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2010, Number 2

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Rev Mex Anest 2010; 33 (2)

Sciatic-femoral block, three in one. Review of one year

Ramírez-Gómez M, Schlufter-Stolberg RM

Language: Spanish
References: 38
Page: 79-87
PDF size: 219.34 Kb.


ABSTRACT

Objective: To describe our experience in the femoral-sciatic 3 in 1 blockage. Material and methods: It was made a descriptive study, of a maneuver in a prospective cohort with 249 patients with pathology of lower extremities susceptible to surgical resolution en one leg, ASA I/II. We proceed to do a femoral-sciatic 3 in 1 blockage with neuroestimulator, administrating 30 ml of anesthetic volume for each blockage. It was evaluated the anesthetic efficacy, the post-surgical pain and complications. Results: The average age was of 50.63 ± 18.51 years, distributed in 111 men (44.58%) and 138 women (52.42%). The most often surgical procedure was the arthroscopy (55%), followed by osteosinthesis (20%). The average EVA at 6 h was of 0 (100%), at 12 hours it was of 2.23 ± 0.43 and at 24 hours it was of 3.97 ± 0.47 p = 001. The local anesthetic volume administrated was in average of 60.68 ± 3.58 milliliters and the minimum amperage was in an average of 0.51 ± 0.053 mA. There were no adverse events during the blockage procedure and only 5 of them were failed (2%). Conclusions: The femoral-sciatic 3 in 1 blockage are an alternative for the realization of diverse surgical procedures than backwards only were made under epidural blockage or general anesthesia.


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