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Medicine (Baltimore) ; 103(26): e38634, 2024 Jun 28.
Article in English | MEDLINE | ID: mdl-38941385

ABSTRACT

Pelvic fractures present a severe and complex clinical challenge. This study aimed to compare ultrasound-guided ilioinguinal (IIN) and iliohypogastric nerve (IHN) blocks with conventional general anesthesia (GA) in patients undergoing internal fixation surgery for pelvic fractures. A retrospective analysis was conducted on 100 patients equally divided into ultrasound-guided and control groups. The study monitored hemodynamics, intraoperative anesthesia drug usage, postoperative pain levels, and the incidence of adverse reactions between the 2 groups. The ultrasound-guided group underwent ultrasound-guided IHN and IIN blocks combined with GA. The ultrasound-guided group exhibited significant advantages for hemodynamic measurements at specific time points, lower consumption of Propofol and Remifentanil, and reduced pain intensity across all evaluated time intervals (P < .05). The incidence rate of adverse reactions was significantly lower in the ultrasound group (P = .016). Ultrasound-guided anesthesia is a superior alternative to conventional GA for managing pelvic fractures through internal fixation surgery. It offers advantages in terms of hemodynamic stability, drug consumption, postoperative pain management, and adverse reaction reduction.


Subject(s)
Fracture Fixation, Internal , Fractures, Bone , Nerve Block , Pain, Postoperative , Pelvic Bones , Ultrasonography, Interventional , Humans , Nerve Block/methods , Nerve Block/adverse effects , Male , Female , Retrospective Studies , Fractures, Bone/surgery , Ultrasonography, Interventional/methods , Adult , Pelvic Bones/injuries , Pelvic Bones/diagnostic imaging , Middle Aged , Pain, Postoperative/prevention & control , Pain, Postoperative/etiology , Fracture Fixation, Internal/methods , Fracture Fixation, Internal/adverse effects , Anesthesia, General/methods
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