Comparison of two methods in the peripheral nerve block application used in foot surgery:  USG-guided and anatomical landmark-guided.

Mesut Uluöz

Makale detayları

Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.

Yazarlar:

Mesut Uluöz

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Cerrahi

Dergi:

Acta Medica Alanya Vol.7 Issue 1, pp.98-104

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001290314

pISSN:

2587-0319

Anahtar kelimeler:

Özet:

 Aim: Ankle peripheral nerve block is applied by two methods. These are peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of Ultrasonography USG. In our study, we aimed to compare these two methods applied in foot surgeries retrospectively. Methods :Peripheral block patients performed with the USG-guided group 1 were 20, anatomical landmarks- guided group 2 were 20. In both groups, 40 cc of anesthetic mixture was used bupivacaine  lidocaine. The recorded information of the patients were as follows: Block application time BAT, surgery readiness time SRT, duration of surgery DoS, duration of block anesthesia DBA and intraoperative-postoperative Visual Analogue Scale VAS. The results of the VAS applied to the patients postoperatively were obtained. Patients were contacted by phone and asked if they were satisfied with the anesthesia. Results : The BAT and DBA values of the patients in Group 1 were high. SRT and VAS 6 values of the patients in group 2 were high. No significant difference was found between the groups in other parameters. No additional dose of anesthetic was needed in group 1 during the intraoperative period. In group 2, local additional dose was administered to 3 patients. Conclusion: Peripheral block preparation USG-guided takes a long time. However, it is more comfortable during surgery. The USG-guided peripheral nerve block is more advantageous when considering the possibility of prolonging the duration of surgery for any reason and early postoperative pain control after surgery.

 Aim: Ankle peripheral nerve block is applied by two methods. These are peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of Ultrasonography USG. In our study, we aimed to compare these two methods applied in foot surgeries retrospectively. Methods :Peripheral block patients performed with the USG-guided group 1 were 20, anatomical landmarks- guided group 2 were 20. In both groups, 40 cc of anesthetic mixture was used bupivacaine  lidocaine. The recorded information of the patients were as follows: Block application time BAT, surgery readiness time SRT, duration of surgery DoS, duration of block anesthesia DBA and intraoperative-postoperative Visual Analogue Scale VAS. The results of the VAS applied to the patients postoperatively were obtained. Patients were contacted by phone and asked if they were satisfied with the anesthesia. Results : The BAT and DBA values of the patients in Group 1 were high. SRT and VAS 6 values of the patients in group 2 were high. No significant difference was found between the groups in other parameters. No additional dose of anesthetic was needed in group 1 during the intraoperative period. In group 2, local additional dose was administered to 3 patients. Conclusion: Peripheral block preparation USG-guided takes a long time. However, it is more comfortable during surgery. The USG-guided peripheral nerve block is more advantageous when considering the possibility of prolonging the duration of surgery for any reason and early postoperative pain control after surgery.

 Aim: Ankle peripheral nerve block is applied by two methods. These are peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of Ultrasonography USG. In our study, we aimed to compare these two methods applied in foot surgeries retrospectively. Methods :Peripheral block patients performed with the USG-guided group 1 were 20, anatomical landmarks- guided group 2 were 20. In both groups, 40 cc of anesthetic mixture was used bupivacaine  lidocaine. The recorded information of the patients were as follows: Block application time BAT, surgery readiness time SRT, duration of surgery DoS, duration of block anesthesia DBA and intraoperative-postoperative Visual Analogue Scale VAS. The results of the VAS applied to the patients postoperatively were obtained. Patients were contacted by phone and asked if they were satisfied with the anesthesia. Results : The BAT and DBA values of the patients in Group 1 were high. SRT and VAS 6 values of the patients in group 2 were high. No significant difference was found between the groups in other parameters. No additional dose of anesthetic was needed in group 1 during the intraoperative period. In group 2, local additional dose was administered to 3 patients. Conclusion: Peripheral block preparation USG-guided takes a long time. However, it is more comfortable during surgery. The USG-guided peripheral nerve block is more advantageous when considering the possibility of prolonging the duration of surgery for any reason and early postoperative pain control after surgery.

 Amaç: Ayak bileği periferik sinir bloğu iki yöntemle uygulanır. Bunlar; USG yardımlı periferik blok ve USG kullanımına ihityaç duymayan anatomik landmarklar kullanılarak yapılan periferik bloktur. Biz de çalışmamızda ayak ameliyatlarında uygulanan bu iki yöntemi retrospektif olarak karşılaştırmayı amaçladık. Yöntem : 2017 yılından itibaren ayak bileği periferik blok ile ameliyat edilen hastaların bilgilerine ulaşıldı. USG yardımıyla yapılan periferik blok hastaları grup 1 20 kişi, USG kullanılmadan, anatomik landmarklara göre yapılan periferik blok hastaları grup 2 20 kişiydi. Her iki grupta 40 cclik karışım kullanıldı bupivakainlidocain. Hastaların kayıt altına alınan bilgileri şunlardı: demografik bulgular, blok uygulanma süresi BUS, operasyona hazır olma süresi OHOS, operasyon süresi OS, blok anestezi süresi BAS ve intraoperatif-postoperatif VAS skoru. Ameliyat sonrası hastalara uygulanan vizüel analog skalası VAS sonuçlarına ulaşıldı. Hastalara telefonla ulaşılıp anesteziden memnun olup olmadıkları soruldu. Bulgular : Grup 1deki hastaların BUS ve BAS değerleri yüksekti. Grup 2deki hastaların OHOS ve VAS 6 değerleri yüksekti. Diğer parametrelerde gruplar arasında anlamlı bir farklılığa rastlanılmadı. İntraoperatif dönemde grup 1de ek doz anestezik maddeye ihtiyaç olmamıştır. Grup 2de ise 3 hastada intraoperatif hafif ağrı hissetmeleri üzerine lokal ek doz uygulanmıştır. Sonuç : USG kullanılarak uygulanan periferik blok hazırlığı uzun sürmektedir. Anestezistlerin tecrübesi arttıkça bu sürenin kısalacağı kanaatindeyiz. Ancak cerrahi sırasında daha konforludur. Ameliyat süresinin herhangi bir sebepten uzama ihtimali ve postoperatif erken dönem ağrı kontrolü göz önüne alınınca USG eşliğinde yapılan periferik blok daha avantajlıdır.

Makale detayları

Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.

Yazarlar:

Mesut Uluöz

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Cerrahi

Dergi:

Acta Medica Alanya Vol.7 Issue 1, pp.98-104

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001290314

pISSN:

2587-0319

anesthesia

ankle

peripheral nerve block

ultrasonographyanastezi

ayak bileği

periferal sinir bloğu

ultrasonografi

Sayı

Makale detayları

Yazarlar: Mesut Uluöz

Yayıncı: Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar: Cerrahi

Dergi: Acta Medica Alanya Vol.7 Issue 1, pp.98-104

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001290314

pISSN: 2587-0319

Sayı

Yazarlar:

Mesut Uluöz

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Cerrahi

Dergi:

Acta Medica Alanya Vol.7 Issue 1, pp.98-104

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001290314

pISSN:

2587-0319