Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy

Autor: Mariana Cabrera, Eduardo Zárate, Marcela Hernadez, Félix R. Montes, Reinaldo Grueso, Andrea Gómez, José D Rincón, Juan C. Giraldo, Maria P. Venegas
Rok vydání: 2007
Předmět:
Male
Time Factors
Lidocaine
Knee Joint
Nerve block
medicine.medical_treatment
spinal
Ibuprofen
Fentanyl
Postoperative pain
Arthroscopy
Controlled clinical trial
Femoral nerve
postoperative
Anesthesia
Prospective Studies
Treatment outcome
Middle aged
Knee arthroscopy
Priority journal
Pain
Postoperative
medicine.diagnostic_test
Ambulatory anesthesia
Peripheral nerve blocks
Headache
Outpatient
Patient satisfaction
Combination chemotherapy
Nerve Block
Middle Aged
Bupivacaine
Sciatic Nerve
Clinical trial
Paracetamol
Treatment Outcome
Operation duration
Randomized controlled trial
Female
Sciatic nerve
Femoral Nerve
Human
medicine.drug
Adult
medicine.medical_specialty
Vomiting
Midazolam
Morphine sulfate
Pain
Major clinical study
Anesthesia
Spinal
Article
Low drug dose
Postoperative analgesia
medicine
Humans
Prospective study
Operating room
Aged
Intermethod comparison
business.industry
Time factors
Drug mixture
Convalescence
Ambulatory surgical procedures
Monotherapy
Knee joint
Surgery
Anesthesiology and Pain Medicine
Ambulatory Surgical Procedures
Spinal anesthesia
Comparative study
Anesthesia induction
business
Controlled study
Prospective studies
Zdroj: Repositorio EdocUR-U. Rosario
Universidad del Rosario
instacron:Universidad del Rosario
ISSN: 0952-8180
Popis: Study Objective: To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. Design: Prospective, randomized, controlled study. Setting: Postoperative recovery area at a university-affiliated medical center. Patients: 50 ASA physical status I and II adult outpatients undergoing arthroscopic knee surgery. Interventions: Study subjects were equally divided (n = 25 each) into spinal and sciatic-femoral groups. Spinal group patients received spinal anesthesia with 7.5 mg of 0.5% hyperbaric bupivacaine. Sciatic-femoral group patients received combined sciatic-femoral nerve blocks using a mixture of 20 mL of lidocaine 2% plus 20 mL of bupivacaine 0.5%. Measurements: Times including that from arrival in the operating room to readiness for surgery, duration of surgery, recovery time, and patient satisfaction were recorded. Analgesia and occurrence of adverse events also were recorded. Main Results: No significant differences between the two groups were found for any of the study measurements of recovery. After discharge, postoperative pain differed significantly between groups only at 6 hours (P less than 0.002). Patient satisfaction was high with both techniques. Conclusions: Combined sciatic-femoral nerve block for outpatient arthroscopic knee surgery offers satisfactory anesthesia, with a clinical profile similar to that of low-dose spinal anesthesia. Sciatic-femoral nerve blocks are associated with significantly lower pain scores during the first 6 postoperative hours. © 2008 Elsevier Inc. All rights reserved.
Databáze: OpenAIRE
Externí odkaz: