Total Diz Artroplasti Operasyonlarında Kombine Spinal Epidural Anestezi ile Ultrason Eşliğinde Femoral Sinir Blokajı Karşılaştırılması

Öz

Amaç: Çalışmada, total diz artroplastisi TDA cerrahisi uygulanan hastalarda kombine spinal epidural anestezi KSEA ile ultrasonografi eşliğinde femoral sinir blokajı FSB uygulamasının postoperatif erken dönem 48 saat ağrı skorları ve komplikasyonlarının karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Retrospektif çalışmaya, Mayıs 2016-Mayıs 2017 tarihleri arasındaki elektif tek taraflı total diz artroplasti için KSEA Grup KSEA ile FSB Grup FSB uygulanan 302 hasta dahil edildi. Hastaların postoperatif dinlenme ve harekette görsel analog skala VAS ile ağrı skorları 30.dk, 2, 6, 12, 24 ve 48. saat hasta kontrollü analjezi HKA cihazı ile tüketilen toplam morfin miktarı ve komplikasyonlar 48. saatte değerlendirildi. Bulgular: Hastaların demografik özellikleri benzer bulundu p>0.05 . Her iki grubun zamana göre dinlenme ve hareket halindeki VAS skorları arasında anlamlı fark görülmedi p>0.05 . Gruplar arasında komplikasyonlar da ise anlamlı fark bulundu p

Anahtar Kelimeler

• Total diz artroplasti, Femoral sinir bloğu, Ultrasonografi, Kombine spinal epidural anestezi, Görsel analog skala

Comparison of Ultrasound-Guided Femoral Nerve Block with Combined Spinal Epidural Anesthesia in Total Knee Arthroplasty

Abstract

Objective: The objective of this study was to compare postoperative early 48 hours visual analogue scale VAS scores following combined spinal epidural anesthesia CSEA and ultrasound-guided femoral nerve block FNB in patients undergoing total knee arthroplasty TKA .Material and Methods: This retrospective study included 302 patients who underwent CSEA Group CSEA and FNB Group FNB for elective unilateral total knee arthroplasty between May 2016 and May 2017. Postoperative Visual analogue scale VAS scores at rest and during activity 30th min, 2, 6, 12, 24 and 48th hours , the total amount of morphine consumed 48th hour by the patient controlled analgesia PCA device, and the complications were evaluated.Results: The demographic characteristics of the patients were similar p>0.05 . There was no statistically significant difference between the two groups in terms of resting and active VAS scores according to timepoints p>0.05 . However, there was a significant difference in complications hypotension, nausea and vomiting, neurological damage, respiratory depression, pruritus between the two groups p

Keywords

• Total knee arthroplasty, Femoral nerve block, Ultrasound, Combined spinal epidural anesthesia, Visual analogue scale

Kaynakça

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