Ultrasound-guided femoral and sciatic nerve blocks combined with sedoanalgesia versus spinal anesthesia in total knee arthroplasty

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dc.authorid0000-0002-1630-2033
dc.authorid0000-0001-9506-4370
dc.authorid0000-0002-0363-9307
dc.authorid0000-0002-9001-2309
dc.authorid0000-0003-4139-5080
dc.contributor.authorAkkaya, Akcan
dc.contributor.authorTekelioğlu, Ümit Yaşar
dc.contributor.authorDemirhan, Abdullah
dc.contributor.authorÖzturan, Kutay Engin
dc.contributor.authorBayır, Hakan
dc.contributor.authorKoçoğlu, Hasan
dc.contributor.authorBilgi, Murat
dc.date.accessioned2021-06-23T18:55:19Z
dc.date.available2021-06-23T18:55:19Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Although regional anesthesia is the first choice for patients undergoing total knee arthroplasty (TKA), it may not be effective and the risk of complications is greater in patients who are obese or who have spinal deformities. We compared the success of ultrasound-guided femoral and sciatic nerve blocks with sedoanalgesia versus spinal anesthesia in unilateral TKA patients in whom spinal anesthesia was difficult.Methods: We enrolled 30 patients; 15 for whom spinal anesthesia was expected to be difficult were classified as the block group, and 15 received spinal anesthesia. Regional anesthesia was achieved with bupivacaine 62.5 mg and prilocaine 250 mg to the sciatic nerve, and bupivacaine 37.5 mg and prilocaine 150 mg to the femoral nerve. Bupivacaine 20 mg was administered to induce spinal anesthesia. Hemodynamic parameters, pain and sedation scores, and surgical and patient satisfaction were compared.Results: A sufficient block could not be obtained in three patients in the block group. The arterial pressure was significantly lower in the spinal group (P < 0.001), and the incidence of nausea was higher (P = 0.017) in this group. Saturation and patient satisfaction were lower in the block group (P < 0.028), while the numerical pain score (P < 0.046) and the Ramsay sedation score were higher (P = 0.007).Conclusions: Ultrasound-guided sciatic and femoral nerve blocks combined with sedoanalgesia were an alternative anesthesia method in selected TKA patients.en_US
dc.identifier.doi10.4097/kjae.2014.67.2.90
dc.identifier.endpage95en_US
dc.identifier.issn2005-6419
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-84907159424en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage90en_US
dc.identifier.urihttps://doi.org/10.4097/kjae.2014.67.2.90
dc.identifier.urihttps://hdl.handle.net/20.500.12491/4741
dc.identifier.volume67en_US
dc.identifier.wosWOS:000421096400004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorAkkaya, Akcan
dc.institutionauthorTekelioğlu, Ümit Yaşar
dc.institutionauthorDemirhan, Abdullah
dc.institutionauthorÖzturan, Kutay Engin
dc.institutionauthorBayır, Hakan
dc.institutionauthorKoçoğlu, Hasan
dc.institutionauthorBilgi, Murat
dc.language.isoenen_US
dc.publisherKorean Society of Anesthesiologistsen_US
dc.relation.ispartofKorean Journal of Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectArthroplastyen_US
dc.subjectFemoral Nerveen_US
dc.subjectKneeen_US
dc.subjectNerve Blocken_US
dc.subjectSciatic Nerveen_US
dc.subjectUltrasonographyen_US
dc.titleUltrasound-guided femoral and sciatic nerve blocks combined with sedoanalgesia versus spinal anesthesia in total knee arthroplastyen_US
dc.typeArticleen_US

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