Objective: The aim of this study is to investigate the efficacy of peripheral nerve blocks applied to do patients for postoperative analgesia in lower extremity surgery.
Material and Methods: This retrospective and observational study is prepared by screening the record of patients in our hospital who had unilateral lower extremity surgery and had peripheral nerve block application for postoperative analgesia between January 2015 and September 2018. Patients who are in the age group of 18-80 and in the ASA I-III risk group with complete regional anesthesia and pain follow-up forms are included in the study. The patients were retrospectively evaluated in terms of the type of surgery, termination of sensory and motor block, time of return of pain sensation and postoperative hemodynamics.
Results: A total of 58 patients, meeting the criteria were evaluated. In 33 patients, combined femoral and sciatic nerve block and in 25 patients, combined adductor canal and sciatic nerve block were applied. In the patients who had combined femoral and sciatic nerve block application, open reduction internal fixation (ORIF) was the most common surgical operation with 30, 3%. Again, in the patients having this application, the average of sensation of pain, the return time of sensory and motor block was 8.88, 10.73 and 5.91 hours respectively. In the patients who had combined adductor canal and sciatic nerve block application, 50% of the patients had closed reduction internal fixation (CRIF) surgery and the average of the pain sensation and the return time of the sensory and motor block was 7,12, 8,44 and 10,84 hours respectively in the patients with the block application.
Conclusion: Combined femoral and sciatic with adductor canal and sciatic nerve blocks can be applied for postoperative analgesia in the lower extremity, knee and lower knee area surgery and can provide sufficient and comfortable analgesia to patients. It may also provide an advantage to the patients in terms of early ambulation and physical therapy.
Key words: Lower extremity surgery, adductor canal block, sciatic nerve block, femoral nerve block, postoperative analgesia
Lower extremity surgery, adductor canal block, sciatic nerve block, femoral nerve block, postoperative analgesia
Article Language: Turkish English