Comparison of Time to Operation and Efficacies of Ultrasound-Guided Nerve Block and General Anesthesia in Emergency External Fixation of Lower Leg Fractures:

Foot & Ankle Orthopaedics

Gi-SooLee¹ 

关键词: Ultrasound;    Regional nerve block;    Fracture;    External fixation;   

DOI  :  10.1177/2473011417S000254

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, TraumaIntroduction/Purpose:This prospective study aimed to evaluate the usefulness of ultrasound (US)-guided nerve block (NB) for emergency external fixation of lower leg fractures, by investigating real time before the operation and the clinical result according to the anesthesia method (US-guided NB or general anesthesia [GA]).Methods:From June 2014 to April 2016, 40 patients who underwent emergency surgery for external fixator application were enrolled in this study. We performed a randomized trial for US-guided NB and GA. We measured the lead time before the start of the operation after the decision to perform emergency surgery in both groups.Results:The US-guided NB group comprised 17 men and 3 women with a median age of 55.6 (33–77) years. Twelve of these patients had conditions such as diabetes mellitus, hypertension, and kidney-related diseases. Fracture types 42, 43, and 44 in the AO classification were observed in 3, 12, and 5 cases, respectively. The average time taken to emerge...

【 授权许可】

CC BY