Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
With the emergence of new tools like ultrasonography and peripheral nerve stimulators, peripheral nerve blocks are becoming more and more common for various lower limb procedures. It offers more effective, stable hemodynamic and extended postoperative analgesia. Sixty patients were divided into two groups at random: group I patients received spinal anesthesia with 2.5 ml of Bupivacaine (12.5 mg) hyperbaric solution and at L3‐L4 level and group II patients received ultrasound guided lumbar plexus block with 0.25% Bupivacaine 25 ml and sciatic nerve block with 0.25% Bupivacaine 20ml. Visual analogue scale (VAS) score was measured in the postoperative phase and rescue analgesic Inj. Tramadol 100mg im was given. The duration of analgesia in Group II was longer than in Group I: however, onset of sensory and motor block was significantly later in Group II than in Group I. The comparatively delayed onset of sensory and motor block in patients given lumbar and sciatic nerve block has often raised questions about the efficiency of nerve blocks. The VAS score was found to be significantly lower for a much longer time into the postoperative period in Group II than in Group I. Combination of lumbar plexus and sciatic nerve block provided effective analgesia for a prolonged time into the postoperative period.
How to cite this article:
R. Karthikeyan and M. Suguna. A Comparison of the Effects of Combined Lumbar Plexus and Sciatic Nerve Blocks versus Spinal
Bupivacaine and Fentanyl in Lower Limb Orthopaedic Operations.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.120.123
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.120.123