Comparison between Combined Sciatic-Fascia Iliaca Compartment Block and Unilateral Spinal Anesthesia for Unilateral Lower Limb Surgery: A Retrospective Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 7
Abstract
Introduction: We aimed this study to evaluate the efficacy, quality and safety of combined sciatic and Fascia Iliaca Compartment Block with Unilateral Spinal Anaesthesia for selected lower limb surgeries. Materials & Methods: Data collected retrospectively from prescheduled 60 patients of ASA grade I & II, were equally distributed in two groups - pinal group and the Block group. The time taken for the application of the block, number of attempts, qualilty of anaesthesia, hemodynamic parameters, duration of block & post op first analgesic need were compared. Results: The patients of Block group had a greater hemodynamic stability, longer duration of sensory & motor blockade with a longer time for the need of rescue analgesic although the block application time was shorter in spinal group and quality of blockade was significantly better requiring no additional sedation or analgesia intraoperatively. Complication rates were comparable in both groups though tourniquet pain was common in block group & hypotension in spinal group. Bilateral blockade was seen only in spinal group. Conclusion: Combined sciatic-fascia iliaca compartment block is a suitable alternative to spinal anaesthesia when hemodynamic stability and analgesia is considered, especially in high risk patients.
Authors and Affiliations
Tanumoy Maulick
Keywords
Related Articles
- EP ID EP533738
- DOI 10.21088/ijaa.2349.8471.5718.4
- Views 99
- Downloads 0
Study on Epidural Analgesia during Labour to Control Labour Pain
The severity of labour pain was recognized by the Romans, who termed delivery the poenamagna—the “great pain” or “great punishment.” Pregnancy, though is one of the most pleasant part of a woman’s life is marred by the a...
Comparison of Midazolam and Propofol for BIS Guided Sedation during Regional Anaesthesia
Bispectral Index (BIS) was introduced by Aspect Medical Systems, Inc in 1994 as a novel measure of level of consciousness by algorithmic analysis of patient’s encephalogram during anaesthesia. Besides providing an idea a...
Assessment of Paramedical Staff’s Knowledge Regarding Speciality of Anesthesia and Anesthesiologists: A Questionnaire Based Study
Background: Paramedical staff is the cornerstone of health care system. Knowledge of paramedical staff regarding different specialty is of paramount importance for the efficient delivery of healthcare services. As anesth...
Comparison of Topographic and Formula Methods for Depth of Insertion of Central Venous Catheters
Background and Aim: This study aims to compare the topographical method and formula method for assessing the depth of central venous catheter (CVC) insertion in internal jugular vein (IJV) and subclavian vein (SCV) on bo...
Comparison of the Effects of using three Different Types of Needles on Sub Arachnoid Block: A Clinical Study
Background: Anaesthesia alleviates human sufferings during the surgical procedures. It may be either General anaesthesia or Regional anaesthesia depending upon surgery. General anaesthesia imparts total sensory loss. It...