أعضاء هيئة التدريس - جامعة بنها
The effect of addition of local or intravenous ketorolac and morphine as an adjuvant to local anesthetic in popliteal nerve block. A comparative study with epidural anesthesia for foot or ankle surgery in diabetic patient
Ain Shams journal of anesthesiology • 2011
معلومات البحث
المؤلفون
Ahmed Mostafa Abd El-Hamid M.D., Mohamed Saad Khalil Othman M.D.
الكلمات المفتاحية
Not Available
المجلة العلمية
Ain Shams journal of anesthesiology
الناشر
Not Available
المجلد
Not Available
العدد
Not Available
الصفحات
Not Available
publication.type
International
رابط البحث
Not Available
المواد المرفقة
Not Available
الملخص
Abstract:
Aim: The aim is to study the effect of addition of ketorolac and morphine as an adjuvant to local anesthesia in popliteal nerve block in comparison with epidural anesthesia for foot or ankle surgery in diabetic patients
Patients and method: The study was done on 90 diabetic patients ASA II, III scheduled foot or ankle surgery Patients were randomly allocated into 3 equal groups (30 patients in each group):
Group I: received epidural anesthesia.
Group II: received popliteal nerve block (posterior approach) contains 0.5% plain bupivacaine plus morphine 2 mg +ketorolac 30 mg (Total volume 30 ml).
Group III: received popliteal nerve block (posterior approach) contains 0.5% plain bupivacaine (Total volume 30 ml) plus I.V. morphine 2 mg +ketorolac 30 mg.
The following parameters were recorded: (1) Onset of block. (2) Analgesia duration. (3) Early mobilization. (4) Time for hospital discharge. (5) Side effects.
Results: : Group II has decreased onset of block, long duration of analgesia, early mobilization, less hospital discharge time and less side effects in comparison with groups I and III.
Conclusion: Popliteal nerve block with local adjuvants (Morphine and ketorolac) compared with epidural analgesia results in decreased onset, faster mobilization, and earlier time for hospital discharge with minimal side effects. Ketorolac and morphine are more efficient when given locally than systemically.
Aim: The aim is to study the effect of addition of ketorolac and morphine as an adjuvant to local anesthesia in popliteal nerve block in comparison with epidural anesthesia for foot or ankle surgery in diabetic patients
Patients and method: The study was done on 90 diabetic patients ASA II, III scheduled foot or ankle surgery Patients were randomly allocated into 3 equal groups (30 patients in each group):
Group I: received epidural anesthesia.
Group II: received popliteal nerve block (posterior approach) contains 0.5% plain bupivacaine plus morphine 2 mg +ketorolac 30 mg (Total volume 30 ml).
Group III: received popliteal nerve block (posterior approach) contains 0.5% plain bupivacaine (Total volume 30 ml) plus I.V. morphine 2 mg +ketorolac 30 mg.
The following parameters were recorded: (1) Onset of block. (2) Analgesia duration. (3) Early mobilization. (4) Time for hospital discharge. (5) Side effects.
Results: : Group II has decreased onset of block, long duration of analgesia, early mobilization, less hospital discharge time and less side effects in comparison with groups I and III.
Conclusion: Popliteal nerve block with local adjuvants (Morphine and ketorolac) compared with epidural analgesia results in decreased onset, faster mobilization, and earlier time for hospital discharge with minimal side effects. Ketorolac and morphine are more efficient when given locally than systemically.