Regional Anesthesia for Lower Extremity Surgery

Haseki Training and Research Hospital

Status: Completed

Conditions: Sciatic Nerve Block; Erector Spinae Plane Block; Lower Extremity Surgery

Treatments: Other: Popliteal Sciatic Nerve Block; Other: Erector Spinae (ESP) Block with Lidocaine/Bupivacaine

Study type: Observational

Funder types: Other

Identifiers

NCT06777953

HEA-AAR-MK-03

Details and patient eligibility

About

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.

Enrollment: 32 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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

Trial design

32 participants in 2 patient groups

Erector Spinae Plane Block Group

Description:

Patients who underwent spinal anesthesia due to tibial fracture will be identified from their follow-up files. Among these patients, those who underwent erector spinae plane block with 20 ml of 0.5% bupivacaine and 5 ml of 1% lidocaine at the sacral level and 20 ml of 0.5% bupivacaine and 5 ml of 1% lidocaine at the L3 level while sitting under ultrasound guidance for postoperative analgesia will constitute this group.

Treatment:

Other: Erector Spinae (ESP) Block with Lidocaine/Bupivacaine

Sciatic Nerve Plane Block Group

Description:

Patients who underwent spinal anesthesia due to tibial fracture will be identified from their follow-up files. Among these patients, those who underwent popliteal sciatic nerve block with 30 ml of 0.5% bupivacaine while supine position under ultrasound guidance for postoperative analgesia will constitute this group.

Treatment:

Other: Popliteal Sciatic Nerve Block