Combined popliteal and posterior cutaneous nerve of the thigh blocks for short saphenous vein stripping in outpatients: an alternative to spinal anesthesia

Journal of Clinical Anesthesia
J D VlokaD M Thys

Abstract

To compare a combination of peripheral nerve blocks with spinal anesthesia in ambulatory patients undergoing short saphenous vein stripping. Prospective, randomized study. University hospital. 28 ASA physical status l and II ambulatory surgery patients undergoing short saphenous vein stripping. 14 patients received a popliteal block (sciatic nerve block at the popliteal fossa) using 30 ml of alkalinized 3% chloroprocaine and a posterior cutaneous nerve of the thigh block with 10 ml of 1% lidocaine. The 14 patients who were randomized to the spinal anesthesia group received 65 mg of 5% hyperbaric lidocaine. There were no significant differences in age and gender between the two groups (mean age 53 +/- 13 years, 8 men and 20 women). Patients in the peripheral nerve block group recovered significantly faster in phase 1 of the postanesthesia care unit (PACU) (67 +/- 10 min vs. 122 +/- 50 min, p < 0.01) and were discharged home sooner (222 +/- 53 min vs. 294 +/- 69 min, p < 0.01) than the patients in the spinal anesthesia group. The combination of popliteal and posterior cutaneous nerve of the thigh blocks provided adequate anesthesia and a faster recovery profile with a similar subjective acceptance of both anesthetic techniques in...Continue Reading

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Citations

May 26, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·V Chan
Jun 3, 1999·The Surgical Clinics of North America·P W Peng, V W Chan
Feb 4, 2005·Regional Anesthesia and Pain Medicine·F Kayser EnnekingTerese T Horlocker
Mar 15, 2005·Anesthesiology Clinics of North America·Holly EvansStephen M Klein
Jan 29, 2003·Anesthesiology·Alain BorgeatCarlo A Schenker
Oct 14, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Christopher S JohnsonWojciech Pawlina
Jun 23, 2005·International Anesthesiology Clinics·Shruti ShahAdmir Hadzic
Nov 23, 2005·Anesthesia and Analgesia·Stephen M KleinSusan M Steele
Sep 14, 2011·Journal of the European Academy of Dermatology and Venereology : JEADV·J PaoliC Sandberg
Apr 3, 2012·Anesthesia and Analgesia·Paul F WhiteGabriella Bettelli
Oct 17, 2014·Current Opinion in Anaesthesiology·Lucia Aurini, Paul F White
Jan 7, 2000·Anesthesia and Analgesia·F K Enneking, D J Wedel

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