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Artroskopik Diz Cerrahisi için Anestezi Kalitesinin Karşılaştırılması: Kombine Siyatik Femoral Blok ve Tek Taraflı Spinal Anestezi

Year 2015, Volume: 16 Issue: 2, 59 - 66, 01.08.2015

Abstract

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References

  • 1. Cappelleri G, Aldegheri G, Danelli G, Marchetti C, Nuzzi M, Iannandrea G, et al. Spinal anesthesia with hyperbaric levobupivacaine and ropivacaine for outpatient knee arthroscopy: a prospective, randomized, double-blind study. Anesth Analg 2005; 101: 77-82.
  • 2. Swiniarski D, Fabi J, Kubiak G. Comparison of cost-effectiveness in knee arthroscopy performed under local, general intravenous and spinal anesthesia. Chir Narzadow Ruchu Ortop Pol 2005; 70: 211-5.
  • 3. Korhonen AM, Valanne JV, Jokela RM, Ravaska P, Korttila KT. A comparison of selective spinal anesthesia with hyperbaric bupivacaine and general anesthesia with desflurane for outpatient knee arthroscopy. Anesth Analg 2004; 99: 1668-73.
  • 4. Meyhoff CS, Haarmark C, Kanters JK, Rasmussen LS. Is it possible to predict hypotension during onset of spinal anesthesia in elderly patients? J Clin Anesth 2009; 21: 23-9.
  • 5. Salinas FV, Joseph RS. Peripheral nerve blocks for ambulatory surgery. Anesthesiol Clin 2014; 32: 341-55.
  • 6. Esmaoglu A, Karaoglu S, Mızrak A, Boyaci A. Bilateral vs. unilateral spinal anesthesia for outpatient knee artroscopies. Knee Surg Sports Traumatol Artrosc 2004; 12: 155-8.
  • 7. Fanelli G, Casati A, Aldegheri G, Beccaria P, Berti M, Leoni A, et al. Cardiovascular effects of two different regional anaesthetic techniques for unilateral leg surgery. Acta Anaesthesiol Scand. 1998; 42: 80-4.
  • 8. Moosavi Tekye SM, Alipour M. Comparison of the effects and complications of unilateral spinal anesthesia versus standard spinal anesthesia in lower-limb orthopedic surgery. Braz J Anesthesiol 2014; 64: 173-6.
  • 9. Spasiano A, Flore I, Pesamosca A, Della Rocca G. Comparison between spinal anaesthesia and sciatic-femoral block for arthroscopic knee surgery. Minerva Anestesiol 2007; 73: 13-21.
  • 10. Sell A, Olkkola KT, Jalonen J, Aantaa R. Minumum effective local anaesthetic dose of isobaric levobupivacaine and ropivacaine administered via a spinal catheter for hip replacement surgery. Br J Anaesth 2005; 94: 239-42.
  • 11. Parpaglioni R, Frigo MG, Lemma A, Sebastiani M, Barbati G, Celleno D. Minimum local anaesthetic dose (MLAD) of intrathecal levobupivacaine and ropivacaine for Caesarean section. Anaesthesia 2006; 61: 110-5.
  • 12. Urbanek B, Duma A, Kimberger O, Huber G, Marhofer P, Zimpfer M, et al. Onset time, quality of blocade and duration of three-inone blocks with levobupivacaine and bupivacaine. Anesth Analg 2003; 97: 888-92.
  • 13. Casati A, Chelly JE, Cerchierini E, Santorsola R, Nobili F, Grispigni C, et al. Clinical properties of levobupivacaine or racemic bupivacaine for sciatic nerve block. J Clin Anesth 2002; 14: 111-4.
  • 14. Casati A, Borghi B, Fanelli G, Cerchierini E, Santorsola R, Sassoli V, et al. A double-blinded, randomized comparison of either 0.5% levobupivacaine or 0.5% ropivacaine for sciatic nerve block. Anesth Analg 2002; 94: 987-90.
  • 15. Casati A, Vinciguerra F, Santorsola R, Aldegheri G, Putzu M, Fanelli G. Sciatic nerve block with 0.5% levobupivacaine, 0.75% levobupivacaine or 0.75% ropivacaine: a double-blind, randomized comparison. Eur J Anaesthesiol 2005; 22: 452-6.
  • 16. Kuusniemi KS, Pihlajamaki KK, Pitkanen MT. A low dose of plain or hyperbaric bupivacaine for unilateral spinal anesthesia. Reg Anesth Pain Med 2000; 25: 605-10.
  • 17. Breebaart MB, Vercauteren MP, Hoffmann VL, Adriaensen HA. Urinary bladder scanning after day-case arthroscopy under spinal anaesthesia: comparison between lidocaine, ropivacaine, and levobupivacaine. Br J Anaesth 2003; 90: 309-13.
  • 18. Casati A, Putzu M. Bupivacaine, levobupivacaine and ropivacaine: are they clinically different? Best Pract Res Clin Anaesthesiol 2005; 19: 247-68.
  • 19. Casati A, Cappelleri G, Berti M, Fanelli G, Di Benedetto P, Torri G. Randomized comparison of remifentanil-propofol with a sciatic-femoral nerve block for out-patient knee arthroscopy. Eur J Anaesthesiol 2002; 19: 109-14.
  • 20. Montes F, Zarate E, Grueso R, Giraldo JC, Venegas MP, Gomez A, et al. Comparison of spinal anesthesia with combined sciaticfemoral nerve block for outpatient knee arthroscopy. J of Clin Anesth 2008; 20: 415-20.
  • 21. Kiran S, Upma B. Use of small-dose bupivacaine (3 mg vs 4 mg) for unilateral spinal anesthesia in the outpatient setting. Anesth Analg 2004; 99: 302-3.
  • 22. Casati A, Cappelleri G, Fanelli G, Borghi B, Anelati D, Berti M, et al. Regional anaesthesia for outpatient knee arthroscopy: a randomized clinical comparison of two different anaesthetic techniques. Acta Anaesthesiol Scand 2000; 44: 543-7.
  • 23. Fanelli G, Casati A, Garancini P, Torri G. Nerve stimulator and multiple injection technique for upper and lower limb blockade: failure rate, patient acceptance, and neurologic complications. Study Group on Regional Anesthesia. Anesth Analg 1999; 88: 847-52.
  • 24. Jankowski CJ, Hebl JR, Stuart MJ, Rock MG, Pagnano MW, Beighley CM, et al. A comparison of psoas compartment block and spinal and general anesthesia for outpatient knee arthroscopy. Anesth Analg 2003; 97: 1003-9.
  • 25. Korhonen AM, Valanne JV, Jokela RM, Ravaska P, Korttila KT. A comparison of selective spinal anesthesia with hyperbaric bupivacaine and general anesthesia with desflurane for outpatient knee arthroscopy. Anesth Analg 2004; 99: 1668-73.
  • 26. Enneking FK, Chan V, Greger J, Hadzic A, Lang Scott A, Horlocker TT. Lower extremity peripheral nerve blockade: essentials of our current understanding. Reg Anesth Pain Med 2005; 30: 4-35.

Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia

Year 2015, Volume: 16 Issue: 2, 59 - 66, 01.08.2015

Abstract

Objective: We aimed to evaluate the quality of anesthesia of combined sciatic and
femoral 3-in-1 nerve blocks (CSFB) and unilateral spinal anesthesia technique with
low-dose levobupivacaine in outpatients undergoing knee arthroscopy surgery.
Materials and Methods: Forty American Society of Anesthesiologists (ASA)
physical status I-II patients were randomly allocated into two groups and unilateral
spinal anesthesia with low-dose levobupivacaine (group S, n=20) or CSFB (group B,
n=20) was performed. Besides the quality of anesthesia, anesthetic effectiveness,
hemodynamic values, duration of the technique application, maximum motor and
sensorial block levels and durations, the first analgesics need, and total analgesic
consumptions during postoperative 24 hours and determined complications were
compared between the two groups.
Results: The quality of anesthesia was better in group S, no patient received either
sedation or analgesic intraoperatively while first analgesic need and number of
patient was higher (p=0.014, p<0.001, p=0.032 respectively). The duration of
technical application was shorter while maximum motor and sensorial block levels
were higher in group S (p<0.0001, p=0.008, p<0.001 respectively). Motor block
duration was significantly longer in group B (p<0.0001).
Conclusion: We concluded that CSFB practice is an effective anesthetic alternative
for unilateral spinal anesthesia.

