Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy

"Study Objective: To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. Design: Prospective, randomized, controlled study. Setting: Postoperative recovery area at a university-affiliated medical center. Patients: 50 ASA physical status I and II a...

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Autores Principales: "Montes, Felix R., Zarate, Eduardo, Grueso, Reinaldo, Giraldo, Juan C., Venegas, Maria P., Gomez, Andrea, Rincón, Jose D., Hernadez, Marcela, Cabrera, Mariana"
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: 2008
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/22296
https://doi.org/10.1016/j.jclinane.2008.04.003
id ir-10336-22296
recordtype dspace
spelling ir-10336-222962020-06-03T22:15:02Z Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy "Montes, Felix R. Zarate, Eduardo Grueso, Reinaldo Giraldo, Juan C. Venegas, Maria P. Gomez, Andrea Rincón, Jose D. Hernadez, Marcela Cabrera, Mariana" "Bupivacaine Fentanyl Ibuprofen Lidocaine Midazolam Morphine sulfate Paracetamol Adult Aged Anesthesia induction Article Clinical trial Combination chemotherapy Comparative study Controlled clinical trial Controlled study Convalescence Drug mixture Female Femoral nerve Headache Human Intermethod comparison Knee arthroscopy Low drug dose Major clinical study Male Monotherapy Nerve block Operating room Operation duration Outpatient Patient satisfaction Postoperative analgesia Postoperative pain Priority journal Prospective study Randomized controlled trial Sciatic nerve Spinal anesthesia Vomiting Ambulatory surgical procedures Anesthesia, spinal Arthroscopy Female Femoral nerve Humans Knee joint Male Middle aged Nerve block Pain, postoperative Prospective studies Sciatic nerve Time factors Treatment outcome Ambulatory anesthesia Knee arthroscopy, outpatient Peripheral nerve blocks Spinal anesthesia" "Study Objective: To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. Design: Prospective, randomized, controlled study. Setting: Postoperative recovery area at a university-affiliated medical center. Patients: 50 ASA physical status I and II adult outpatients undergoing arthroscopic knee surgery. Interventions: Study subjects were equally divided (n = 25 each) into spinal and sciatic-femoral groups. Spinal group patients received spinal anesthesia with 7.5 mg of 0.5% hyperbaric bupivacaine. Sciatic-femoral group patients received combined sciatic-femoral nerve blocks using a mixture of 20 mL of lidocaine 2% plus 20 mL of bupivacaine 0.5%. Measurements: Times including that from arrival in the operating room to readiness for surgery, duration of surgery, recovery time, and patient satisfaction were recorded. Analgesia and occurrence of adverse events also were recorded. Main Results: No significant differences between the two groups were found for any of the study measurements of recovery. After discharge, postoperative pain differed significantly between groups only at 6 hours (P less than 0.002). Patient satisfaction was high with both techniques. Conclusions: Combined sciatic-femoral nerve block for outpatient arthroscopic knee surgery offers satisfactory anesthesia, with a clinical profile similar to that of low-dose spinal anesthesia. Sciatic-femoral nerve blocks are associated with significantly lower pain scores during the first 6 postoperative hours. © 2008 Elsevier Inc. All rights reserved." 2008 2020-05-25T23:56:01Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 9528180 https://repository.urosario.edu.co/handle/10336/22296 https://doi.org/10.1016/j.jclinane.2008.04.003 eng info:eu-repo/semantics/openAccess application/pdf instname:Universidad del Rosario reponame:Repositorio Institucional EdocUR
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
topic "Bupivacaine
Fentanyl
Ibuprofen
Lidocaine
Midazolam
Morphine sulfate
Paracetamol
Adult
Aged
Anesthesia induction
Article
Clinical trial
Combination chemotherapy
Comparative study
Controlled clinical trial
Controlled study
Convalescence
Drug mixture
Female
Femoral nerve
Headache
Human
Intermethod comparison
Knee arthroscopy
Low drug dose
Major clinical study
