Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.

Aim: Ankle peripheral nerve block is applied by two methods. These are peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of Ultrasonography (USG). In our study, we aimed to compare these two methods applied in foot surgeries retrospectively.Me...

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Main Authors: Mesut Uluöz, Ümmühan Eren Herdem
Format: Article
Language:English
Published: Alanya Alaaddin Keykubat University 2023-06-01
Series:Acta Medica Alanya
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Online Access:https://dergipark.org.tr/tr/download/article-file/2752718
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author Mesut Uluöz
Ümmühan Eren Herdem
author_facet Mesut Uluöz
Ümmühan Eren Herdem
author_sort Mesut Uluöz
collection DOAJ
description Aim: Ankle peripheral nerve block is applied by two methods. These are peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of Ultrasonography (USG). In our study, we aimed to compare these two methods applied in foot surgeries retrospectively.Methods :Peripheral block patients performed with the USG-guided (group 1) were 20, anatomical landmarks- guided (group 2) were 20. In both groups, 40 cc of anesthetic mixture was used (bupivacaine + lidocaine). The recorded information of the patients were as follows: Block application time (BAT), surgery readiness time (SRT), duration of surgery (DoS), duration of block anesthesia (DBA) and intraoperative-postoperative Visual Analogue Scale (VAS). The results of the VAS applied to the patients postoperatively were obtained. Patients were contacted by phone and asked if they were satisfied with the anesthesia.Results : The BAT and DBA values of the patients in Group 1 were high. SRT and VAS 6 values of the patients in group 2 were high. No significant difference was found between the groups in other parameters. No additional dose of anesthetic was needed in group 1 during the intraoperative period. In group 2, local additional dose was administered to 3 patients.Conclusion: Peripheral block preparation USG-guided takes a long time. However, it is more comfortable during surgery. The USG-guided peripheral nerve block is more advantageous when considering the possibility of prolonging the duration of surgery for any reason and early postoperative pain control after surgery.
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spelling doaj-art-2104a457f1704abd9e2146e57d4bfc0c2025-08-20T03:53:22ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192023-06-01719810410.30565/medalanya.1199764727Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.Mesut Uluöz0https://orcid.org/0000-0003-0319-3832Ümmühan Eren Herdem1https://orcid.org/0000-0002-1898-3290UNIVERSITY OF HEALTH SCIENCES, ADANA NUMUNE HEALTH RESEARCH CENTERUNIVERSITY OF HEALTH SCIENCES, ADANA NUMUNE HEALTH RESEARCH CENTERAim: Ankle peripheral nerve block is applied by two methods. These are peripheral block that is performed using USG-assisted and anatomical landmarks that do not require the use of Ultrasonography (USG). In our study, we aimed to compare these two methods applied in foot surgeries retrospectively.Methods :Peripheral block patients performed with the USG-guided (group 1) were 20, anatomical landmarks- guided (group 2) were 20. In both groups, 40 cc of anesthetic mixture was used (bupivacaine + lidocaine). The recorded information of the patients were as follows: Block application time (BAT), surgery readiness time (SRT), duration of surgery (DoS), duration of block anesthesia (DBA) and intraoperative-postoperative Visual Analogue Scale (VAS). The results of the VAS applied to the patients postoperatively were obtained. Patients were contacted by phone and asked if they were satisfied with the anesthesia.Results : The BAT and DBA values of the patients in Group 1 were high. SRT and VAS 6 values of the patients in group 2 were high. No significant difference was found between the groups in other parameters. No additional dose of anesthetic was needed in group 1 during the intraoperative period. In group 2, local additional dose was administered to 3 patients.Conclusion: Peripheral block preparation USG-guided takes a long time. However, it is more comfortable during surgery. The USG-guided peripheral nerve block is more advantageous when considering the possibility of prolonging the duration of surgery for any reason and early postoperative pain control after surgery.https://dergipark.org.tr/tr/download/article-file/2752718anasteziayak bileğiperiferal sinir bloğuultrasonografianesthesiaankleperipheral nerve blockultrasonography
spellingShingle Mesut Uluöz
Ümmühan Eren Herdem
Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.
Acta Medica Alanya
anastezi
ayak bileği
periferal sinir bloğu
ultrasonografi
anesthesia
ankle
peripheral nerve block
ultrasonography
title Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.
title_full Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.
title_fullStr Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.
title_full_unstemmed Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.
title_short Comparison of two methods in the peripheral nerve block application used in foot surgery: USG-guided and anatomical landmark-guided.
title_sort comparison of two methods in the peripheral nerve block application used in foot surgery usg guided and anatomical landmark guided
topic anastezi
ayak bileği
periferal sinir bloğu
ultrasonografi
anesthesia
ankle
peripheral nerve block
ultrasonography
url https://dergipark.org.tr/tr/download/article-file/2752718
work_keys_str_mv AT mesutuluoz comparisonoftwomethodsintheperipheralnerveblockapplicationusedinfootsurgeryusgguidedandanatomicallandmarkguided
AT ummuhanerenherdem comparisonoftwomethodsintheperipheralnerveblockapplicationusedinfootsurgeryusgguidedandanatomicallandmarkguided