Abstract
Objective: To analyze the use of an anesthetic ankle block in the immediate postoperative period in patients undergoing foot surgery to evaluate the quality of postoperative recovery and in-hospital opioid use. Methods: Presentation of the preliminary results of a randomized, placebo-controlled, double-blind trial conducted from May 2016 to January 2017, with 16 patients undergoing surgery to correct foot pathologies. The patients in the intervention group were treated with an additional ankle block and compared to a control group. Results: The intervention group included eleven patients, of whom ten had mild pain, with a mean visual analog pain scale (VAS) score of 3 and a mean quality of post-surgical recovery (QoR-40) of 194; none of these patients required the use of opioids. The control group included five patients. Of these, one patient had severe pain and two showed moderate pain. The mean VAS score in this group was 4, and the mean QoR-40 was 190. Three patients from this group required opioids. Conclusion: The use of an ankle block in the 24 h immediately post-surgery reduced pain scores and the need for opioid use and improvedpostoperative recovery. Level of Evidence I; Therapeutic Studies; Randomized Clinical Study.
Highlights
Objective: To analyze the use of an anesthetic ankle block in the immediate postoperative period in patients undergoing foot surgery to evaluate the quality of postoperative recovery and in-hospital opioid use
Presentation of the preliminary results of a randomized, placebo-controlled, double-blind trial conducted from May 2016 to January 2017, with 16 patients undergoing surgery to correct foot pathologies
The patients in the intervention group were treated with an additional ankle block and compared to a control group
Summary
Gabriel Souza de Albuquerque[1], Marcelo de Brito Teixeira[1], Miguel Lanzieri Juste[1], Daniel Gomes de Aguiar Melo[2], Lucas Jorge Santana de Castro Alves[1], Marcus Vinicius Mota Garcia Moreno[1]. RESUMO Objetivo: Analisar o uso do pentabloqueio no pós-operatório imediato de pacientes submetidos às cirurgias do pé, com intuito de avaliar a qualidade da recuperação pós-cirúrgica e o consumo de opioides no intra-hospitalar. Resultados: O Grupo Estudo foi formado por onze pacientes, sendo que dez apresentaram dor leve, escala visual analógica de dor (EVA) média de 3, nenhum paciente necessitou de opioides, e a qualidade de recuperação pós-cirúrgica (QoR-40) média foi de 194. Já no Grupo Controle, formado por cinco pacientes, um apresentou dor intensa, dois apresentaram dor moderada, EVA média de 4, três necessitaram de opioides, e a QoR-40 média de 190. Conclusão: A utilização de pentabloqueio, em 24h de pós-operatório, reduziu os escores de dor, diminuiu a necessidade de utilização de opioide e apresentou uma melhor recuperação pós-cirúrgica. Descritores: Dor pós-operatória; Doenças do pé; Bloqueio nervoso; Analgesia
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