Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.

Authors : Mesut ULUÖZ, Ümmühan EREN HERDEM

Pages : 98-104

Doi:10.30565/medalanya.1199764

View : 39 | Download : 43

Publication Date : 2023-06-21

Article Type : Research Paper

Abstract :Aim: Ankle peripheral nerve block is applied by two methods. These are peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of Ultrasonography insert ignore into journalissuearticles values(USG);. In our study, we aimed to compare these two methods applied in foot surgeries retrospectively. Methods :Peripheral block patients performed with the USG-guided insert ignore into journalissuearticles values(group 1); were 20, anatomical landmarks- guided insert ignore into journalissuearticles values(group 2); were 20. In both groups, 40 cc of anesthetic mixture was used insert ignore into journalissuearticles values(bupivacaine + lidocaine);. The recorded information of the patients were as follows: Block application time insert ignore into journalissuearticles values(BAT);, surgery readiness time insert ignore into journalissuearticles values(SRT);, duration of surgery insert ignore into journalissuearticles values(DoS);, duration of block anesthesia insert ignore into journalissuearticles values(DBA); and intraoperative-postoperative Visual Analogue Scale insert ignore into journalissuearticles values(VAS);. The results of the VAS applied to the patients postoperatively were obtained. Patients were contacted by phone and asked if they were satisfied with the anesthesia. Results : The BAT and DBA values of the patients in Group 1 were high. SRT and VAS 6 values of the patients in group 2 were high. No significant difference was found between the groups in other parameters. No additional dose of anesthetic was needed in group 1 during the intraoperative period. In group 2, local additional dose was administered to 3 patients. Conclusion: Peripheral block preparation USG-guided takes a long time. However, it is more comfortable during surgery. The USG-guided peripheral nerve block is more advantageous when considering the possibility of prolonging the duration of surgery for any reason and early postoperative pain control after surgery.
Keywords : anastezi, ayak bileği, periferal sinir bloğu, ultrasonografi