A retrospective examination of the effects of regional anesthesia methods applied for postoperative pain control on analgesic consumption after lower extremity surgery
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Abstract
Objective: If preferable, the regional anesthesia is a more preferred method than general anesthesia. The preference for regional anesthesia increases as postoperative recovery is quicker, hospitalization is less and hospital costs are low.
Material and methods: We retrospectively evaluated the hemodynamic findings, postoperative pain, hospital, and intensive care stay in patients aged 18-80 who underwent lower extremity surgery with regional anesthesia in the last 1 year. We divided the cases into 3 groups; Group 1 (n =114) patients with a peripheral nerve block, Group 2 (n =104) spinal anesthesia, and Group 3 (n =81) epidural anesthesia.
Results: The difference between group 1 and 2, age hospitalization, and time of stay in intensive care was statistically significant. (P=0.021) (P=0.000). The difference between group 1 and 3 Intensive care unit stay was statistically significant (P = 0.003). The difference between the length of stay in the intensive care unit between groups 2 and 3 was found as statistically significant (P = 0.000). There was no significant difference in terms of hospital stay. Group 1 was found to have the shortest duration of intensive care stay.
Conclusion: In lower extremity surgeries, peripheral nerve blocks may have provided more hemodynamic stability and longer analgesic effect compared to central blocks.
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Accepted 2020-10-08
Published 2020-10-26
References
Latifzai K, Sites BD, Koval KJ. Common techniques of regional anesthesia in orthopaedics. Bull NYU Hosp Jt Dis 2008;66:306-16
Tuncer B., Yılmaz D., Gunaydın G., Ozer E, Sezer G.B., Canakcı N. Peripheral nerve blocks in foot and ankle surgery TOTBİD Dergisi 2013;12(2):83-87
Wedel DJ, Horlocker TT. Nerve blocks. In: Miller RD, editor. Miller's anesthesia. Philadelphia: Churchill Livingstone Elsevier; 2010. p. 1639-74.
Eid A, El-Azzazi M.H, Abd-Aalla A., Saleh A.A. Comparative study between epidural anesthesia and peripheral nerve blockade in major knee surgery. Ain-Shams Journal of Anesthesiology 2013, 6(1):79–83
Kondo Y. Relationship between changes in regional cerebral blood volume and oxygenation and changes in cardiac output and systemic vascular resistance during spinal anesthesia in women undergoing cesarean section. J Anesth. 2019;33:579–86.
Liu Y., Su M, Li W,Yuan H., Yang C. Comparison of general anesthesia with endotracheal intubation, combined spinal epidural anesthesia, and general anesthesia with laryngeal mask airway and nerve block for intertrochanteric fracture surgeries in elderly patients: a retrospective cohort study. BMC Anesthesiology 2019;19: 230
Aldahish M, Zeidan AZ, Moussa SF. Regional anaesthesia and postoperative analgesia for major knee surgery: comparison between epidural and combined lumbar plexus and sciatic nerve block. Egypt J Anaesth 2004; 20:411–415.
Davies AF, Segar EP, Murdoch J, Wright DE, Wilson IH. Epidural infusion or combined femoral and sciatic nerve blocks as perioperative analgesia for knee arthroplasty. Br J Anaesth 2004; 93:368–374
Greengrass RA, Klein SM, D’Ercole FJ, Gleason DG, Shimer CL, Steele SM. Lumbar plexus and sciatic nerve block for knee arthroplasty: Comparison of ropivacaine and bupivacaine. Can J Anaesth. 1998;45:1094-6.
Horasanli E, Gamli M, Pala Y, Erol M, Sahin F, Dikmen B. A comparison of epidural anesthesia and lumbar plexus-sciatic nerve blocks for knee surgery. Clinics. 2010;65(1):29-34.,iDSA