EVALUATION OF THE FASCIAILIACA COMPARTMENT BLOCK EFFECTIVENESS IN THE ANESTHESIA OF HYBRID FEMORAL-POPLITEAL VASCULAR OPERATIONS
DOI:
https://doi.org/10.31379/2411.2616.13.1.9Keywords:
fascia iliaca compartment block, hybrid vascular surgeryAbstract
Extensive multilevel atherosclerotic disease is common in patients with ischemia of the lower extremities. Our patients now benefit from all-in-one procedures that are part open vascular surgery and part catheter-based intervention, so-called hybrid vascular surgery. Hybrid revascularization surgery combines the well-established patency benefits of open vascular surgery with the advantages of less-invasive endovascular interventions to provide a durable and safe solution that can be customized to individual patterns of disease. A comparison of the effectiveness of the ultrasound guided fascia iliaca compartment block (iliofascial block) and epidural anesthesia during hybrid vascular reconstructions was performed on base of Center of Reconstructive and Restorative Medicine (University Clinic) of Odessa National Medical University. The pain intensity in first 12 hours did not differ significantly in both groups; after 24 hours, the visual-analogue score evaluation in the group of iliofascial block was comparably lower (26 ± 7 at rest and 31 ± 9 at activeness versus 33 ± 6 and 39 ± 11 in the main group, respectively). At the same time in the group of regional block the verticalization time was significantly reduced: 6 ± 3 hours vs. 30 ± 14 h after the epidural analgesia. Ultrasound guided fascia iliaca compartment block allows to provide high quality of anesthesia during hybrid arterial operations and early activаtion of the patient.
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