Comparative Analysis of Unilateral Subarachnoid block with Ankle block for elective foot surgery.
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Date
2016-07
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Abstract
Background: There are many accepted anesthesia techniques for
elective foot surgery ranging from general anesthesia to regional
anesthesia, regional anesthesia being the preferred method.
Regional anesthesia techniques employed for foot surgery includes
subarachnoid block, epidural anesthesia and ankle block.
Objective: The present study is aimed at providing comparative
analysis of ankle block with unilateral subarachnoid block for elective
foot surgeries in terms of hemodynamic safety profile and post
operative analgesia.
Material and Methods: Study includes prospective analysis of 80
ASA II and III patients who underwent elective foot surgery. Patients
were randomly divided into two groups of 40 each, Ankle block group
(AB) and Unilateral subarachnoid group (US). The parameters
recorded for study includes systolic blood pressure, diastolic blood
pressure, heart rate, visual analogue scale for pain severity, time of
first analgesic need and the complications.
Results: There were minimal blood pressure changes and heart rate
variability in AB group as compared to US group when compared
with basal values (p<0.05). The time for first analgesic requirement is
prolonged in AB group as compared to US group. The visual
analogue scale score was assessed at 2nd ,4th and 6th hours for group
AB were lowered as compared to group US (p <0.05).
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Keywords
Elective foot surgery, unilateral subarachnoid block, ankle block, hemodynamic stability, post operative analgesia
Citation
Singh A P, Singh B, Bhardwaj A, Singh I, Kaur P. Comparative Analysis of Unilateral Subarachnoid block with Ankle block for elective foot surgery. International Journal of Medical and Dental Sciences. 2016 July; 5(2): 1150-1155.