Please use this identifier to cite or link to this item: http://hdl.handle.net/11607/1776
Title: Comparison of anesthesia quality for arthroscopic knee surgery: Combined sciatic femoral block and unilateral spinal anesthesia
Other Titles: Artroskopik diz cerrahisi için anestezi kalitesinin karşılaştırılması: Kombine siyatik femoral blok ve tek taraflı spinal anestezi
Authors: Sarı, Sinem
Eroğlu, Füsun
Fusco, Pierfirancesco
Atay, Tolga
Ceylan, Berit Gökçe
TR176226
Adnan Menderes Üniversitesi, Tıp Fakültesi, Anestezi Bölümü
Keywords: Sciatic and Femoral Nerve Block
Unilateral Spinal Anesthesia
Levobupivacaine
Siyatik Femoral Blok
Tek Taraflı Spinal Anestezi
Levobupivakain
Issue Date: 2015
Publisher: Meandros Medical and Dental Journal
Citation: Sarı, S., Eroğlu, F., Fusco, P., Atay, T., Ceylan, B. G.(2015) Comparison of anesthesia quality for arthroscopic knee surgery: Combined sciatic femoral block and unilateral spinal anesthesia. Meandros Medical and Dental Journal, 16(2) 59-66. http://dx.doi.org/10.4274/meandros.2389
Abstract: Objective: We aimed to evaluate the quality of anesthesia of combined sciatic and femoral 3-in-1 nerve blocks (CSFB) and unilateral spinal anesthesia technique with low-dose levobupivacaine in outpatients undergoing knee arthroscopy surgery. Materials and Methods: Forty American Society of Anesthesiologists (ASA) physical status I-II patients were randomly allocated into two groups and unilateral spinal anesthesia with low-dose levobupivacaine (group S, n=20) or CSFB (group B, n=20) was performed. Besides the quality of anesthesia, anesthetic effectiveness, hemodynamic values, duration of the technique application, maximum motor and sensorial block levels and durations, the first analgesics need, and total analgesic consumptions during postoperative 24 hours and determined complications were compared between the two groups. Results: The quality of anesthesia was better in group S, no patient received either sedation or analgesic intraoperatively while first analgesic need and number of patient was higher (p=0.014, p<0.001, p=0.032 respectively). The duration of technical application was shorter while maximum motor and sensorial block levels were higher in group S (p<0.0001, p=0.008, p<0.001 respectively). Motor block duration was significantly longer in group B (p<0.0001). Conclusion: We concluded that CSFB practice is an effective anesthetic alternative for unilateral spinal anesthesia.
Amaç: Günübirlik diz artroskopisi cerrahisinde kombine siyatik ve femoral üçü bir arada blok ile düşük doz levobupivakain ile yapılan tek taraflı spinal anestezi tekniklerinin anestezi kalitesini değerlendirmeyi amaçladık. Gereç ve Yöntemler: American Society of Anesthesiologists (ASA) I-II 40 hasta rastgele iki gruba ayrıldı ve tek taraflı spinal anestezi (grup S, n=20) veya kombine siyatik ve femoral üçü bir arada blok (grup B, n=20) uygulandı. Anestezi kalitesinin yanı sıra, hemodinamik değerler, teknik uygulama süresi, maksimum motor ve duyusal blok düzey ve süreleri, ilk analjezik gereksinimi ve postoperatif 24 saat süresince toplam analjezik tüketimi, saptanan komplikasyonlar iki grup arasında karşılaştırıldı.
URI: http://meandrosmedicaljournal.org/makale_9762/Artroskopik-Diz-Cerrahisi-Icin-Anestezi-Kalitesinin-Karsilastirilmasi-Kombine-Siyatik-Femoral-Blok-Ve-Tek-Tarafli-Spinal-Anestezi
http://hdl.handle.net/11607/1776
ISSN: 2149-9063
Appears in Collections:2015 Cilt 16 Sayı 2

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