SavedAdd your journal

Journals / Medicine Science / 2019 / Cilt: 8 - Sayı: 3

Comparison of the effects of general anesthesia and combined femoral popliteal nerve block on postoperatıve pain in patients with diabetic underwent transtibial amputations

Faruk ÇİÇEKCİ
Ahmet YILDIRIM
Özkan ÖNAL
Ömer Faruk ERKOÇAK
İnci KARA
Pages
496–499
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Ultrasound guided femoral popliteal nerve block could be a positive option for postoperative analgesia compared with GA in patients with DM undergoing transtibial amputations.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:To compare the postoperative pain effects of ultrasound-guided combined femoral-popliteal nerve block and general anesthesia in patients with diabetes mellitus (DM) underwent unilateral transtibial amputations.
📊
Key Findings & Data:Sixty-four patients who underwent unilateral transtibial amputations operations between July 2016 and July 2017, with either general anesthesia (GA, n=28) or ultrasound-guided combined femoral-popliteal nerve block (CFPNB, n=36) were included in the study.
💡
Conclusion & Impact:Ultrasound guided femoral popliteal nerve block could be a positive option for postoperative analgesia compared with GA in patients with DM undergoing transtibial amputations.
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters

Özet

To compare the postoperative pain effects of ultrasound-guided combined femoral-popliteal nerve block and general anesthesia in patients with diabetes mellitus (DM) underwent unilateral transtibial amputations. The study was planned as a retrospective study. Sixty-four patients who underwent unilateral transtibial amputations operations between July 2016 and July 2017, with either general anesthesia (GA, n=28) or ultrasound-guided combined femoral-popliteal nerve block (CFPNB, n=36) were included in the study. Postoperative visual analogue (VAS) pain scores at 2, 6, 12, 24, and 48th hours, total amount of consumed pethidine and the first analgesia requirement time were evaluated. The demographic characteristics of the patients were similar (p>0.05). The VAS scores and total amount of consumed pethidine were lower, and longer the first opioid analgesia requirement time in the CFPNB group in the first 48 hours than in the GA group (p<0.05). Ultrasound guided femoral popliteal nerve block could be a positive option for postoperative analgesia compared with GA in patients with DM undergoing transtibial amputations.

🔖

Cite This Article

ÇİÇEKCİ, F., YILDIRIM, A., ÖNAL, Ö., ERKOÇAK, Ö. F., KARA, İ. (2019). Comparison of the effects of general anesthesia and combined femoral popliteal nerve block on postoperatıve pain in patients with diabetic underwent transtibial amputations. Medicine Science, Cilt: 8 - Sayı: 3, 496–499. https://ajindex.com/articles/277045

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Buyukcayır C, Koseoglu E, Alan M, et al. Hyperbaric oxygen therapy for diabetic foot ulcers. Joint Diseases & Related Surgery. 1998;9:91-4. munger a, turgut a, gunal ı, seber s. the treatment of diabetic foot with total contact cast. Joint Diseases & Related Surgery. 1997;8:41-6.
  2. Clarke P, Gray A, Legood R, Briggs A, Holman R: The impact of diabetesrelated complications on healthcare costs: results from the united kingdom prospective diabetes study (UKPDS Study No. 65). Diabet Med. 2003;20:442-50.
  3. Yercan HS, Okcu G, Vatansever A. Management of diabetic heel ulcer and calcaneal chronic osteomyelitis wıth local musculocutaneous sural artery flap. Joint Diseases & Related Surgery. 2004;15:178-82.
  4. Perkins FM, Kehlet H. Chronic pain as an outcome of surgery. A review of predictive factors. Anesthesiology. 2000;93:1123-33.
  5. Piette JD, Kerr EA. The impact of comorbid chronic conditions on diabetes care. Diabetes Care. 2006;29:725-31.
  6. Byun SH, Lee J, Kim JH. Ultrasound-guided bilateral combined inguinal femoral and subgluteal sciatic nerve blocks for simultaneous bilateral belowknee amputations due to bilateral diabetic foot gangrene unresponsive to peripheral arterial angioplasty and bypass surgery in a coagulopathic patient on antiplatelet therapy with a history of percutaneous coronary intervention for ischemic heart disease: A case report. Medicine (Baltimore). 2016;95:4324. Lin R, Hingorani A, Marks N, et al. Effects of anesthesia versus regional nerve block on major leg amputation mortality rate. Vascular. 2013;21:83-6.
  7. Bech B, Melchiors J, Borglum J, et al. The successful use of peripheral nerve blocks for femoral amputation. Acta Anaesthesiol Scand. 2009;53:257-60.
  8. Kim NY, Lee KY, Bai SJ, et al. Comparison of the effects of remifentanilbased general anesthesia and popliteal nerve block on postoperative pain and hemodynamic stability in diabetic patients undergoing distal footamputation: A retrospective observational study. Medicine (Baltimore). 2016;95:4302. Yazigi A, Madi-Gebara S, Haddad F, et al. Intraoperative myocardial ischemia in peripheral vascular surgery: general anesthesia vs combined sciatic and femoral nerve blocks. J Clin Anesth. 2005;17:499-503.
  9. Lichtenauer UD, Seissler J, Scherbaum WA. Diabetic complications. Micro and macroangiopathic end-organ damage. Internist (Berl). 2003;44:840-6.
  10. Ramsey SD, Newton K, Blough D, et al. Incidence, outcomes, and cost of foot ulcers in patients with diabetes. Diabetes Care. 1999;22:382-7.
  11. Moulik P, Mtonga R