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Journals / Akdeniz Tıp Dergisi / 2018 / Cilt: 4 - Sayı: 3

Comparison of Ultrasound-Guided Femoral Nerve Block with Combined Spinal Epidural Anesthesia in Total Knee Arthroplasty

Total Diz Artroplasti Operasyonlarında Kombine Spinal Epidural Anestezi ile Ultrason Eşliğinde Femoral Sinir Blokajı Karşılaştırılması

Ömer Faruk ERKOÇAK
Ahmet YILDIRIM
İnci KARA
Jale Bengi ÇELİK
Faruk ÇİÇEKCİ
Özkan ÖNAL
Pages
256–261
Publication Date
2022-10-11
DOI
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⚡ TL;DR(Too Long; Didn't Read)

However, there was a significant difference in complications hypotension, nausea and vomiting, neurological damage, respiratory depression, pruritus between the two groups p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The objective of this study was to compare postoperative early 48 hours visual analogue scale VAS scores following combined spinal epidural anesthesia CSEA and ultrasound-guided femoral nerve block FNB in patients undergoing total knee arthroplasty TKA .Material and Methods: This retrospective study included 302 patients who underwent CSEA Group CSEA and FNB Group FNB for elective unilateral total knee arthroplasty between May 2016 and May 2017.
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Key Findings & Data:Postoperative Visual analogue scale VAS scores at rest and during activity 30th min, 2, 6, 12, 24 and 48th hours , the total amount of morphine consumed 48th hour by the patient controlled analgesia PCA device, and the complications were evaluated.Results: The demographic characteristics of the patients were similar p>0.05 .
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Conclusion & Impact:However, there was a significant difference in complications hypotension, nausea and vomiting, neurological damage, respiratory depression, pruritus between the two groups p
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Total diz artroplasti · Femoral sinir bloğu · Ultrasonografi

Abstract

Objective: The objective of this study was to compare postoperative early 48 hours visual analogue scale VAS scores following combined spinal epidural anesthesia CSEA and ultrasound-guided femoral nerve block FNB in patients undergoing total knee arthroplasty TKA .Material and Methods: This retrospective study included 302 patients who underwent CSEA Group CSEA and FNB Group FNB for elective unilateral total knee arthroplasty between May 2016 and May 2017. Postoperative Visual analogue scale VAS scores at rest and during activity 30th min, 2, 6, 12, 24 and 48th hours , the total amount of morphine consumed 48th hour by the patient controlled analgesia PCA device, and the complications were evaluated.Results: The demographic characteristics of the patients were similar p>0.05 . There was no statistically significant difference between the two groups in terms of resting and active VAS scores according to timepoints p>0.05 . However, there was a significant difference in complications hypotension, nausea and vomiting, neurological damage, respiratory depression, pruritus between the two groups p

Özet

Amaç: Çalışmada, total diz artroplastisi TDA cerrahisi uygulanan hastalarda kombine spinal epidural anestezi KSEA ile ultrasonografi eşliğinde femoral sinir blokajı FSB uygulamasının postoperatif erken dönem 48 saat ağrı skorları ve komplikasyonlarının karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Retrospektif çalışmaya, Mayıs 2016-Mayıs 2017 tarihleri arasındaki elektif tek taraflı total diz artroplasti için KSEA Grup KSEA ile FSB Grup FSB uygulanan 302 hasta dahil edildi. Hastaların postoperatif dinlenme ve harekette görsel analog skala VAS ile ağrı skorları 30.dk, 2, 6, 12, 24 ve 48. saat hasta kontrollü analjezi HKA cihazı ile tüketilen toplam morfin miktarı ve komplikasyonlar 48. saatte değerlendirildi. Bulgular: Hastaların demografik özellikleri benzer bulundu p>0.05 . Her iki grubun zamana göre dinlenme ve hareket halindeki VAS skorları arasında anlamlı fark görülmedi p>0.05 . Gruplar arasında komplikasyonlar da ise anlamlı fark bulundu p

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Cite This Article

ERKOÇAK, Ö. F., YILDIRIM, A., KARA, İ., ÇELİK, J. B., ÇİÇEKCİ, F., ÖNAL, Ö. (2022). Comparison of Ultrasound-Guided Femoral Nerve Block with Combined Spinal Epidural Anesthesia in Total Knee Arthroplasty. Akdeniz Tıp Dergisi, Cilt: 4 - Sayı: 3, 256–261. https://ajindex.com/articles/434429

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