Effectiveness of Peripheral Nerve Blocks for Below Knee Emergency Surgical Procedures in Trauma: A Choice Anesthetic Technique With Limited Resources
Journal Title: Isra Medical Journal - Year 2018, Vol 10, Issue 3
Abstract
OBJECTIVE: To assess the effectiveness of lower limb peripheral nerve blocks as an anesthetic technique among the patients undergoing lower limb amputations and debridement in emergency. STUDY DESIGN: A prospective interventional study PLACE AND DURATION: At Combined Military Hospitals, Muzaffar abad and Sialkot, from January 1st 2001 to May 31st 2015. METHODOLOGY: Patients who underwent below knee amputations or debridement due to trauma were studied. After giving intravenous sedation with Nalbuphine Hydrochloride and Midazolam, Bupivacaine 0.25 % was injected for block at nerve points. Popliteal, superficial peroneal and saphenous nerves at knee were selected for this purpose. Partial and incomplete blocks were supplemented with IV ketamine. Total time of procedure, onset time of block and surgery along with duration of post-operative analgesia and any complications were recorded. RESULTS: Among total of 120 patients with mine blast injury, the Peripheral Nerve Block was successful in 83.33% of patients. The mean time of block induction was 34.42 minutes and onset time was 17.13 minutes. During surgery the mean arterial pressure of all patients remained stable (mean 71.89 mmHg). The mean duration of post-op analgesia was 11.38 hours. No complication was observed in any patients. CONCLUSION: Peripheral Nerve Block were found effective and safe alternative to other anesthesia techniques in emergency trauma management for lower limb. KEY WORDS: lower limb, Peripheral nerve blocks, bupivacaine, ketamine, popliteal nerve block, common peroneal nerve block, saphenous nerve block. Amputation, debridement HOW TO CITE THIS: Khurshid T, Ahmad M, Haq IU, Shafi M, Tassadaq F, Ahmed I. Effectiveness of Peripheral Nerve Blocks for Below Knee Emergency Surgical Procedures in Trauma: A Choice Anesthetic Technique With Limited Resources. Isra Med J. 2018; 10(3): 161-165.
Authors and Affiliations
Tassadaq Khurshid
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