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Indian Journal of Anesthesia and Analgesia

Volume  5, Issue 7, July 2018, Pages 1108-1119

 

Original Article

Comparison between Combined Sciatic-Fascia Iliaca Compartment Block and Unilateral Spinal Anesthesia for Unilateral Lower Limb Surgery: A Retrospective Study
Tanumoy Maulick1,Swati Adivarekar2, Sandhya Gujar3
1Junior Resident 2Assistant Professor 3Professor & Head, Department of Anaesthesiology, ESI Post Graduate Institute of Medical Science and Research, Andheri, Central Road, MIDC, Opposite MIDC Police Station, Andheri East, Mumbai, Maharashtra 400093, India.
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http://dx.doi.org/10.21088/ijaa.2349.8471.5718.4

Abstract

Introduction: We aimed this study to evaluate the efficacy, quality and safety of combined sciatic and Fascia Iliaca Compartment Block with Unilateral Spinal Anaesthesia for selected lower limb surgeries.

Materials & Methods: Data collected retrospectively from prescheduled 60 patients of ASA grade I & II, were equally distributed in two groups - pinal group and the Block group. The time taken for the application of the block, number of attempts, qualilty of anaesthesia, hemodynamic parameters, duration of block & post op first analgesic need were compared.

Results: The patients of Block group had a greater hemodynamic stability, longer duration of sensory & motor blockade with a longer time for the need of rescue analgesic although the block application time was shorter in spinal group and quality of blockade was significantly better requiring no additional sedation or analgesia intraoperatively. Complication rates were comparable in both groups though tourniquet pain was common in block group & hypotension in spinal group. Bilateral blockade was seen only in spinal group.

Conclusion: Combined sciatic-fascia iliaca compartment block is a suitable alternative to spinal anaesthesia when hemodynamic stability and analgesia is considered, especially in high risk patients.

Keywords: Unilateral Spinal; Combined Sciatic and Fascia Iliaca Compartment Block; Lower Limb Surgeries.


Corresponding Author : Tanumoy Maulick, Junior Resident, Department of Anaesthesiology, ESI Post Graduate Institute of Medical Science and Research, Andheri, Central Road, MIDC, Opposite MIDC Police Station, Andheri East, Mumbai 400093 India.