Effect of ultrasound-guided high ankle block on quality of postoperative recovery of patients undergoing foot and ankle surgery
10.3760/cma.j.cn131073-20241014-00316
- VernacularTitle:超声引导高位踝关节阻滞对足踝部手术患者术后恢复质量的影响
- Author:
Huanjia XUE
1
;
Dujuan QIAO
;
Zhe ZHANG
;
Kailun GAO
;
Xu ZHANG
;
Liwei WANG
;
Kai WANG
Author Information
1. 徐州医科大学徐州临床学院(徐州市中心医院)麻醉科，徐州 221009
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Ankle joint;
Nerve block;
Enhanced recovery after surgery
- From:
Chinese Journal of Anesthesiology
2025;45(3):348-352
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of ultrasound-guided high ankle block (HAB) on the quality of postoperative recovery of patients undergoing foot and ankle surgery.Methods:In this randomized controlled trial, 90 patients of either sex, aged 18-64 yr, with a body mass index of 18-28 kg/m 2, of American Society of Anesthesiologists Physical Status classification Ⅰ-Ⅲ, scheduled for elective foot and ankle surgery, were divided into 2 groups ( n=45 each) using a random number table method: HAB group and spinal anesthesia group (SA group). Patients underwent ultrasound-guided HAB on the affected side in HAB group, while patients received spinal anesthesia in SA group. The Quality of Recovery-15 (QoR-15) scores were recorded at 24 and 48 h postoperatively. Additional data collected included anesthesia preparation and operation time, sensory and motor grading after anesthesia, anesthetic effect grading, surgery duration, intraoperative tourniquet time, block duration, time to first ambulation, and postoperative length of hospital stay. The time of first rescue analgesia and requirement for rescue algesia within 48 h postoperatively and the occurrence of adverse reactions such as hypotension, headache, nausea and vomiting, and urinary retention after anesthesia were also recorded. Results:Compared to SA group, QoR-15 scores and motor grading after anesthesia were significantly increased, the time to first ambulation and postoperative length of hospital stay were shortened, the duration of block and anesthesia preparation and operation time were prolonged at 24 h postoperatively, the rate of rescue analgesia wthin 48 h after operation and incidence of adverse reactions after anesthesia were decressed, and the time to first rescue analgesia was pronlonged in HAB group ( P<0.05). There were no significant differences between the two groups in sensory grading after anesthesia, anesthetic effect grading, intraoperative use of tourniquet time, and QoR-15 scores at 48 h postoperatively ( P>0.05). Conclusions:Ultrasound-guided HAB provides better quality of postoperative recovery than spinal anesthesia for the patients undergoing foot and ankle surgery.
