Article Sidebar

PDF (Tiếng Việt)
Published: 2023-01-31
Abstract Views: 574
Views PDF (Tiếng Việt): 1213
DOI: https://doi.org/10.52852/tcncyh.v162i1.1337
Issue
Vol. 162 No. 1 (2023)
Section
Các bài báo
How to Cite
Đình Lượng V., Hữu Tú N., & Minh Hải V. (2023). 30. Anesthesizing the lower extremities of the lower extremities and the lower extremities under the guidance of ultrasound to relieve pain in patients with lower extremity fractures: 05 cases. Journal of Medical Research, 162(1), 262-271. https://doi.org/10.52852/tcncyh.v162i1.1337

30. Anesthesizing the lower extremities of the lower extremities and the lower extremities under the guidance of ultrasound to relieve pain in patients with lower extremity fractures: 05 cases

Vu Dinh Luong, Nguyen Huu Tu, Vu Minh Hai

Main Article Content

Abstract

Long bone fracture of the lower extremity is a serious injury, and the patients are at risk of shock due to pain. Since May 2022, Thai Binh Provincial General Hospital has implemented the method of anesthesizing the femoral nerve and anterior sciatic nerve using levobupivacaine 0.25% under the guidance of ultrasound to reduce pain for the patients. Observation of this method in 5 patients showed that all 5 patients had good pain relief. The average pain score (VAS) was reduced from 8.6 ± 0.55 to 4.2 ± 0, 84 after 5 minutes and to 3.0 ± 00 after 10 minutes. There was no complications and no additional pain medication needed when the patients moved to perform laboratory investigations. The method of anesthesizing the femoral nerve and the anterior sciatic nerve under the guidance of ultrasound to relieve pain for emergency patients with long fractures of the lower extremities was found to be feasible, safe and effective. Future research with larger sample size is needed to evaluate the effectiveness, advantages and disadvantages of the metho.

Article Details

Keywords

Femoral nerve block, sciatic nerve block, ultrasound

References

1. Rowlands M., Walt G. V., Bradley J., et al. Femoral Nerve Block Intervention in Neck of Femur Fracture (FINOF): a randomised controlled trial. BMJ Open. Apr 10 2018; 8(4): e019650. doi: 10.1136/bmjopen-2017-019650.
2. Bhoi S., Sinha T. P., Rodha M., Bhasin A., Ramchandani R., Galwankar S. Feasibility and safety of ultrasound-guided nerve block for management of limb injuries by emergency care physicians. J Emerg Trauma Shock. Jan 2012; 5(1): 28-32. doi: 10.4103/0974-2700.93107.
3. Nwawka O. K., Meyer R., Miller T. T. Ultrasound-Guided Subgluteal Sciatic Nerve Perineural Injection: Report on Safety and Efficacy at a Single Institution. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. Nov 2017; 36(11): 2319-2324. doi: 10.1002/jum.14271.
4. Dzieciuchowicz L., Espinosa G., Grochowicz L. Evaluation of ultrasound-guided femoral nerve block in endoluminal laser ablation of the greater saphenous vein. Annals of vascular surgery. Oct 2010; 24(7): 930-934. doi: 10.1016/j.avsg.2009.10.022.
5. Nagel E. M., Gantioque R., Taira T. Utilizing Ultrasound-Guided Femoral Nerve Blocks and Fascia Iliaca Compartment Blocks for Proximal Femur Fractures in the Emergency Department. Advanced emergency nursing journal. Apr/Jun 2019; 41(2): 135-144. doi: 10.1097/tme.0000000000000242.
6. Montes F. R., Zarate E., Grueso R., et al. Comparison of spinal anesthesia with combined sciatic-femoral nerve block for outpatient knee arthroscopy. J Clin Anesth. Sep 2008; 20(6): 415-420. doi: 10.1016/j.jclinane.2008.04.003.
7. Davarci I., Tuzcu K., Karcioglu M., et al. Comparison between ultrasound-guided sciatic-femoral nerve block and unilateral spinal anaesthesia for outpatient knee arthroscopy. J Int Med Res. Oct 2013; 41(5): 1639-1647. doi: 10.1177/0300060513498671.
8. d’Ovidio D., Noviello E., Adami C. Nerve stimulator-guided sciatic-femoral nerve block in raptors undergoing surgical treatment of pododermatitis. Vet Anaesth Analg. Jul 2015; 42(4): 449-453. doi: 10.1111/vaa.12204.
9. Pattajoshi B., Panigrahi S., Mohanty P., Mohanty R. K., Panigrahi S. K. A Prospective Comparative Study Between Ultrasound-Guided Combined Sciatic-Femoral Nerve Block Versus Spinal Anesthesia for the Patients Undergoing Elective Below-Knee Surgeries. Cureus. Jun 2022; 14(6): e26137. doi: 10.7759/cureus.26137.
10. Vũ Nguyễn Hà Ngân. Đánh giá hiệu quả giảm đau sau phẫu thuật nội soi khớp gối của phương pháp gây tê thần kinh đùi và thần kinh hông to dưới hướng dãn siêu âm. Luận văn thạc sĩ y học, Trường Đại học Y Hà Nội; 2017.
11. la Grange P., Foster P. A., Pretorius L. K. Application of the Doppler ultrasound bloodflow detector in supraclavicular brachial plexus block. Br J Anaesth. Sep 1978; 50(9): 965-967. doi: 10.1093/bja/50.9.965.
12. Lê Văn Chung. Gây tê thần kinh chi dưới dưới siêu âm. Gây tê vùng dưới hướng dẫn siêu âm - Kỹ thuật thực hành cơ bản. Nhà xuất bản Y học; 2018:151-160.