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

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

Koomesh:Vol. 23, issue 4; e154070

Published online:Aug 24, 2021

Article type:Research Article

How to Cite:Shahram SeifiParviz AmriBahman HasannasabRahmatollah JokarNorodin TaghavSimin Mouodiet al.Effect of intravenous regional anesthesia with spinal block on foot surgeries: A double-blinded randomized clinical trial.koomesh.23(4):e154070.

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

Keywords

Conduction Anesthesia

Spinal Anesthesia

Foot / surgery

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