Ultrasound-guided single popliteal sciatic nerve block is an effective postoperative analgesia strategy for calcaneal fracture: a randomized clinical trial

BMC Musculoskeletal Disorders

Yanan Li¹  Qiujun Wang¹  Ying Wang¹  Chunping Yin¹  Qi Zhang²  Shiji Qin³  Yahui Zhang⁴  Junfei Guo⁵  Lian Zhu⁵  Zhiyong Hou⁵ 

[1] Department of Anesthesiology, the Third Hospital of Hebei Medical University, NO.139, Ziqiang Road, Shijiazhuang, Hebei Province, China;Department of Anesthesiology, the Third Hospital of Hebei Medical University, NO.139, Ziqiang Road, Shijiazhuang, Hebei Province, China;Department of Anesthesiology, Children’s Hospital of Hebei province Affiliated to Hebei Medical University, Shijiazhuang, Hebei, China;Department of Foot and Ankle Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China;Department of Nursing, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China;Department of Orthopaedics, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China;Key Laboratory of Orthopaedic Biomechanics of Hebei Province, Shijiazhuang, Hebei, China;

关键词: Sciatic nerve block;    Calcaneal fracture;    Analgesia;    Ultrasound;    Adverse reactions;    Randomized trail;   

DOI  :  10.1186/s12891-021-04619-5

来源: Springer

【 摘 要 】

ObjectivesThe aim of this study was to evaluate the postoperative analgesia effect of ultrasound-guided single popliteal sciatic nerve block for calcaneal fracture.MethodsA total of 120 patients scheduled for unilateral open reduction and internal fixation of calcaneal fracture were enrolled in this prospective randomized study. Patients in group B received ultrasound-guided single popliteal sciatic nerve block after operation, but Patients in group A did not. All patients received patient-controlled intravenous analgesia (PCIA) after operation. The time to initiation of PCIA, the time of first pressing the analgesia pump, duration of analgesia pump use and the total number of times the patient pressed the analgesia pump were recorded. The time of rescue analgesia and the adverse reactions were recorded. Pain magnitude of the patients immediately after discharge from operating room (T1), and at 4th (T2), 8th (T3), 12th (T4), 16th (T5), 24th (T6) and 48th (T7) h after the operation were assessed with visual analog scale (VAS). In addition, patient, surgeon and nurse satisfaction were recorded.ResultsThe VAS scores at T2 ~ T5, the time of rescue analgesia and the adverse reactions, the total number of times the patient pressed the analgesia pump were significantly declined in group B (p < 0.001). The time to initiation of PCIA, the time of first pressing the analgesia pump, duration of analgesia pump use were prolonged and patient surgeon and nurse satisfaction were improved in group B (p < 0.05).ConclusionUltrasound-guided single popliteal sciatic nerve block is an effective postoperative analgesia strategy for calcaneal fracture.Trial registrationChiCTR, ChiCTR2100042340. Registered 19 January 2021, URL of trial registry record: http://www.chictr.org.cn/showproj.aspx?proj=66526.

【 授权许可】

CC BY