Investigation of wound healing, mortality and infection parameters in upper extremity surgery with peripheral nerve block applications
Abstract
Aim: In this retrospective study, it was aimed to compare wound healing, infection parameters and survival outcomes in patients undergoing upper extremity procedures under Peripheral Nerve Block versus General Anesthesia.
Methods: A total of 5666 patients who underwent upper extremity surgery between 2014 and 2024 at İstanbul Gaziosmanpaşa Training and Research Hospital and included patients were subjected to the study. Patients were grouped according to anesthesia type as Peripheral Nerve Block (n=1259) and general anesthesia (n=4407). Age, gender, comorbidities, operation duration and hospitalization duration, sedimentation, procalcitonin, urine culture, CRP, wound site culture, blood culture and mortality at 6th month parameters of patients were analyzed.
Results: Mean age, female sex, chronic renal failure, Chronic Obstructive Pulmonary Disease, diabetes mellitus and hypertension frequencies were significantly higher in the general anesthesia group (p<0.05). Operation group, ASA score, Hyperlipidemia, epilepsy, asthma, heart failure, Cerebrovascular event, operation duration, and hospitalization duration parameter differences between anesthesia groups were statistically insignificant (p>0.05). Procalcitonin level was significantly higher in general anesthesia group (p<0.05). Sedimentation, urine culture, CRP, wound site culture, blood culture and mortality at 6th month parameter differences between patient groups were statistically insignificant (p>0.05). Correlation between anesthesia type and sedimentation, procalcitonin, urine culture, CRP, blood culture and mortality at 6th month were statistically insignificant (p>0.05). Chronic renal failure (OR=0.331; p<0.01) had significant effect on mortality. Effects of all other demographic and comorbidities with anesthesia type were statistically insignificant (p>0.05)
Conclusion: In patients undergoing upper extremity procedures, wound healing, infection parameters and survival outcomes were similar for both general and peripheral nerve block anesthesia procedures.
Keywords
General anesthesia, nerve block, peripheral nerves, wound healing
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