• Users Online: 127
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2020  |  Volume : 4  |  Issue : 2  |  Page : 118-122

Comparison between ultrasound-guided sciatic–femoral nerve block and unilateral spinal anesthesia in below-knee amputation surgery


1 Department of Anesthesiology and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2 Department of Surgery, Faculty of Medicine, Al Azhar University, Cairo, Egypt

Correspondence Address:
MD Ayman Esmail Hussien
Cairo
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjamf.sjamf_6_20

Get Permissions

Objectives To compare unilateral spinal anesthesia and ultrasound-guided combined sciatic–femoral nerve block (SFB) regarding hemodynamic stability, quality of nerve block, bladder function, and time-to-readiness for discharge (TRD) in below-knee amputation surgery. Patients and methods A total of 80 patients who underwent knee amputation surgery (40 per group) were enrolled in the study. They were randomly assigned to one of two groups. Group A received 2 ml (10 mg) of 0.5% levobupivacaine, and group B (SFB) received 25 ml contains 10 ml of 2.0% lidocaine, 10 ml of 0.5% levobupivacaine, and 5 ml of saline (15 ml of femoral and 10 ml of sciatic nerve block). Surgical anesthesia time, time of operation, total time of anesthesia, time-to-first spontaneous urination, time-to-first analgesia, TRD, and patient satisfaction were recorded. Results Onset of sensory and motor blocks was significantly shorter in group A compared with group B, whereas the recovery time for sensory and motor blocks was longer in group B compared with group A. In the group A, time-to-first analgesia was significantly shorter than the SFB group B; time-to-first spontaneous urination and TRD in the group A were significantly longer than the SFB group B. Pain score was highly significant lower in group B compared with group A after surgery. Conclusion SFB provided sufficient sensory blockage, duration, patient satisfaction, and postoperative analgesia than the unilateral spinal anesthesia.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed441    
    Printed31    
    Emailed0    
    PDF Downloaded61    
    Comments [Add]    

Recommend this journal