Male
Monotherapy
Nerve block
Operating room
Operation duration
Outpatient
Patient satisfaction
Postoperative analgesia
Postoperative pain
Priority journal
Prospective study
Randomized controlled trial
Sciatic nerve
Spinal anesthesia
Vomiting
Ambulatory surgical procedures
Anesthesia, spinal
Arthroscopy
Female
Femoral nerve
Humans
Knee joint
Male
Middle aged
Nerve block
Pain, postoperative
Prospective studies
Sciatic nerve
Time factors
Treatment outcome
Ambulatory anesthesia
Knee arthroscopy, outpatient
Peripheral nerve blocks
Spinal anesthesia"
spellingShingle "Bupivacaine
Fentanyl
Ibuprofen
Lidocaine
Midazolam
Morphine sulfate
Paracetamol
Adult
Aged
Anesthesia induction
Article
Clinical trial
Combination chemotherapy
Comparative study
Controlled clinical trial
Controlled study
Convalescence
Drug mixture
Female
Femoral nerve
Headache
Human
Intermethod comparison
Knee arthroscopy
Low drug dose
Major clinical study
Male
Monotherapy
Nerve block
Operating room
Operation duration
Outpatient
Patient satisfaction
Postoperative analgesia
Postoperative pain
Priority journal
Prospective study
Randomized controlled trial
Sciatic nerve
Spinal anesthesia
Vomiting
Ambulatory surgical procedures
Anesthesia, spinal
Arthroscopy
Female
Femoral nerve
Humans
Knee joint
Male
Middle aged
Nerve block
Pain, postoperative
Prospective studies
Sciatic nerve
Time factors
Treatment outcome
Ambulatory anesthesia
Knee arthroscopy, outpatient
Peripheral nerve blocks
Spinal anesthesia"
"Montes, Felix R.
Zarate, Eduardo
Grueso, Reinaldo
Giraldo, Juan C.
Venegas, Maria P.
Gomez, Andrea
Rincón, Jose D.
Hernadez, Marcela
Cabrera, Mariana"
Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy
description "Study Objective: To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. Design: Prospective, randomized, controlled study. Setting: Postoperative recovery area at a university-affiliated medical center. Patients: 50 ASA physical status I and II adult outpatients undergoing arthroscopic knee surgery. Interventions: Study subjects were equally divided (n = 25 each) into spinal and sciatic-femoral groups. Spinal group patients received spinal anesthesia with 7.5 mg of 0.5% hyperbaric bupivacaine. Sciatic-femoral group patients received combined sciatic-femoral nerve blocks using a mixture of 20 mL of lidocaine 2% plus 20 mL of bupivacaine 0.5%. Measurements: Times including that from arrival in the operating room to readiness for surgery, duration of surgery, recovery time, and patient satisfaction were recorded. Analgesia and occurrence of adverse events also were recorded. Main Results: No significant differences between the two groups were found for any of the study measurements of recovery. After discharge, postoperative pain differed significantly between groups only at 6 hours (P less than 0.002). Patient satisfaction was high with both techniques. Conclusions: Combined sciatic-femoral nerve block for outpatient arthroscopic knee surgery offers satisfactory anesthesia, with a clinical profile similar to that of low-dose spinal anesthesia. Sciatic-femoral nerve blocks are associated with significantly lower pain scores during the first 6 postoperative hours. © 2008 Elsevier Inc. All rights reserved."
format Artículo (Article)
author "Montes, Felix R.
Zarate, Eduardo
Grueso, Reinaldo
Giraldo, Juan C.
Venegas, Maria P.
Gomez, Andrea
Rincón, Jose D.
Hernadez, Marcela
Cabrera, Mariana"
author_facet "Montes, Felix R.
Zarate, Eduardo
Grueso, Reinaldo
Giraldo, Juan C.
Venegas, Maria P.
Gomez, Andrea
Rincón, Jose D.
Hernadez, Marcela
Cabrera, Mariana"
author_sort "Montes, Felix R.
title Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy
title_short Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy
title_full Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy
title_fullStr Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy
title_full_unstemmed Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy
title_sort comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy
publishDate 2008
url https://repository.urosario.edu.co/handle/10336/22296
https://doi.org/10.1016/j.jclinane.2008.04.003
_version_ 1669098371964469248
score 11,388254