ABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Catheter Ablation/trends , Catheter Ablation , Anesthesia, Intravenous/instrumentation , Anesthesia, Intravenous/methods , Adjuvants, Pharmaceutic/therapeutic use , Intubation , Neoplasm Metastasis/drug therapy , Anesthesia, Intravenous/trends , Anesthesia, Intravenous , Adenocarcinoma/drug therapy , Laparotomy/methodsSubject(s)
Hernia, Umbilical/surgery , Infant, Premature, Diseases/diagnosis , Intraoperative Complications/diagnosis , Respiratory Distress Syndrome, Newborn/diagnosis , Adrenergic beta-Agonists/therapeutic use , Adult , Combined Modality Therapy , Female , Humans , Infant, Newborn , Infant, Premature , Infant, Premature, Diseases/drug therapy , Intraoperative Complications/drug therapy , Male , Oxygen Inhalation Therapy , Positive-Pressure Respiration , Pregnancy , Pulmonary Surfactants/therapeutic use , Respiratory Distress Syndrome, Newborn/drug therapyABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Respiratory Distress Syndrome, Newborn/complications , Respiratory Distress Syndrome, Newborn/diagnosis , Intraoperative Complications/drug therapy , Intraoperative Complications/epidemiology , Respiratory Distress Syndrome, Newborn/physiopathology , Respiratory Distress Syndrome, Newborn , Hemodynamics , Radiography, Thoracic/methods , Adrenal Cortex Hormones/therapeutic useABSTRACT
OBJECTIVE: The aim of this study was to assess the efficacy, effectiveness, technical difficulty, and clinical usefulness of the popliteal sciatic peripheral nerve block for unilateral hallus valgux surgery and to compare the posterior and lateral approaches. We also aimed to investigate patient comfort during the procedure. MATERIALS AND METHODS: This prospective, randomized trial enrolled 60 patients scheduled for unilateral hallux valgus surgery. The patients were randomly assigned to groups of 30 patients to receive a nerve block by either a posterior or lateral approach. A nerve stimulator was used to locate the response of the two branches forming the sciatic nerve--the posterior tibial nerve and the common peroneal nerve. Then, 20 mL of 0.5% ropivacaine was injected for each nerve. Variables analyzed were efficacy, complications, quality and duration of postoperative analgesia, degree of comfort while the technique was being performed, and level of satisfaction. RESULTS: The level of comfort was good for 19 patients (70%) in the posterior approach group and for 29 (97%) in the lateral approach group (P<0.05). Level of satisfaction was good or very good for 93% and 96% of the patients in the posterior and lateral approach groups, respectively. Block efficacy was excellent for 48 patients (80%), good for 9 (15%), and poor for 3 (5%), with no significant differences between the groups. CONCLUSION: Both the posterior and lateral approaches provide easy access to the sciatic nerve for performing a block. The rate of success is high and postoperative analgesia is good, with no noteworthy complications. However, the lateral approach is more comfortable for the patient.
Subject(s)
Autonomic Nerve Block/methods , Hallux Valgus/surgery , Adult , Aged , Aged, 80 and over , Anesthesia Recovery Period , Electric Stimulation , Female , Humans , Knee , Male , Middle Aged , Pain, Postoperative/epidemiology , Pain, Postoperative/prevention & control , Sciatic Nerve , Single-Blind Method , Treatment OutcomeABSTRACT
OBJETIVO: El objetivo de este estudio es valorar la eficacia, efectividad, comodidad, dificultades técnicas y utilidad clínica del bloqueo periférico del nervio ciático poplíteo para cirugía de hallux valgus unilateral, comparando el abordaje posterior y el abordaje lateral. MATERIAL Y MÉTODOS: Estudio prospectivo, aleatorio, de 60 pacientes programados para cirugía de hallux valgus unilateral. Se hacen dos grupos de 30 pacientes, se realizó bloqueo del nervio ciático por vía posterior (P) en uno, y por vía lateral (L), en el otro. Mediante neuroestimulación se localizó la respuesta de las dos ramas que forman el nervio ciático, el nervio tibial posterior y el nervio peroneo común, inyectando 20 ml ropivacaína 0.5% en cada una. Se analizó eficacia, complicaciones, calidad y duración de la analgesia postoperatoria, grado de comodidad durante la realización de la técnica y grado de satisfacción. RESULTADOS: Encontramos que el grado de comodidad es bueno en 19 pacientes grupo P (70%) y en 29 (97%) del grupo L (p<0,05), mientras que el grado de satisfacción fue bueno/muy bueno en el 93% y 96% de los pacientes en los grupos P y L respectivamente. La eficacia del bloqueo fue excelente en 48 pacientes (80%), buena en 9 (15%) y fracasó en 3 casos (5%), no existiendo diferencias entre ambos grupos. CONCLUSIÓN: El abordaje del nervio ciático, tanto vía posterior como lateral es fácil de realizar, con elevado índice de éxito, buena analgesia postoperatoria y sin complicaciones destacables, sin embargo, el abordaje lateral ofrece mayor comodidad al paciente
OBJECTIVE: The aim of this study was to assess the efficacy, effectiveness, technical difficulty, and clinical usefulness of the popliteal sciatic peripheral nerve block for unilateral hallus valgux surgery and to compare the posterior and lateral approaches. We also aimed to investigate patient comfort during the procedure. MATERIALS AND METHODS: This prospective, randomized trial enrolled 60 patients scheduled for unilateral hallux valgus surgery. The patients were randomly assigned to groups of 30 patients to receive a nerve block by either a posterior or lateral approach. A nerve stimulator was used to locate the response of the two branches forming the sciatic nervethe posterior tibial nerve and the common peroneal nerve. Then, 20 mL of 0.5% ropivacaine was injected for each nerve. Variables analyzed were efficacy, complications, quality and duration of postoperative analgesia, degree of comfort while the technique was being performed, and level of satisfaction. RESULTS: The level of comfort was good for 19 patients (70%) in the posterior approach group and for 29 (97%) in the lateral approach group (P<0.05). Level of satisfaction was good or very good for 93% and 96% of the patients in the posterior and lateral approach groups, respectively. Block efficacy was excellent for 48 patients (80%), good for 9 (15%), and poor for 3 (5%), with no significant differences between the groups. CONCLUSION: Both the posterior and lateral approaches provide easy access to the sciatic nerve for performing a block. The rate of success is high and postoperative analgesia is good, with no noteworthy complications. However, the lateral approach is more comfortable for the patient
