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Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy

dc.creatorMontes, Felix R.spa
dc.creatorZarate, Eduardospa
dc.creatorGrueso, Reinaldospa
dc.creatorGiraldo, Juan C.spa
dc.creatorVenegas, Maria P.spa
dc.creatorGomez, Andreaspa
dc.creatorRincón, Jose D.spa
dc.creatorHernadez, Marcelaspa
dc.creatorCabrera, Marianaspa
dc.date.accessioned2020-05-25T23:56:01Z
dc.date.available2020-05-25T23:56:01Z
dc.date.created2008spa
dc.description.abstractStudy Objective: To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. Design: Prospective, randomized, controlled study. Setting: Postoperative recovery area at a university-affiliated medical center. Patients: 50 ASA physical status I and II adult outpatients undergoing arthroscopic knee surgery. Interventions: Study subjects were equally divided (n = 25 each) into spinal and sciatic-femoral groups. Spinal group patients received spinal anesthesia with 7.5 mg of 0.5% hyperbaric bupivacaine. Sciatic-femoral group patients received combined sciatic-femoral nerve blocks using a mixture of 20 mL of lidocaine 2% plus 20 mL of bupivacaine 0.5%. Measurements: Times including that from arrival in the operating room to readiness for surgery, duration of surgery, recovery time, and patient satisfaction were recorded. Analgesia and occurrence of adverse events also were recorded. Main Results: No significant differences between the two groups were found for any of the study measurements of recovery. After discharge, postoperative pain differed significantly between groups only at 6 hours (P less than 0.002). Patient satisfaction was high with both techniques. Conclusions: Combined sciatic-femoral nerve block for outpatient arthroscopic knee surgery offers satisfactory anesthesia, with a clinical profile similar to that of low-dose spinal anesthesia. Sciatic-femoral nerve blocks are associated with significantly lower pain scores during the first 6 postoperative hours. © 2008 Elsevier Inc. All rights reserved.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.jclinane.2008.04.003
dc.identifier.issn9528180
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22296
dc.language.isoengspa
dc.relation.citationEndPage420
dc.relation.citationIssueNo. 6
dc.relation.citationStartPage415
dc.relation.citationTitleJournal of Clinical Anesthesia
dc.relation.citationVolumeVol. 20
dc.relation.ispartofJournal of Clinical Anesthesia, ISSN:9528180, Vol.20, No.6 (2008); pp. 415-420spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-53049088047&doi=10.1016%2fj.jclinane.2008.04.003&partnerID=40&md5=829516ed975ddaa45ae002372cc15703spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordBupivacainespa
dc.subject.keywordpostoperativeeng
dc.subject.keywordIbuprofenspa
dc.subject.keywordLidocainespa
dc.subject.keywordMidazolamspa
dc.subject.keywordMorphine sulfatespa
dc.subject.keywordParacetamolspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordAnesthesia inductionspa
dc.subject.keywordArticlespa
dc.subject.keywordClinical trialspa
dc.subject.keywordCombination chemotherapyspa
dc.subject.keywordComparative studyspa
dc.subject.keywordControlled clinical trialspa
dc.subject.keywordControlled studyspa
dc.subject.keywordConvalescencespa
dc.subject.keywordDrug mixturespa
dc.subject.keywordFemalespa
dc.subject.keywordFemoral nervespa
dc.subject.keywordHeadachespa
dc.subject.keywordHumanspa
dc.subject.keywordIntermethod comparisonspa
dc.subject.keywordKnee arthroscopyspa
dc.subject.keywordLow drug dosespa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMonotherapyspa
dc.subject.keywordNerve blockspa
dc.subject.keywordOperating roomspa
dc.subject.keywordOperation durationspa
dc.subject.keywordOutpatientspa
dc.subject.keywordPatient satisfactionspa
dc.subject.keywordPostoperative analgesiaspa
dc.subject.keywordPostoperative painspa
dc.subject.keywordPriority journalspa
dc.subject.keywordProspective studyspa
dc.subject.keywordRandomized controlled trialspa
dc.subject.keywordSciatic nervespa
dc.subject.keywordSpinal anesthesiaspa
dc.subject.keywordVomitingspa
dc.subject.keywordAmbulatory surgical proceduresspa
dc.subject.keywordAnesthesiaeng
dc.subject.keywordArthroscopyspa
dc.subject.keywordFemalespa
dc.subject.keywordFemoral nervespa
dc.subject.keywordHumansspa
dc.subject.keywordKnee jointspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordNerve blockspa
dc.subject.keywordPaineng
dc.subject.keywordProspective studiesspa
dc.subject.keywordSciatic nervespa
dc.subject.keywordTime factorsspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordAmbulatory anesthesiaspa
dc.subject.keywordKnee arthroscopyeng
dc.subject.keywordPeripheral nerve blocksspa
dc.subject.keywordSpinal anesthesiaspa
dc.titleComparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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