[Comparison of hemodynamics, recovery profile and postoperative analgesia of unilateral spinal anaesthesia with combined sciatic-femoral nerve block in knee arthroscopy]
Autor: | Zekeriya Ervatan, Muhammed Murat Kurnaz, Aysel Altan, Nurdan Ünlü, Aysin Ersoy |
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Rok vydání: | 2015 |
Předmět: |
Male
medicine.medical_specialty Knee Joint medicine.medical_treatment Hemodynamics Blood Pressure Anesthesia Spinal law.invention Arthroscopy Randomized controlled trial Femoral nerve Double-Blind Method law medicine Humans Anesthetics Local Levobupivacaine Pain Measurement Pain Postoperative medicine.diagnostic_test business.industry Nerve Block Middle Aged Bupivacaine Sciatic Nerve Surgery Anesthesiology and Pain Medicine Treatment Outcome Anesthesia Anesthesia Recovery Period Nerve block Female Sciatic nerve business Femoral Nerve medicine.drug |
Zdroj: | Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology. 26(4) |
ISSN: | 2458-9446 |
Popis: | OBJECTIVES In this randomized, controlled, blind study, a combined sciatic-femoral nerve block with levobupivacaine was compared with a unilateral spinal anaesthesia with respect to effectiveness, patient and surgeon satisfaction, and the effect on postoperative pain in arthroscopic knee surgery. METHODS Patients were randomly divided into two groups. Group I (n=20) received a combined sciatic-femoral nerve block with levobupivacaine 0.5% totalling 40 ml. In group II (n=20), a spinal anaesthesia in the lateral decubitus position (ULSA) with 7.5 mg levobupivacaine 0.5% was performed, and patients were kept in the same position to achieve an anaesthesia level of T12 (maximum 10 minutes). The development of motor and sensorial block on both sides and onset time to surgical anaesthesia were recorded. The time required for the postoperative recovery score to be ≥12 was recorded. In the postoperative period, postoperative analgesia (VAS), motor block, side effects, and patient and surgeon satisfaction were recorded at the 1st, 3rd, 6th and 12th hours. RESULTS Time of readiness for surgery was significantly shorter in Group II (p |
Databáze: | OpenAIRE |
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