Yıl: 2019 Cilt: 27 Sayı: 2 Sayfa Aralığı: 143 - 145 Metin Dili: İngilizce DOI: 10.5222/jarss.2019.92486 İndeks Tarihi: 03-01-2020

Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery

Öz:
Objective: Surgery applied for musculoskeletal system deformities is a major surgery that causessevere postoperative pain. This situation is related to physiological and psychological side effects,especially in pediatric patients. Distal adductor canal block was applied in adults, and sensoryblock of sciatic and femoral nerves has been demonstrated. This block may provide adequateanalgesia after pediatric lower extremity surgery.Method: We performed distal adductor canal block in a five-year-old pediatric patient whounderwent Ilizarov external fixation with fibular and tibial osteotomy. During postoperative24-hour, pain scores and additional analgesic requirement were recorded.Results: Postoperative 24-hour pain scores were between 0-2 points, patient slept well, and didnot require additional analgesics for 16 hours after the procedure.Conclusion: Distal adductor canal block may provide effective postoperative analgesia for lowerlimb surgery in pediatric cases with blockage of two nerves with a single injection.
Anahtar Kelime:

Konular: Anestezi Yoğun Bakım, Tıp

Pediyatrik Alt Ekstremite Cerrahisi için Ultrason Eşliğinde Distal Adduktor Kanal Bloğu

Öz:
Amaç: İskelet kas sistemi deformitesi cerrahisi, postoperatif ciddi ağrıya neden olan major ameliyatlardır. Bu durum, özellikle pediyatrik hastalarda fizyolojik ve psikolojik yan etkilerle ilişkilidir. Distal addüktör kanal bloğu yetişkin hastalarda uygulanmış, femoral ve siyatik sinirde duyusal blokaj sağladığı gösterilmiştir. Bu blok, pediyatrik alt ekstremite cerrahisinde de yeterli analjezi sağlayabilir. Yöntem: Fibular ve tibial osteotomi ile Ilizarov eksternal fiksatörü uygulanan beş yaşındaki pediyatrik hastaya postoperatif distal adductor kanal bloğu uygulandı. Postoperatif 24 saatlik ağrı skorları ve ek analjezik gereksinimi değerlendirildi. Bulgular: Postoperatif 24 saatlik ağrı skorları 0-2 arasındaydı, hasta iyi uyudu ve işlemden sonra 16 saat boyunca ek analjezik gereksinimi olmadı. Sonuç: Distal addüktör kanal bloğu, pediyatrik alt ekstremite cerrahisi için tek 1 enjeksiyon ile 2 siniri bloke ederek etkili postoperatif analjezi sağlayabilir.
Anahtar Kelime:

Konular: Anestezi Yoğun Bakım, Tıp
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA YAYIK A, Ahiskalioglu A, Çelik E (2019). Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. , 143 - 145. 10.5222/jarss.2019.92486
Chicago YAYIK Ahmet Murat,Ahiskalioglu Ali,Çelik Erkan Cem Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. (2019): 143 - 145. 10.5222/jarss.2019.92486
MLA YAYIK Ahmet Murat,Ahiskalioglu Ali,Çelik Erkan Cem Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. , 2019, ss.143 - 145. 10.5222/jarss.2019.92486
AMA YAYIK A,Ahiskalioglu A,Çelik E Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. . 2019; 143 - 145. 10.5222/jarss.2019.92486
Vancouver YAYIK A,Ahiskalioglu A,Çelik E Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. . 2019; 143 - 145. 10.5222/jarss.2019.92486
IEEE YAYIK A,Ahiskalioglu A,Çelik E "Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery." , ss.143 - 145, 2019. 10.5222/jarss.2019.92486
ISNAD YAYIK, Ahmet Murat vd. "Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery". (2019), 143-145. https://doi.org/10.5222/jarss.2019.92486
APA YAYIK A, Ahiskalioglu A, Çelik E (2019). Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. Anestezi Dergisi, 27(2), 143 - 145. 10.5222/jarss.2019.92486
Chicago YAYIK Ahmet Murat,Ahiskalioglu Ali,Çelik Erkan Cem Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. Anestezi Dergisi 27, no.2 (2019): 143 - 145. 10.5222/jarss.2019.92486
MLA YAYIK Ahmet Murat,Ahiskalioglu Ali,Çelik Erkan Cem Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. Anestezi Dergisi, vol.27, no.2, 2019, ss.143 - 145. 10.5222/jarss.2019.92486
AMA YAYIK A,Ahiskalioglu A,Çelik E Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. Anestezi Dergisi. 2019; 27(2): 143 - 145. 10.5222/jarss.2019.92486
Vancouver YAYIK A,Ahiskalioglu A,Çelik E Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery. Anestezi Dergisi. 2019; 27(2): 143 - 145. 10.5222/jarss.2019.92486
IEEE YAYIK A,Ahiskalioglu A,Çelik E "Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery." Anestezi Dergisi, 27, ss.143 - 145, 2019. 10.5222/jarss.2019.92486
ISNAD YAYIK, Ahmet Murat vd. "Ultrasound Guided Distal Adductor Canal Block for Pediatric Lower Limb Surgery". Anestezi Dergisi 27/2 (2019), 143-145. https://doi.org/10.5222/jarss.2019.92486