References

  • 1. Cappelleri G, Aldegheri G, Danelli G, Marchetti C, Nuzzi M, Iannandrea G, et al. Spinal anesthesia with hyperbaric levobupivacaine and ropivacaine for outpatient knee arthroscopy: a prospective, randomized, double-blind study. Anesth Analg 2005; 101: 77-82.
  • 2. Swiniarski D, Fabi J, Kubiak G. Comparison of cost-effectiveness in knee arthroscopy performed under local, general intravenous and spinal anesthesia. Chir Narzadow Ruchu Ortop Pol 2005; 70: 211-5.
  • 3. Korhonen AM, Valanne JV, Jokela RM, Ravaska P, Korttila KT. A comparison of selective spinal anesthesia with hyperbaric bupivacaine and general anesthesia with desflurane for outpatient knee arthroscopy. Anesth Analg 2004; 99: 1668-73.
  • 4. Meyhoff CS, Haarmark C, Kanters JK, Rasmussen LS. Is it possible to predict hypotension during onset of spinal anesthesia in elderly patients? J Clin Anesth 2009; 21: 23-9.
  • 5. Salinas FV, Joseph RS. Peripheral nerve blocks for ambulatory surgery. Anesthesiol Clin 2014; 32: 341-55.
  • 6. Esmaoglu A, Karaoglu S, Mızrak A, Boyaci A. Bilateral vs. unilateral spinal anesthesia for outpatient knee artroscopies. Knee Surg Sports Traumatol Artrosc 2004; 12: 155-8.
  • 7. Fanelli G, Casati A, Aldegheri G, Beccaria P, Berti M, Leoni A, et al. Cardiovascular effects of two different regional anaesthetic techniques for unilateral leg surgery. Acta Anaesthesiol Scand. 1998; 42: 80-4.
  • 8. Moosavi Tekye SM, Alipour M. Comparison of the effects and complications of unilateral spinal anesthesia versus standard spinal anesthesia in lower-limb orthopedic surgery. Braz J Anesthesiol 2014; 64: 173-6.
  • 9. Spasiano A, Flore I, Pesamosca A, Della Rocca G. Comparison between spinal anaesthesia and sciatic-femoral block for arthroscopic knee surgery. Minerva Anestesiol 2007; 73: 13-21.
  • 10. Sell A, Olkkola KT, Jalonen J, Aantaa R. Minumum effective local anaesthetic dose of isobaric levobupivacaine and ropivacaine administered via a spinal catheter for hip replacement surgery. Br J Anaesth 2005; 94: 239-42.
  • 11. Parpaglioni R, Frigo MG, Lemma A, Sebastiani M, Barbati G, Celleno D. Minimum local anaesthetic dose (MLAD) of intrathecal levobupivacaine and ropivacaine for Caesarean section. Anaesthesia 2006; 61: 110-5.
  • 12. Urbanek B, Duma A, Kimberger O, Huber G, Marhofer P, Zimpfer M, et al. Onset time, quality of blocade and duration of three-inone blocks with levobupivacaine and bupivacaine. Anesth Analg 2003; 97: 888-92.
  • 13. Casati A, Chelly JE, Cerchierini E, Santorsola R, Nobili F, Grispigni C, et al. Clinical properties of levobupivacaine or racemic bupivacaine for sciatic nerve block. J Clin Anesth 2002; 14: 111-4.
  • 14. Casati A, Borghi B, Fanelli G, Cerchierini E, Santorsola R, Sassoli V, et al. A double-blinded, randomized comparison of either 0.5% levobupivacaine or 0.5% ropivacaine for sciatic nerve block. Anesth Analg 2002; 94: 987-90.
  • 15. Casati A, Vinciguerra F, Santorsola R, Aldegheri G, Putzu M, Fanelli G. Sciatic nerve block with 0.5% levobupivacaine, 0.75% levobupivacaine or 0.75% ropivacaine: a double-blind, randomized comparison. Eur J Anaesthesiol 2005; 22: 452-6.
