Popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgery
BackgroundWe compared clinical properties and patient satisfaction between spinal anesthesia and popliteal sciatic nerve block (PSNB) for hallux valgus surgery.MethodsForty patients undergoing hallux valgus surgery were divided into spinal group (spinal anesthesia with 2.5 ml of 0.5% bupivacaine [n...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Korean Society of Anesthesiologists
2013-04-01
|
Series: | Korean Journal of Anesthesiology |
Subjects: | |
Online Access: | http://ekja.org/upload/pdf/kjae-64-321.pdf |
id |
doaj-64b9733f8432465e92fa5c3e0efbe7f6 |
---|---|
record_format |
Article |
spelling |
doaj-64b9733f8432465e92fa5c3e0efbe7f62020-11-25T04:08:39ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632013-04-0164432132610.4097/kjae.2013.64.4.3217549Popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgeryHyun-Jun Jeon0Young-Chul Park1Jong Nam Lee2Jun-Seok Bae3Department of Anesthesiology and Pain Medicine, St. Mary's Medical Center, Busan, Korea.Department of Anesthesiology and Pain Medicine, St. Mary's Medical Center, Busan, Korea.Department of Anesthesiology and Pain Medicine, St. Mary's Medical Center, Busan, Korea.Department of Anesthesiology and Pain Medicine, St. Mary's Medical Center, Busan, Korea.BackgroundWe compared clinical properties and patient satisfaction between spinal anesthesia and popliteal sciatic nerve block (PSNB) for hallux valgus surgery.MethodsForty patients undergoing hallux valgus surgery were divided into spinal group (spinal anesthesia with 2.5 ml of 0.5% bupivacaine [n = 20]) and PSNB group (PSNB with 30 ml of 0.75% ropivacaine mixed with 10 ml of normal saline solution using a nerve stimulator [n = 20]). The PSNB group used a patient-controlled-analgesia (PCA) pump for postoperative pain control. The quality and side effects were compared between the two groups. A questionnaire was used to evaluate patient satisfaction with the use of anesthetic techniques and postoperative pain control in the PSNB group. This study was assessed 3 days postoperatively by a blinded observer.ResultsProcedure time and time from anesthesia until start of sugery were significantly shorter in the spinal group than those in the PSNB group (P < 0.01). Anesthesia-related complications such as hypotension, bradycardia, shivering, nausea/vomitting, post-dural puncture headache (PDPH) and urinary retension were observed in 15%, 10%, 5%, 5%, 10%, and 20% of patients in the spinal group, respectively. PSNB was not associated with these complications. Patient satisfaction was slightly higher for PSNB than for spinal anesthesia. In the PSNB group, patient satisfaction with postoperative pain-control was 95% above ordinary satisfaction.ConclusionsDespite the long duration of the procedure, PSNB is relatively safe, provides an adequate level of anesthesia, effectively controls postoperative pain and reduces side effects. Therefore, PSNB could be a potential anesthetic technique for hallux valgus surgery.http://ekja.org/upload/pdf/kjae-64-321.pdfhallux valgusnerve blockpoplitealsciatic |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyun-Jun Jeon Young-Chul Park Jong Nam Lee Jun-Seok Bae |
spellingShingle |
Hyun-Jun Jeon Young-Chul Park Jong Nam Lee Jun-Seok Bae Popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgery Korean Journal of Anesthesiology hallux valgus nerve block popliteal sciatic |
author_facet |
Hyun-Jun Jeon Young-Chul Park Jong Nam Lee Jun-Seok Bae |
author_sort |
Hyun-Jun Jeon |
title |
Popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgery |
title_short |
Popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgery |
title_full |
Popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgery |
title_fullStr |
Popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgery |
title_full_unstemmed |
Popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgery |
title_sort |
popliteal sciatic nerve block versus spinal anesthesia in hallux valgus surgery |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2013-04-01 |
description |
BackgroundWe compared clinical properties and patient satisfaction between spinal anesthesia and popliteal sciatic nerve block (PSNB) for hallux valgus surgery.MethodsForty patients undergoing hallux valgus surgery were divided into spinal group (spinal anesthesia with 2.5 ml of 0.5% bupivacaine [n = 20]) and PSNB group (PSNB with 30 ml of 0.75% ropivacaine mixed with 10 ml of normal saline solution using a nerve stimulator [n = 20]). The PSNB group used a patient-controlled-analgesia (PCA) pump for postoperative pain control. The quality and side effects were compared between the two groups. A questionnaire was used to evaluate patient satisfaction with the use of anesthetic techniques and postoperative pain control in the PSNB group. This study was assessed 3 days postoperatively by a blinded observer.ResultsProcedure time and time from anesthesia until start of sugery were significantly shorter in the spinal group than those in the PSNB group (P < 0.01). Anesthesia-related complications such as hypotension, bradycardia, shivering, nausea/vomitting, post-dural puncture headache (PDPH) and urinary retension were observed in 15%, 10%, 5%, 5%, 10%, and 20% of patients in the spinal group, respectively. PSNB was not associated with these complications. Patient satisfaction was slightly higher for PSNB than for spinal anesthesia. In the PSNB group, patient satisfaction with postoperative pain-control was 95% above ordinary satisfaction.ConclusionsDespite the long duration of the procedure, PSNB is relatively safe, provides an adequate level of anesthesia, effectively controls postoperative pain and reduces side effects. Therefore, PSNB could be a potential anesthetic technique for hallux valgus surgery. |
topic |
hallux valgus nerve block popliteal sciatic |
url |
http://ekja.org/upload/pdf/kjae-64-321.pdf |
work_keys_str_mv |
AT hyunjunjeon poplitealsciaticnerveblockversusspinalanesthesiainhalluxvalgussurgery AT youngchulpark poplitealsciaticnerveblockversusspinalanesthesiainhalluxvalgussurgery AT jongnamlee poplitealsciaticnerveblockversusspinalanesthesiainhalluxvalgussurgery AT junseokbae poplitealsciaticnerveblockversusspinalanesthesiainhalluxvalgussurgery |
_version_ |
1724424592637820928 |