The comparison of combined femoral-sciatic nerve block with spinal anesthesia at lower extremity surgery
Selim Almaz, Gönül ölmez Kavak, Erdal Doğan, Feyzi Çelik 1 * , Orhan Tokgöz, Adnan Tüfek, Haktan Karaman, Zeynep Baysal Yıldırım
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1 Dicle Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim Dalı, Diyarbakır, Turkey* Corresponding Author


Introduction: In this study, we aimed to compare the spinal anesthesia technique with combined femoral-sciatic block technique in patients undergoing lower limb surgery.
Methods: In this study, after obtaining the approval of the Dicle University Faculty of Medicine Ethics Committee, scheduled for elective lower extremity surgery, the ASA 1-2 groups, between the ages of 18-65, 60 patients were enrolled. Study was planned as a prospective, randomized and controlled. Patients were randomly divided into 2 groups as the spinal anesthesia (Group S) and combined sciatic-femoral nerve block (Group CSF) to be.
Results: Demographic data similar between the groups (p> 0.05). The implementation period of the technique was long in the Group CSF compared with in the Group S (p <0.001). Surgery delivery time was shorter in the Group S compared with in the Group CSF (p <0.001). The time of motor block occurrence was longer in the Group CSF compared with in the Group S (p <0.001). The duration of motor block was long in the Group CSF compared with in the Group S (p <0.001).
Conclusion: The each of two methods is safe and effective in lower extremity orthopedic surgery, but the application of peripheral nerve block to provide the long-term advantages such as postoperative analgesia and reducing postoperative analgesic consumption.


This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Research Article

J Clin Exp Invest, 2014, Volume 5, Issue 2, 294-300

Publication date: 11 Jun 2014

Article Views: 2040

Article Downloads: 1054

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