Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation
Introduction: Femoral neck fracture (FNF) frequently occurs in the elderly. FNF is usually treated surgically, but patients often have comorbidities, which make the surgery complicated and increase the intraoperative risk. Aim: We aimed to assess the effects of ultrasound-guided pericapsular nerv...
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Termedia Publishing House
2024-07-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.mp.pl/videosurgery/issue/article/17886/ |
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| author | Rongen Qiu Yunping Lan Gang Liu Ruifeng Zeng |
| author_facet | Rongen Qiu Yunping Lan Gang Liu Ruifeng Zeng |
| author_sort | Rongen Qiu |
| collection | DOAJ |
| description | Introduction: Femoral neck fracture (FNF) frequently occurs in the elderly. FNF is usually treated surgically, but patients often have comorbidities, which make the surgery complicated and increase the intraoperative risk.
Aim: We aimed to assess the effects of ultrasound-guided pericapsular nerve group block (PENGB) coupled with laryngeal mask airway (LMA) general anesthesia on anesthetic efficacy in elderly patients suffering from FNF undergoing closed reduction and internal fixation (CRIF), as well as their postoperative analgesia and rapid recovery.
Materials and methods: Control group (n = 47) and study group (n = 57) were established for FNF patients hospitalized between October 2022 and August 2023, based on different anesthesia modes. Ultrasound-guided fascia iliaca compartment block (FICB) and LMA general anesthesia were offered to the control group, while the study group underwent ultrasound-guided PENGB and LMA general anesthesia.
Results: In comparison with the study group, heart rate (HR) and mean arterial pressure rose significantly in the control group at the time of skin incision, 20 minutes intraoperatively, and at the end of the surgery, and HR also increased when the patients entered a postanesthetic care unit (P <0.05). The study group, in comparison with the control group, exhibited reduced serum neuropeptide Y and substance P levels at 12 and 24 hours postoperatively, and lowered Visual Analogue Scale scores at various time points following the operation (P <0.05). In comparison with the control group, the study group had shorter postoperative eye-opening, extubation, and ambulation times (P <0.05).
Conclusions: Ultrasound-guided PENGB with LMA general anesthesia are effective in elderly patients with FNF undergoing CRIF, and can stabilize the intraoperative hemodynamic state. |
| format | Article |
| id | doaj-art-895268f58c7f445c9c97fe57704d80cb |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-895268f58c7f445c9c97fe57704d80cb2025-01-29T17:45:21ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542024-07-0119338439010.20452/wiitm.2024.17886Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixationRongen Qiu0Yunping Lan1Gang Liu2Ruifeng Zeng3Department of Anesthesiology, Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, Quzhou, ChinaDepartment of Anesthesiology, Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, Quzhou, ChinaDepartment of Anesthesiology, Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital, Quzhou, ChinaDepartment of Anesthesiology and Perioperative Medicine, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaIntroduction: Femoral neck fracture (FNF) frequently occurs in the elderly. FNF is usually treated surgically, but patients often have comorbidities, which make the surgery complicated and increase the intraoperative risk. Aim: We aimed to assess the effects of ultrasound-guided pericapsular nerve group block (PENGB) coupled with laryngeal mask airway (LMA) general anesthesia on anesthetic efficacy in elderly patients suffering from FNF undergoing closed reduction and internal fixation (CRIF), as well as their postoperative analgesia and rapid recovery. Materials and methods: Control group (n = 47) and study group (n = 57) were established for FNF patients hospitalized between October 2022 and August 2023, based on different anesthesia modes. Ultrasound-guided fascia iliaca compartment block (FICB) and LMA general anesthesia were offered to the control group, while the study group underwent ultrasound-guided PENGB and LMA general anesthesia. Results: In comparison with the study group, heart rate (HR) and mean arterial pressure rose significantly in the control group at the time of skin incision, 20 minutes intraoperatively, and at the end of the surgery, and HR also increased when the patients entered a postanesthetic care unit (P <0.05). The study group, in comparison with the control group, exhibited reduced serum neuropeptide Y and substance P levels at 12 and 24 hours postoperatively, and lowered Visual Analogue Scale scores at various time points following the operation (P <0.05). In comparison with the control group, the study group had shorter postoperative eye-opening, extubation, and ambulation times (P <0.05). Conclusions: Ultrasound-guided PENGB with LMA general anesthesia are effective in elderly patients with FNF undergoing CRIF, and can stabilize the intraoperative hemodynamic state.https://www.mp.pl/videosurgery/issue/article/17886/anesthesiafracture fixationlaryngeal masksnerve blockultrasound |
| spellingShingle | Rongen Qiu Yunping Lan Gang Liu Ruifeng Zeng Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation Videosurgery and Other Miniinvasive Techniques anesthesia fracture fixation laryngeal masks nerve block ultrasound |
| title | Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation |
| title_full | Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation |
| title_fullStr | Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation |
| title_full_unstemmed | Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation |
| title_short | Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation |
| title_sort | effects of ultrasound guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia postoperative analgesia and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation |
| topic | anesthesia fracture fixation laryngeal masks nerve block ultrasound |
| url | https://www.mp.pl/videosurgery/issue/article/17886/ |
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