Open AccessReadiness for Discharge After Foot and Ankle Surgery Using Peripheral Nerve Blocks: A Randomized Controlled Trial Comparing Spinal and General Anesthesia as Supplements to Nerve Blocks
Author(s) -
Jacques T. YaDeau,
Kara G. Fields,
Richard L. Kahn,
Vincent R. LaSala,
Scott J. Ellis,
David S. Levine,
Leonardo Paroli,
Thuyvan H. Luu,
Matthew M. Roberts
Publication year - 2018
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000003456
Subject(s) - medicine , anesthesia , propofol , randomized controlled trial , ambulatory , alfentanil , bupivacaine , ankle , nerve block , sedation , surgery
Neuraxial anesthesia is often viewed as superior to general anesthesia but may delay discharge. Comparisons do not typically use multimodal analgesics and nerve blockade. Combining nerve blockade with general anesthesia may reduce pain, opioid consumption, and nausea. We hypothesized that general anesthesia (with nerve blocks) would lead to earlier readiness for discharge, compared to spinal anesthesia (with nerve blocks).