Major complications after 400 continuous popliteal sciatic nerve blocks for post-operative analgesia
| Autor: | B. Dureuil, X. Roussignol, R. Beccari, A. Ouennich, V. Fourdrinier, V. Compere, N. Rey, O. Baert |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Pain Postoperative medicine.medical_specialty Catheter insertion business.industry Incidence (epidemiology) Nerve Block General Medicine Middle Aged Surgery Catheter Postoperative Complications Anesthesiology and Pain Medicine Patient satisfaction Anesthesia medicine Humans Female Major complication Sciatic nerve Analgesia Complication business Adverse effect |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 53:339-345 |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/j.1399-6576.2008.01849.x |
| Popis: | Background: A continuous popliteal sciatic nerve block (CPSNB) has been performed with increasing frequency for post-operative analgesia after foot surgery. Major complications associated with the placement of a perineural catheter remain rarely studied. The aim of this study was to prospectively determine the incidence of major complications (neurological and infectious) in post-operative adult patients with a continuous popliteal catheter inserted by the anatomical posterior approach for analgesia after foot surgery. Methods: All popliteal catheters were placed pre-operatively under sterile conditions with the aid of a nerve stimulator technique. The primary outcome measure was the incidence of major complications including infection and neuropathy. As a secondary outcome, adverse effects as well as other complications were also evaluated. Data were expressed as median [25th–75th percentiles]. Results: A total of 400 patients were included in the study during a 2-year period. The median time the catheter remained indwelling was 47 h [23, 54]. Major complications included three events (0.75%) with one infection (0.25%) and two neuropathies (0.50%). Three blocks were unsuccessful and the catheter insertion was difficult in 12 patients (3%). During the CPSNB procedure, one patient reported slight paraesthesia during stimulation. Patient satisfaction was scored at 4 for 89%, 3 for 6% and 2 for 5% on the analogue scale. Conclusions: Major complications after the use of CPSN are not in fact rare. The incidence of severe neuropathy or infection complications is, respectively, 0.50% and 0.25%. However, the insertion of CPSN could be considered effective and is associated with only a few minor complications. |
| Databáze: | OpenAIRE |
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