Effect of intravenous regional anesthesia with spinal block on foot surgeries: A double-blinded randomized clinical trial

Authors

Shahram Seifi1, Parviz AmriParviz Amri ORCID2,*, Bahman Hasannasab1, Rahmatollah Jokar3, Norodin Taghav1, Simin MouodiSimin Mouodi ORCID4
1Dept. of Anesthesiology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran
2Dept. of Anesthesiology, Clinical Research Development Unit of Rouhani Hospital, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran
3Orthopedic Dept., Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran
4Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
*Corresponding Author: Dept. of Anesthesiology, Clinical Research Development Unit of Rouhani Hospital, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran Email: [email protected]

Koomesh:Vol. 23, issue 4; e154070
Published online:Aug 24, 2021
Article type:Research Article
How to Cite:Seifi S, Amri P, Hasannasab B, Jokar R, Taghav N, et al. Effect of intravenous regional anesthesia with spinal block on foot surgeries: A double-blinded randomized clinical trial. koomesh. 2021;23(4):e154070. doi:

Abstract

Introduction: Intravenous regional anesthesia is a simple and reliable method for surgeries of the lower extremities.  The purpose of this study was to compare the effect of regional intravenous anesthesia with spinal anesthesia on foot surgeries. Materials and Methods: This study was conducted as a randomized clinical trial on 60 patients undergoing foot surgery in two similar groups. In this account, the intervention group received intravenous regional anesthesia with 40 mililitre of lidocaine (0.5%) and the control group underwent spinal anesthesia with marcaine (0.5%). Duration of analgesia, duration of postoperative analgesia after opening the tourniquet, recovery time, postoperative pain intensity based on Visual Analogue Scale (VAS), blood pressure, heart rate during the surgery and recovery period, and other complications such as nausea, vomiting and headache were assessed in both groups. Results: The two groups did not differ in age and sex. The mean duration of analgesia in the spinal group was 121.13±17.30 minutes and in the intravenous anesthesia group was 49.50±5.14 minutes (P

Copyright

© 2021, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

Similar Articles

15
Mar
2022

A Comparative Study of Efficacy of Clonidine and Fentanyl as Adjuvant to Intrathecal 2- Chloroprocaine in Lower Limb Surgeries: A Randomized, Double-Blind Trial

Heena Gupta,
Vaishno devi Vaish,
Mushtaq Wani,
Anju Jamwal

Gupta H, Vaish VD, Wani M, Jamwal A. A Comparative Study of Efficacy of Clonidine and Fentanyl as Adjuvant to Intrathecal 2- Chloroprocaine in Lower Limb Surgeries: A Randomized, Double-Blind Trial. J Cell Mol Anesth. 2022;7(2):e151415. doi: https://doi.org/10.22037/jcma.v7i1.36207

1
Aug
2022

Comparison of the effect of adding dexmedetomidine and fentanyl to bupivacaine on nausea and vomiting in patients undergoing lower extremity orthopedic surgery with spinal anesthesia: A double-blind randomized clinical trial

Navid Kalani,
Mohammad Hasan Damshenas,
Javad Vagharfard,
seyed ebrahim Sadeghi,
Naser Hatami,
hasan zabetian

Kalani N, Damshenas MH, Vagharfard J, Sadeghi SE, Hatami N, et al. Comparison of the effect of adding dexmedetomidine and fentanyl to bupivacaine on nausea and vomiting in patients undergoing lower extremity orthopedic surgery with spinal anesthesia: A double-blind randomized clinical trial. koomesh. 2022;24(3):e152740. doi:

23
Aug
2020

A Comparison of the Effect of Fractionated and Bolus Dose Injection on Spinal Anesthesia for Lower Limb Surgery: A Randomized Clinical Trial

Pooya Derakhshan,
Seyed Hamid Reza Faiz,
Poupak Rahimzadeh,
Reza Salehi,
Ghazaleh Khaef

Derakhshan P, Faiz SHR, Rahimzadeh P, Salehi R, Khaef G. A Comparison of the Effect of Fractionated and Bolus Dose Injection on Spinal Anesthesia for Lower Limb Surgery: A Randomized Clinical Trial. Anesth Pain Med. 2020;10(5):e102228. doi: https://doi.org/10.5812/aapm.102228

15
Oct
2018

Comparison of Adding Sufentanil and Low-Dose Epinephrine to Bupivacaine in Spinal Anesthesia: A Randomized, Double-Blind, Clinical Trial

Pooya Derakhshan,
Farnad Imani,
Zahra Sadat Koleini,
Amin Barati

Derakhshan P, Imani F, Koleini ZS, Barati A. Comparison of Adding Sufentanil and Low-Dose Epinephrine to Bupivacaine in Spinal Anesthesia: A Randomized, Double-Blind, Clinical Trial. Anesth Pain Med. 2018;8(5):e69600. doi: https://doi.org/10.5812/aapm.69600

31
Jul
2025
Comparison of Spinal Anesthesia Bupivacaine Plus Epinephrine and Spinal Anesthesia Bupivacaine Plus, Fentanyl in the Duration of Anesthesia, Complications, and Hemodynamic Changes

Comparison of Spinal Anesthesia Bupivacaine Plus Epinephrine and Spinal Anesthesia Bupivacaine Plus, Fentanyl in the Duration of Anesthesia, Complications, and Hemodynamic Changes

Hassan Ali Hammod,
Seyed Khalil Pestehei,
Masoome Malek,
Afzal Shamsi,
Alireza Montaseri

Hammod HA, Pestehei SK, Malek M, Shamsi A, Montaseri A. Comparison of Spinal Anesthesia Bupivacaine Plus Epinephrine and Spinal Anesthesia Bupivacaine Plus, Fentanyl in the Duration of Anesthesia, Complications, and Hemodynamic Changes. Arch Neurosci. 2025;12(3):e163729. doi: https://doi.org/10.5812/ans-163729

More by these authors

Shahram SeifiPubMedScholar
Parviz AmriPubMedScholar
Bahman HasannasabPubMedScholar
Rahmatollah JokarPubMedScholar
Norodin TaghavPubMedScholar
Simin MouodiPubMedScholar
Share
Cited by
Metrics