Blockade of the sciatic nerve and N. saphenus in children with reconstructive-corrective surgery on the lower leg and foot

Introduction. The purpose of the study was to study the effectiveness and safety of the use of nerve blockade of the lower extremities in children withreconstructive surgery on the lower leg and foot. The use of sciatic nerve blockade and n.saphenus blockade in the complex of anesthesiological aid forreconstructive corrective operations on the lower leg and foot in children with congenital and acquired pathology, as well as the effect of regional anesthesia onintraoperative anesthesia and postoperative analgesia, is analyzed. Material and methods. The study was conducted on 57 patients with congenital malformations (congenital clubfoot, flat valgus deformity, vertical ram,longitudinal ectromelia, hemimielia) who underwent reconstructive corrective surgery. Patients were divided into 2 groups. In the main group, general anesthesiaand regional anesthesia (sciatic nerve block and n.saphenus block) were performed. In the control group - general anesthesia. The efficacy of intraoperativeanesthesia and the amount of fentanyl used were evaluated. The pain syndrome and its severity in the postoperative period was evaluated according to theFLACC pain rating scale for children (assessment of face, legs, activity, crying and calm). Take into account the dose of narcotic analgesics (tramadol) on the 1st day; fixed complications, both for general anesthesia and for regional anesthesia. When comparing the obtained parameters, we used the 2-sided Student t-test for independent paired samples and the \2 test. Results in the main group: lower consumption of narcotic analgesics (fentanyl) intraoperatively to achieve an adequate level of anesthesia-analgesia; FLACC indicators remained longer for a long time at a low level; lower consumption of narcotic analgesics (tramadol) in the postoperative period. Complications of regional anesthesia, general anesthesia is not fixed. Conclusion. Blockade of the sciatic nerve and n.saphenus provides good anesthesia and postoperative analgesia during reconstructive corrective surgery on the lower leg and foot in children.