A comparison of epidural anesthesia and lumbar plexus-sciatic nerve blocks for knee surgery.

Clinics
Eyup HorasanliBayazit Dikmen

Abstract

The efficacy of combined lumbar plexus-sciatic nerve blocks was compared to epidural anesthesia in patients undergoing total knee surgery. The study included 80 American Society of Anesthesiologists (ASA) Physical Status I-III patients (age range 18 to 65) undergoing knee surgery. The patients were randomly divided into one of two groups. Epidural anesthesia was performed in the epidural anesthesia (EA) group (n=40), and the lumbar plexus and sciatic nerves were blockedin the lumbar plexus-sciatic nerve blocks (LPSB) group (n=40). For each patient, onset of sensory and motor block, degree of motor block, sign of sensory block in the contralateral lower limb for the lumbar plexus-sciatic nerve blocks group, success in providing adequate anesthesia, hemodynamic changes, time of first analgesic request, and patient and surgeon satisfaction with the anesthetic technique were recorded. One patient in the epidural anesthesia group and three patients in the lumbar plexus-sciatic nerve blocks group required general anesthesia due to failed block. There were no significant differences between the two groups regarding the success of providing adequate anesthesia. Eight patients in the lumbar plexus-sciatic nerve blocks group developed co...Continue Reading

Citations

Apr 18, 2014·Indian Journal of Pharmacology·Hanene EljebariAnis Klouz
Feb 19, 2015·British Journal of Anaesthesia·J KesslerM W Hollmann
Jun 18, 2015·Journal of Neurosurgical Anesthesiology·Kavitha JayaramGopinath Ramachandran

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BETA
sedation

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