Academic Journal

USG versus PNS guided combined femoral and sciatic nerve block for lower limb surgery.

التفاصيل البيبلوغرافية
العنوان: USG versus PNS guided combined femoral and sciatic nerve block for lower limb surgery.
المؤلفون: Meena, Pooja, Manisha, Meena, Jitendra Kumar
المصدر: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2024, Vol. 15 Issue 12, p626-634, 9p
مصطلحات موضوعية: SCIATIC nerve, FEMORAL nerve, ORTHOPEDIC surgery, PERIPHERAL nervous system, CONDUCTION anesthesia, NERVE block
مستخلص: Introduction-Combined femoral nerve block (FNB) and sciatic nerve block (SNB) is a popular method for reducing postoperative pain following orthopaedic surgery on the lower limbs because it effectively reduces pain. Avoiding the negative effects of central neuraxial blockage, FNB delivered via the landmark approach, peripheral nerve stimulation (PNS), or ultrasound (USG) produces efficient analgesia. The application of nerve blocks in clinical practice has been transformed by USG-guided blocks. In this study, the effectiveness of peripheral nerve stimulator (PNS)-guided and ultrasonography (USG) guided combined femoral nerve block and sciatic nerve block in knee arthroscopic operations is compared. Material and method- after ethical approval, the study was carried out on 80 patients, with 40 in each group i.e. group P and group U. Individuals aged between 21-65 years, who were brought to the hospital for elective lower limb operations not extending more than 2 hours, limb surgeries below Knee or at knee level with American Society of Anesthesiologists Physical Status (ASA PS) I, II, and III were included in the study. Statistical analysis: data collected were tabulated and analysed by SPSS software version 20.0. Result- Mean age of the patients in group P was 38.56±7.56 years while it was 40.32±7.75 years in group U. The number of needle repositioning was found to be significantly less in group. Similarly onset times of sensory and motor block in USG guided patients (10.67±1.32 and 14.56±1.05 minutes respectively) were significantly lower than the PNS guided patients (16.68±1.35 and 21.02±1.21 minutes respectively). In the current study the group U had lower incidence of complications as compared to group P. The postoperative VAS at 6 hours did not differ substantially between the two groups, however at 12 and 24 hours, the group U VAS was considerably lower than the group P. Conclusion- When it came to femoral and sciatic nerve localisation, the ultrasound-guided lower limb block outperformed the nerve stimulator-guided method in terms of performance time, precise needle insertion, failure rate, and occurrence of complications. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research) is the property of Journal of Cardiovascular Disease Research and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index