Combined popliteal and posterior cutaneous nerve of the thigh blocks for short saphenous vein stripping in outpatients: An alternative to spinal anesthesia - 11/09/11
, Admir Hadzic, MD , Robert Mulcare, MD †, Jonathan B. Lesser, MD , Robert Koorn, MD , Daniel M. Thys, MD †Address reprint requests to Dr. Vloka at the Department of Anesthesiology, St. Luke's Roosevelt Hospital Center, 1111 Amsterdam Ave., New York, NY 10025, USA.Abstract |
Study Objective: To compare a combination of peripheral nerve blocks with spinal anesthesia in ambulatory patients undergoing short saphenous vein stripping.
Design: Prospective, randomized study.
Setting: University hospital.
Patients: 28 ASA physical status I and II ambulatory surgery patients undergoing short saphenous vein stripping.
Interventions: 14 patients received a popliteal block (sciatic nerve block at the popliteal fossa) using 30 ml of alkalinized 3 % chloroprocaine and a posterior cutaneous nerve of the thigh block with 10 ml of 1% lidocaine. The 14 patients who were randomized to the spinal anesthesia group received 65 mg of 5% hyperbaric lidocaine.
Measurements and Main Results: There were no significant differences in age and gender between the two groups (mean age 53 ± 13 years, 8 men and 20 women). Patients in the peripheral nerve block group recovered significantly faster in phase 1 of the postanesthesia care unit (PACU) (67 ± 10 min vs. 122 ± 50 min, p < 0.01) and were discharged home sooner (222 ± 53 min vs. 294 ± 69 min, p < 0.01) than the patients in the spinal anesthesia group.
Conclusions: The combination of popliteal and posterior cutaneous nerve of the thigh blocks provided adequate anesthesia and a faster recovery profile with a similar subjective acceptance of both anesthetic techniques in ambulatory patients undergoing short saphenous vein stripping in the prone position.
Le texte complet de cet article est disponible en PDF.Keywords : Ambulatory anesthesia, anesthetic techniques: regional, sciatic popliteal, posterior cutaneous nerve of the thigh, block
Vol 9 - N° 8
P. 618-622 - décembre 1997 Retour au numéro
Article précédent
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