Bergmann, Ingo and Heetfeld, Maximilian and Crozier, Thomas A. and Schafdecker, Hans G. and Poeschl, Rupert and Wiese, Cristoph H. and Popov, Aron F. and Bauer, Martin and Hinz, Jose M. (2013) Peripheral nerve blocks give greater hemodynamic stability than general anesthesia for ASA III patients undergoing outpatient knee arthroscopy. CENTRAL EUROPEAN JOURNAL OF MEDICINE, 8 (4). pp. 436-442. ISSN 1895-1058, 1644-3640
Full text not available from this repository. (Request a copy)Abstract
Outpatient surgery is increasingly being performed on patients with pre-existing cardiovascular and pulmonary disorders. These are relevant for anesthesia because of the inherent risk of hemodynamic instability. This study compared the hemodynamic course in ASA III patients undergoing knee arthroscopy with either peripheral block of the femoral and sciatic nerves or general anesthesia. We searched our patient database for ASA III patients who had undergone knee arthroscopy between 2005 and 2010. This is routinely performed in either regional or general anesthesia, and the patients were stratified according to the anesthetic. Hemodynamic parameters, process times, complications and postoperative pain documented in the charts were evaluated and compared. 130 ASA III outpatients underwent knee arthroscopy during the observation period. Regional anesthesia alone (n=65) was sufficient in 96%. Heart rate was more stable and blood pressure decreased less under regional than under general anesthesia (systolic pressure - 11 +/- 8% versus - 28 +/- 9%; p < 0.001). Patients with general anesthesia (n=65) required more circulatory support. Establishing the nerve block takes longer than inducing general anesthesia, but this was performed ahead of time and thus had no effect on work flow. The groups did not differ with regard to complication rates, and intensity of postoperative pain or satisfaction with the anesthetic. No patient showed evidence of nerve damage or neurological deficits. Peripheral nerve block provides a more stable hemodynamic course than general anesthesia in ASA III patients undergoing knee arthroscopy. (C) Versita Sp. z o.o.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BRACHIAL-PLEXUS BLOCK; POSTOPERATIVE PAIN; AMBULATORY ANESTHESIA; REGIONAL ANESTHESIA; SURGERY; ANALGESIA; PROPOFOL; Peripheral nerve block; Outpatient; Day surgery; Regional anesthesia; Femoral and sciatic nerve block; ASA III |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 06 Apr 2020 11:41 |
| Last Modified: | 06 Apr 2020 11:41 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16344 |
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