Supraclavicular nerve block: does kidney transplantation make a difference?

Autor: Tomulić Brusich K, Acan I, Kovačić Vicić V, Višković Filipčić N.
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Popis: Background and purpose: Number of transplanted patients increased overall. However, clinical research among these patients regarding regional anesthesia is insufficient. Transplanted patients often require upper extremity surgery. Peripheral nerve blocks became popular anesthetic option due to hemodynamic stability and better postoperative analgesia. Single center retrospective study was conducted to determine possible difference among renal transplant patients and non-transplanted patients regarding block onset and duration for supraclavicular nerve block (SCB) where the same dose of local anesthetic was used. Materials and methods: Medical records of patients with SCB performed for surgical procedures on upper extremities at University Hospital Merkur, between May 2009 and March 2013 were reviewed. All SCB performed were ultrasound-guided. Patients in whom a single-injection of local anesthetic (equal aliquots of lidocaine 2% and levobupivacaine 0, 5%) was performed for SCB were included in study. Patients were divided in groups: renal transplant recipients (Tx) and non-transplanted (Non-Tx) patients. Results: A total of 57 SCB procedures were performed using lidocaine+levobupivacaine mixture: Tx (n=15) and Non-Tx (n=42). Non-Tx patients were older (Tx 51.60+/-9.63 vs Non-Tx 61.45+/-13.19, P=0.0106). However, there was no difference regarding sex, ASA status, patient co-morbidities (diabetes mellitus and coronary artery disease). Tx group had higher body mass index (Tx 32.4+/-6.18 vs. Non-Tx 25.8+/-4.50, P
Databáze: OpenAIRE