  • 16. Kuusniemi KS, Pihlajamaki KK, Pitkanen MT. A low dose of plain or hyperbaric bupivacaine for unilateral spinal anesthesia. Reg Anesth Pain Med 2000; 25: 605-10.
  • 17. Breebaart MB, Vercauteren MP, Hoffmann VL, Adriaensen HA. Urinary bladder scanning after day-case arthroscopy under spinal anaesthesia: comparison between lidocaine, ropivacaine, and levobupivacaine. Br J Anaesth 2003; 90: 309-13.
  • 18. Casati A, Putzu M. Bupivacaine, levobupivacaine and ropivacaine: are they clinically different? Best Pract Res Clin Anaesthesiol 2005; 19: 247-68.
  • 19. Casati A, Cappelleri G, Berti M, Fanelli G, Di Benedetto P, Torri G. Randomized comparison of remifentanil-propofol with a sciatic-femoral nerve block for out-patient knee arthroscopy. Eur J Anaesthesiol 2002; 19: 109-14.
  • 20. Montes F, Zarate E, Grueso R, Giraldo JC, Venegas MP, Gomez A, et al. Comparison of spinal anesthesia with combined sciaticfemoral nerve block for outpatient knee arthroscopy. J of Clin Anesth 2008; 20: 415-20.
  • 21. Kiran S, Upma B. Use of small-dose bupivacaine (3 mg vs 4 mg) for unilateral spinal anesthesia in the outpatient setting. Anesth Analg 2004; 99: 302-3.
  • 22. Casati A, Cappelleri G, Fanelli G, Borghi B, Anelati D, Berti M, et al. Regional anaesthesia for outpatient knee arthroscopy: a randomized clinical comparison of two different anaesthetic techniques. Acta Anaesthesiol Scand 2000; 44: 543-7.
  • 23. Fanelli G, Casati A, Garancini P, Torri G. Nerve stimulator and multiple injection technique for upper and lower limb blockade: failure rate, patient acceptance, and neurologic complications. Study Group on Regional Anesthesia. Anesth Analg 1999; 88: 847-52.
  • 24. Jankowski CJ, Hebl JR, Stuart MJ, Rock MG, Pagnano MW, Beighley CM, et al. A comparison of psoas compartment block and spinal and general anesthesia for outpatient knee arthroscopy. Anesth Analg 2003; 97: 1003-9.
  • 25. Korhonen AM, Valanne JV, Jokela RM, Ravaska P, Korttila KT. A comparison of selective spinal anesthesia with hyperbaric bupivacaine and general anesthesia with desflurane for outpatient knee arthroscopy. Anesth Analg 2004; 99: 1668-73.
  • 26. Enneking FK, Chan V, Greger J, Hadzic A, Lang Scott A, Horlocker TT. Lower extremity peripheral nerve blockade: essentials of our current understanding. Reg Anesth Pain Med 2005; 30: 4-35.
There are 26 citations in total.

Details

Other ID JA85YZ54CK
Journal Section Research Article
Authors

Sinem Sarı This is me

Füsun Eroğlu This is me

Pierfrancesco Fusco This is me

Tolga Atay This is me

Berit Gökçe Ceylan This is me

Publication Date August 1, 2015
Published in Issue Year 2015 Volume: 16 Issue: 2

Cite

EndNote Sarı S, Eroğlu F, Fusco P, Atay T, Ceylan BG (August 1, 2015) Comparison of Anesthesia Quality for Arthroscopic Knee Surgery: Combined Sciatic Femoral Block and Unilateral Spinal Anesthesia. Meandros Medical And Dental Journal 16 2 59–66.