Nerve stimulator guided pudendal nerve block decreases posthemorrhoidectomy pain

Naja, Zoher; Ziade, Fouad; Lönnqvist, Per Arne

doi:10.1007/bf03018582

Cited by 60 publications

(85 citation statements)

References 22 publications

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“…The results of this investigation corroborate the findings from our previous study, 8 and demonstrate that hemorrhoidectomy can be performed successfully in either awake or moderately sedated patients. Although the benefits of performing hemorrhoidectomy without general anesthesia may be of modest overall importance in otherwise healthy individuals, patients with associated co-morbidities, including cardiopulmonary disease, could potentially benefit from this regional anesthetic option.…”

Section: Discussionsupporting

confidence: 90%

“…This mixture has previously been reported to provide long-lasting postoperative analgesia after peripheral nerve blocks performed for various types of surgical interventions. 8,[10][11][12][13] Verification of adequate distribution of cutaneous anesthesia was determined by a pinprick test. The onset time of the block was usually 15 to 20 min.…”

Section: Methodsmentioning

confidence: 99%

“…8 Based on the positive results achieved with this type of PNB, we hypothesized that it would be possible to perform hemorrhoidectomy without concomitant GA. Thus, we undertook a prospective randomized observer-blinded study to compare nerve-stimulator guided PNB with sedation, to GA in patients undergoing hemorrhoidectomy.…”

Section: Résultats : Le Bloc Du Nerf Honteux a éChoué Chez Trois Patimentioning

confidence: 99%

“…Based upon standard deviations in VAS scores from our previous study, 8 40 patients in each group were required in order to detect a 25% difference in VAS scores at all predetermined time intervals of the postoperative period between groups, with a confidence level of 95% (α = 0.05) and a power of 90% (ß = 0.10).…”

Section: Statistical Considerationsmentioning

confidence: 99%

See 3 more Smart Citations

Nerve stimulator guided pudendal nerve blockversus general anesthesia for hemorrhoidectomy

Naja

El-Rajab

Al-Tannir

et al. 2006

Can J Anesth/J Can Anesth

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Purpose: A randomized clinical trial was undertaken to test the hypothesis that patients receiving a nerve stimulator guided pudendal nerve block for hemorrhoidectomy would experience more effective and prolonged postoperative analgesia and shorter hospital stay compared to patients receiving general anesthesia. Methods:This was a prospective randomized observer-blinded study. Following Ethics Committee approval and informed consent, 80 patients scheduled for hemorrhoidectomy were randomized to two groups of 40 patients each: general anesthesia alone, or nerve stimulator guided pudendal nerve block. Postoperative pain, the primary outcome variable of the study, was assessed by visual analogue scale scores at pre-determined intervals during the postoperative period. Analgesic consumption, time to return to normal activities, patients' and surgeons' satisfaction, and duration of hospital stay were recorded. Results:The guided pudendal nerve block group failed in three patients, requiring their conversion to general anesthesia. Otherwise, patients in the pudendal nerve block group experienced better postoperative pain relief at rest (P < 0.0001), on walking, sitting, and defecation (P < 0.001), reduced need for opioids (11/35 vs 32/37; P < 0.0001), a more rapid return to normal activities (7.2 vs 13.8 days; P < 0.0001) and also a shorter hospital stay (25/35 vs 3/37 outpatient cases; P < 0.0001) compared to the general anesthesia group. Pudendal nerve block was also associated with overall higher patient satisfaction compared to general anesthesia (30/35 vs 9/37; P < 0.0001). Conclusion:Nerve stimulator guided pudendal nerve block is associated with reduced postoperative pain, shortened hospital stay, and earlier return to normal activity compared to general anesthesia for hemorrhoidectomy.

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Section: Discussionsupporting

confidence: 90%

Section: Methodsmentioning

confidence: 99%

Section: Résultats : Le Bloc Du Nerf Honteux a éChoué Chez Trois Patimentioning

confidence: 99%

Section: Statistical Considerationsmentioning

confidence: 99%

See 2 more Smart Citations

Nerve stimulator guided pudendal nerve blockversus general anesthesia for hemorrhoidectomy

Naja

El-Rajab

Al-Tannir

et al. 2006

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…One other complication was a failure of the Rapid-Fit TM adapter to cope with the pressure developed by the Sanders injector, which can be easily overcome by holding the connection at the adapter. There is growing concern that the increased use of regional anaesthesia, coupled with shorter training, has reduced opportunities for acquiring experience of airway management in obstetrics [1][2][3]. In order to find out about trainees' experience of difficult or failed intubation in obstetric patients, we sent a postal questionnaire to the 390 trainee members of the Obstetric Anaesthetists' Association (OAA).…”

mentioning

confidence: 99%