surgeries in haemodynamicaly unstable patients. J Bangladesh Coll Phys Surg 2019; 37(4): 181-185

scholarly journals Our experience of combined femoral sciatic nerve block in the lower extremity surgery

2011 ◽  
Vol 2 (4) ◽  
Author(s):  
Feyzi Çelik ◽  
Adnan Tüfek ◽  
Zeynep B. Yıldırım ◽  
Orhan Tokgöz ◽  
Haktan Karaman ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Lower Extremity ◽  
Nerve Block ◽  
Sciatic Nerve Block

Comparison Between Ultrasonography-Guided Popliteal Sciatic Nerve Block and Spinal Anesthesia for Hallux Valgus Repair

2015 ◽  
Vol 37 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Sermin Karaarslan ◽  
Zeki Tuncel Tekgül ◽  
Esen Şimşek ◽  
Murat Turan ◽  
Yücel Karaman ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Spinal Anesthesia ◽  
Hallux Valgus ◽  
Nerve Block ◽  
Sciatic Nerve Block

scholarly journals The effect of anesthesia on the risk of postoperative myocardial injury in elderly patients with hip fracture: randomized controlled trial

2021 ◽  
pp. 14-16
Author(s):  
Iurii Kuchyn ◽  
Ihor Tokar ◽  
Kateryna Bielka ◽  
Valerii Artemenko ◽  
Nataliia Semenko
Keyword(s):  
Hip Fracture ◽  
Sciatic Nerve ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Nerve Block ◽  
Myocardial Injury ◽  
Controlled Trial ◽  
Sciatic Nerve Block ◽  
Randomized Controlled ◽  
Intraoperative Hypotension

Hip fractures are a common pathology among patients older 50 years and cause disability, reduced duration and quality of life, even with adequate management and surgery. In the perioperative period, the most common complications leading to the death of patients are cardiovascular disease. about a hip fracture. The aim of our study was to determine the safest method of anesthesia in the context of acute myocardial injury during hip fracture surgery. The objectives of the study were to determine the frequency of postoperative myocardial damage in patients with hip fractures; compare the frequency of MINS with different types of anesthesia: general anesthesia (GA), spinal anesthesia (SA) and compartment psoas block with sciatic nerve block. Materials and methods. Randomized controlled trial was conducted from January 2018 to August 2019 in the medical center “Into-Sana” (Odessa, Ukraine). Patients with planned osteosynthesis of the proximal femur were randomized into 3 groups depending on the method of anesthesia: general anesthesia and postoperative systemic analgesia, spinal anesthesia and postoperative systemic analgesia, prolonged compartment psoas block with sciatic nerve block. Results. The study involved 90 patients. Acute postoperative myocardial injury was diagnosed in 17.6 % of cases. Postoperative elevation of troponins was significantly more often diagnosed in groups of patients with spinal anesthesia and general anesthesia compared to the group in which the psoas block compartment was used in combination with the sciatic nerve block. None of the patients had symptoms of myocardial ischemia and were not diagnosed with myocardial infarction. Hypotension was significantly more common in group 2 spinal anesthesia (OR 9 95 % CI 1.9-47, p=0.004) There was a direct moderate association between the intraoperative hypotension and the development of postoperative myocardial injury (r = 0.5). Conclusions. Prolonged compartment psoas block with sciatic nerve block intraoperatively is the safest method of anesthesia in the context of the development of postoperative myocardial injury. Intraoperative hypotension is associated with postoperative myocardial injury

scholarly journals Ultrasound Guided Continuous Sciatic Nerve Block for Acute Herpetic Neuralgia

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Thierry C. Bagaphou ◽  
Domenico Santonastaso ◽  
Eleonora Gargaglia ◽  
Lucia Norgiolini ◽  
Cinzia Tiburzi ◽  
...  
Keyword(s):  
Herpes Zoster ◽  
Sciatic Nerve ◽  
Lower Extremity ◽  
Nerve Block ◽  
Viral Disease ◽  
Skin Lesions ◽  
Sciatic Nerve Block ◽  
Leg Pain ◽  
Ultrasound Guided ◽  
Neural Sensitization

Herpes Zoster (HZ) is the reactivation of a well-known viral disease which manifests itself with painful skin lesions. An effective analgesic method during the acute phase of HZ can contribute to decrease the incidence of postherpetic neuralgia (PHN) by reducing neural sensitization. Sciatic nerve block (SNB) is useful in the management of distal lower extremity pain sustained by the sciatic nerve. We describe our experience with a continuous ultrasound guided subgluteus sciatic nerve block in a patient with herpetic neuralgia- (HN-) related refractory acute left leg pain.

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