Regional Anesthesia Techniques in Orthopedic Surgery

Eroğlu, Atilla

doi:10.15406/jaccoa.2016.05.00182

Cited by 3 publications

(4 citation statements)

References 44 publications

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“…There is an ongoing debate about the risks and benefits of using peripheral regional anesthesia versus other anesthetic techniques [4]- [10]. In this study, the peripheral nerve block technique proved to be associated with significantly less opioid use, better pain control in the PACU and in the first 24 postoperative hours, as well as fewer days of hospital stay and onset of ambulation faster than with general anesthesia, we did not observe muscle weakness, falls, or injury nervous in this series of consecutive patients.…”

Section: Discussionmentioning

confidence: 99%

“…This statement has been refuted by Liu, who observed that there was no significant difference in muscle weakness during the first postoperative day in patients who received peripheral block compared to those who did not receive it (p > 0.05) [5]. Another risk related to the use of peripheral nerve block is nerve injury, which is estimated to occur in 0.04% [9] [10].…”

Section: Introductionmentioning

confidence: 99%

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Lumbar-Sacral Plexus Block Anesthesia versus General Anesthesia for Total Hip Arthroplasty: Case Control Study

Eduardo¹,

Surinam²,

Andrea³

et al. 2021

OJAnes

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Background: Peripheral block techniques for total hip arthroplasty have been used as an analgesic strategy, only a few studies described it as an anesthetic technique, so the perioperative performance and safety are poorly studied. Methods: 78 total hip arthroplasties were prospectively observed in our hospital. Divided into 2 groups: 1) General anesthesia; and 2) Lumbar sacral plexus block anesthesia. Variables measured in both groups were: demographics, conversion to general anesthesia, total opioid doses, surgical time, blood loss, postoperative pain, use and total dose of vasopressors drugs, transfusion and ICU transfer needs, postoperative ambulation time, and length of hospital stay. T student and chi-square tests were used upon the case. A significant difference was considered when a value of p < 0.05 was obtained. Descriptive statistics were performed in frequency, percentages, variance and standard deviation. Results: 3 patients (7.3%) anesthetized with combined lumbar sacral plexus block were converted to general anesthesia. When comparing peripheral nerve block and general anesthesia, less intraoperative (p = 0.000) and postoperative (p = 0.002) opioid consumption were noted, less postoperative pain in PACU (p = 0.002) and in the first 24 hours (p = 0.005), as well as earlier onset of ambulation (p = 0.008) and shorter hospital stay (p = 0.031). Conclusions: In our study, the lumbar and sacral plexus block anesthesia technique provided anesthetic conditions to perform hip joint arthroplasty and it was proved to be advantageous in comparison to general anesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lumbar-Sacral Plexus Block Anesthesia versus General Anesthesia for Total Hip Arthroplasty: Case Control Study

Eduardo¹,

Surinam²,

Andrea³

et al. 2021

OJAnes

View full text Add to dashboard Cite

show abstract

“…Taking into account the above challenges of pharmacological sedation; non-pharmacological anxiolytics might be a good alternative for the patients [7][8][9]. There are several methods of non-pharmacological anxiolytics such as music therapy, virtual reality video and aromatherapy [10][11][12]. Music therapy has been shown to have a sedative effect and reduce anxiety in patients undergoing regional anaesthesia [9].…”

