Gi-Soo Lee, Chan Kang*, You Gun Won, Byung-Hak Oh, June-Bum Jun

Transcription

1 Comparison of Time to Operation and Efficacies of Ultrasound-Guided Nerve block and General Anesthesia in Emergency External Fixation of Lower Leg Fractures (AO 42, 43, 44) Gi-Soo Lee, Chan Kang*, You Gun Won, Byung-Hak Oh, June-Bum Jun Department of Orthopedic Surgery, College of Medicine, Konyang University, Daejeon, Korea *Department of Orthopedic Surgery, University of Medicine, Chung-Nam, Daejeon, Korea

2 Disclosure No Conflict to Disclore Gi-Soo Lee Chan Kang* You Gun Won Byung-Hak Oh June-Bum Jun Department of Orthopedic Surgery, College of Medicine, Konyang University, Daejeon, Korea *Department of Orthopedic Surgery, University of Medicine, Chung-Nam, Daejeon, Korea

3 Introduction External fixation requires a long preoperative time owing to NPO requirement, evaluation of underlying diseases and cooperation with an anesthetist. In an effort to compare the time to surgery, outcomes following surgery, we undertook a RCT of patients undergoing external fixation to evaluate the usefulness of ultrasound(us)-guided nerve block(nb) and general anesthesia(ga)

4 Material and Method Patients who undergo emergency external fixation surgery between June 2014 and April 2016 and were classified as AO types 42, 43, and 44 were included (Table 1)

5 Material and Method To evaluate the patients satisfaction with anesthesia, patients were asked to complete a questionnaire.

6 Results The lead time before the start of the operation in GA group was longer than that in the US-guided NB group. All patients in the US guided NB group chose US-guided NB over GA as their preferred anesthetic method for any possible future operation. (Table 3)

7 Conclusion US-guided NB is considered an effective anesthesia method in emergency external fixation in patients with lower-extremity trauma. It is a fast and safe method without restriction of NPO time and reduce the frequency of complications and facilitating recovery. This method is expected to be used in the future for various diseases without restrictions in time, space, and patient conditions

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