Regional Anesthesia for Lower Extremity Surgery

Haseki Training and Research Hospital32 enrolled

Overview

In this study, patients who underwent osteosynthesis with plate via standard anterolateral incision due to proximal tibia fracture in the orthopedic clinic within the last year; those who underwent perioperative anesthesia with spinal block, those who underwent postoperative analgesia with Ultrasound-guided popliteal sciatic nerve block, lumbar-sacral Erector Spine plane block combinations in the recovery unit will be identified and their files will be scanned retrospectively. Gender, surgical duration, postoperative block, pre-post block pain levels will be reviewed via Visual Analog Scale scoring, postoperative analgesics consumed and their amounts, Bromage scale, mobilization times, block-related complications, satisfaction levels will be determined and these two groups of patients who underwent block will be compared in terms of analgesia, complications, and satisfaction.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Erector Spinae Plane Block Lower Extremity Surgery Sciatic Nerve Block

Interventions

This study is to retrospectively compare the analgesic efficacy and impact on postoperative recovery of popliteal sciatic nerve blocks and Lumbar-Sacral Erector Spinae Plane blocks administered for postoperative pain management in tibial fractures.

Popliteal Sciatic Nerve BlockOTHER

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged 18-65 * Patients undergoing spinal anesthesia * Patients undergoing postoperative erector spinae plane block * Patients undergoing postoperative sciatic nerve block Exclusion Criteria: * Pregnant patients * Patients who cannot be contacted * Patients who have undergone perioperative general anesthesia * Patients with a history of cerebrovascular disease * Patients with data loss * Patients who did not receive consent

Outcomes

Primary Outcomes

Postoperative Analgesia

Postoperative analgesia will be assessed by Visual Analog Scale Score and postoperative analgesic consumption. The visual analog scale is a numerical assessment ranging from 0 to 10. A score of 0 is considered as no pain, a score of 5 is considered as moderate pain, and a score of 10 is considered as unbearable pain. Rescue intravenous analgesic treatment is applied to scores of 4 and above.

Time frame: 24 hours

Secondary Outcomes

Block related complication

Patients will be evaluated with Bromage Scale and mobilization times.The bromage scale is a numerical assessment ranging from 0 to 3. A score of 0 is No motor block, a score of 1 is Inability to raise extended leg; able to move knees and feet no pain, a score of 2 is Inability to raise extended leg and move knee; able to move feet, a score of 3 is Complete block of motor limb.It will also be checked when the patients can walk after the motor block has passed.