Comparative Study Between Ultrasound-Guided Femoro-sciatic Nerve Block Versus Unilateral Spinal Anesthesia in below Knee Orthopaedic Surgeries | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 8, August 2025, Pages 1-6 PDF (299.56 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aimj.2025.446596 | ||
| Authors | ||
| Elsaeed Radi Anwar Elmekkawi Ragab; Amr Sulaiman Abd El-Megeed Hamroush; Anwar Mohamed Mostafa El-Hasanin | ||
| Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: It has been recognized that both spinal anesthesia and peripheral nerve blocks offer adequate anesthesia, improved analgesia following surgery, and enhanced case satisfaction compared to general anesthesia. Ultrasound-guided femoro-sciatic nerve block (UFSB) is increasingly favored due to the prevention of negative consequences correlated with the conventional technique. Aim: The goal of this research is to compare ultrasound-guided femoro-sciatic nerve block and unilateral spinal anesthesia in elective below-knee orthopedic operations. Methods: This prospective comparative study, included 100 patients undergoing elective below knee surgery. Cases have been randomized utilizing a computer-generated randomization table into 2 equal groups with fifty cases in each group. Group (ULSA) received unilateral spinal anesthesia, whilst group (UFSB) received ultrasound-guided femoro-sciatic nerve block. The primary outcome was to compare the success rates of the two methods. Results: This study demonstrated a statistically non-significant variance among UFSB group and ULSA group within Success rate (92 vs 96 %, p=0.709) respectively. There was a statistically significant variance regarding onset and recovery duration from sensory and motor block. Postoperative narcotic sparing was more frequently encountered in UFSB group, compared to ULSA group (92 vs. 76 %), with significant comparison (P = 0.016). Conclusion: Both ULSA and UFSB lead to sufficient anesthesia during surgery and postoperative analgesia with stable hemodynamics and adequate case satisfaction with low negative consequences. UFSB was superior to ULSA in analgesia following surgery, evidenced by prolonged duration to the first rescue analgesia and lower analgesia consumption. | ||
| Keywords | ||
| Femoral nerve block; Sciatic nerve block; Unilateral spinal anesthesia; Pain Management | ||
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