Section: Introductionmentioning

confidence: 99%

Listening Music in Reducing Anxiety for Regional Anesthesia Cases

Mrba¹,

Mb²,

Mf³

2021

Preprint

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In this study, the effects of music therapy on anxiety for patients undergoing regional anaesthesia in an operating room was succinctly investigated. This investigation was largely based on the adapted Hospital Anxiety and Depression Score (HADS) and Spielberger State-Trait Anxiety Inventory (STAI-S), of patients undergoing regional anaesthesia in an operating room. A randomized control trial was performed on 90 patients due for surgery. The selected patients for regional anaesthesia were allocated to either the music therapy group who listened to music using headphones for the entire surgery or the no-treatment control group. Based on the findings, it has been conclusively demonstrated that music can decrease the patient's anxiety level. According to the socio-demographic evaluation, elderly patients have the highest stress hormones levels when compared to young patients. Although elderly patients are more likely to choose religious songs to help them relax, cortisol analysis revealed an increase in cortisol levels among the elderly compared with younger patients. As a result, music is especially important to be delivered to elderly patients. Nonetheless, there is no restriction against administering music to elderly patients because evidence from the Hospital Anxiety and Depression Score (HADS) and State-Trait Anxiety Inventory (STAI-S) has shown that music helps to shift their attention away from pain and complications and makes them feel tranquil. Similarly, the HADS and modified Spielberger STAI (STAI-S) analyses demonstrate a substantial outcome for both groups, with respondents responding positively. The study found that listening to music during regional anaesthesia might help people feel less worried.

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“…Both supraclavicular and infraclavicular approaches have similar distributions of anesthesia. 4 In general, proximal blocks (interscalene and supraclavicular) are believed to have a faster onset than distal blocks (infraclavicular and axillary), but there are little data and consensus. 5 This aim of this study was to compare the supraclavicular and infraclavicular approaches using neurostimulation in patients undergoing upper limb orthopedic surgeries.…”

Section: Introductionmentioning

confidence: 99%

A comparative study between supraclavicular brachial plexus block and Infraclavicular brachial plexus block for upper limb orthopedic surgeries: A prospective, randomized, double-blind study

Sarkar

Doshi

2019

Bali J Anaesthesiol

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Introduction: Supraclavicular brachial plexus block is a common approach as it provides faster and dense blockade. In the past few years, infraclavicular brachial plexus block has become a method of increased interest as it has a lower complication rate and near to equal efficacy. The goal of this study was to compare block performance time, block characteristics, quality of block, patient's satisfaction, and complications between infraclavicular and supraclavicular techniques for brachial plexus block. Patients and methods: 100 subjects were randomized in a doubleblind fashion, to receive either an infraclavicular block (Group I, n=50) or supraclavicular block (Group S, n=50) using nerve locator apparatus. Block performance time, onset, peak, duration of sensory and motor blockade, any change in hemodynamics, complications were recorded at scheduled intervals intra-operatively and post-operatively as per study protocol. Data were analyzed using GraphPad INSTAT version 3.06 software by Chi-square test or Mann-Whitney U test to compare categorical variables. Results: The block performance time was faster in the Group S compared to the Group I (4.8±4.4 minutes vs. 6.3±1.39 minutes, p <0.001). The sensory block onset time was faster in Group S compared to the Group I (6.9±1.58 minutes vs. 7.6±1.34 minutes, p=0.019). Other observed variables were considered statistically not significant. Conclusion: From our study, it is inferred that nerve locator guided Infraclavicular block by a vertical coracoid approach using multineurostimulation method is less rapidly executed as nerve locator guided supraclavicular block with a similar degree of surgical anesthesia and lesser complication rate.Keywords: supraclavicular block, infraclavicular block, nerve stimulation, comparison. Cite This Article: Sarkar, S., Doshi, S.M. 2019. A comparative study between supraclavicular brachial plexus block and Infraclavicular brachial plexus block for upper limb orthopedic surgeries: A prospective, randomized, double-blind study.

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Regional Anesthesia Techniques in Orthopedic Surgery

Cited by 3 publications

References 44 publications

Lumbar-Sacral Plexus Block Anesthesia versus General Anesthesia for Total Hip Arthroplasty: Case Control Study

Lumbar-Sacral Plexus Block Anesthesia versus General Anesthesia for Total Hip Arthroplasty: Case Control Study

Listening Music in Reducing Anxiety for Regional Anesthesia Cases

A comparative study between supraclavicular brachial plexus block and Infraclavicular brachial plexus block for upper limb orthopedic surgeries: A prospective, randomized, double-blind study

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