@article{article_1625382, title={EFFECTS OF INTRAVENOUS REGIONAL ANESTHESIA AND AXILLARY NERVE BLOCK METHODS ON PATIENT SATISFACTION AND SURGICAL COMFORT IN HAND SURGERY:}, journal={Bozok Tıp Dergisi}, volume={15}, pages={263–269}, year={2025}, author={Kaçmaz, Mustafa and Sarı, Ahmet Sinan}, keywords={aksiller blok, el cerrahisi, intravenöz anestezi}, abstract={Aims: Regional anesthesia methods used in hand surgery have become popular due to their rapid discharge time, high patient satisfaction and low costs compared to general anesthesia. Today, many regional techniques are traditionally used for hand surgery. Two of these are defined as intravenous regional anesthesia (RIVA) and axillary brachial plexus block (AB). The aim of our study was to compare these two methods in terms of patient satisfaction and factors affecting surgical comfort.
Material Methods: A total of 80 patients between the ages of 18 and 75 who were in the American Society of Anesthesia (ASA) physical status of I-III were retrospectively included in this randomized study. In both groups, a comparison was made in terms of procedure time, waiting time, surgery time, sensory and motor block end time, sedation requirement, analgesic requirement, discharge time, and patient satisfaction level after discharge, starting from the procedure.
Results:
Procedure time was longer in the RIVA group than in the axillary block group (p<0.05). The time from the procedure until the start of surgery was longer in the axillary block group (p<0.05). Sensorial and motor block completion times were longer in the axillary block group (p<0.05). Postoperative analgesic requirement was less in the axillary block group (p<0.05). No difference was found between the two groups in terms of patient satisfaction.
Conclusion
Although axillary nerve block provided lower postoperative analgesic requirement and longer motor block duration compared to RIVA, there was a longer waiting time for patients after the procedure. Axillary nerve block may be preferred to RIVA by anesthesiologists experienced in hand and wrist surgery.}, number={3}, publisher={Yozgat Bozok Üniversitesi}