Evaluation of continuous ultrasound-guided sciatic popliteal nerve block with longitudinal approach in the management of vascular pain in patients with chronic limb-threatening ischemia

ABSTRACT: Aim: the aim of this study was to assess the analgesic effectiveness of the ultrasound-guided continuous sciatic nerve block with longitudinal approach (UCSNB) for the management of acute pain due to Chronic limb-threatening ischemia (CLTI); measured by decreasing pain, numerical rating scale (NRS), success and complications associated with the procedure, measure of opioid use and patient satisfaction. Methods: Descriptive observational prospective cross-sectional study, sample of all patients with vascular pain due to who consulted during the period from December 2019 to March 2020 at the pain unit of San Vicente Fundación Hospital. Preprocedural and postprocedural at 30 minutes, 24, 48, 72, 96 and 120 hours NRS, pinprick test as objective evaluation of success block, complications of the procedure as a measure of security, preprocedural and postprocedural opioid use (24h morphine equivalent) and side effect secondary to these and the satisfaction patient scale were evaluated. Results: 14 patients with CLTI were treated with UCSNB, the postprocedural NRS compared with preprocedural scores were significantly lower (p=0.0001, IQR=2 (Q1=1 y Q3=2)); there was no difference in the NRS between the evaluations at the evaluated postprocedural times. The mean opioid use previous to the UCSNB was 52,01 + 28.85 mg and postprocedural 5,64 +2.15, the prevalence of opioid side effects previous to block was delirium 42%, nauseas and vomiting 28%, and sedation 14%, non-cases of respiratory depression were reported and non-side effect was reported postprocedural. The block was success in the 100% of the patient and the only complications associated to the procedure was catheter migration in 28,6%, the satisfaction score was 4 in all the cases. Conclusion: UCSNB is an effectiveness and safe technique for the control of acute vascular pain in CLTI while a surgical of non-surgical management is defined, with an excellent rate of success and a low complication incidence within the 5 days after procedure. Randomized controlled studies are required for this method to be included in treatment algorithmsRESUMEN: Objetivo: el objetivo de este estudio fue evaluar la efectividad analgésica del bloqueo del nervio ciático continuo guiado por ultrasonido con abordaje longitudinal (UCSNB) para el manejo del dolor agudo debido a la isquemia crónica que amenaza la extremidad (CLTI); medido por la disminución del dolor, la escala de calificación numérica (NRS), el éxito y las complicaciones asociadas con el procedimiento, la medida del uso de opioides y la satisfacción del paciente. Métodos: Estudio descriptivo, observacional, prospectivo, transversal, muestra de todos los pacientes con dolor vascular por consulta durante el período de diciembre de 2019 a marzo de 2020 en la unidad de dolor del Hospital San Vicente Fundación. Preprocedimiento y posprocedimiento a los 30 minutos, 24, 48, 72, 96 y 120 horas NRS, prueba de pinchazo como evaluación objetiva del bloqueo del éxito, complicaciones del procedimiento como medida de seguridad, uso de opioides preprocedimiento y posprocedimiento (equivalente de morfina de 24 h) y lateral Se evaluó el efecto secundario a estos y la escala de satisfacción del paciente. Resultados: 14 pacientes con CLTI fueron tratados con UCSNB, el NRS posprocedimiento comparado con los puntajes preprocedimiento fueron significativamente menores (p = 0.0001, IQR = 2 (Q1 = 1 y Q3 = 2)); no hubo diferencia en el NRS entre las evaluaciones en los tiempos posprocedimiento evaluados. El consumo medio de opioides previo a la UCSNB fue 52,01 + 28,85 mg y posprocedimiento 5,64 +2,15, la prevalencia de efectos secundarios de opioides previos al bloqueo fue delirio 42%, náuseas y vómitos 28% y sedación 14%, no Se notificaron casos de depresión respiratoria y se notificaron efectos no secundarios después del procedimiento. El bloqueo fue exitoso en el 100% de los pacientes y la única complicación asociada al procedimiento fue la migración del catéter en el 28,6%, la puntuación de satisfacción fue de 4 en todos los casos. Conclusión: La UCSNB es una técnica eficaz y segura para el control del dolor vascular agudo en CLTI mientras se define un manejo quirúrgico o no quirúrgico, con una excelente tasa de éxito y una baja incidencia de complicaciones dentro de los 5 días posteriores al procedimiento. Se requieren estudios controlados aleatorios para que este método se incluya en los algoritmos de tratamient

XVII International Congress of Control Electronics and Telecommunications: "Advanced Science, Technology and Innovation to move towards a new socio-technical system: Sustainable Social Transformation"

Contenido: Approach to the diagnostic of cesarean birth using bio-inspired models. ; Design of a tool in a virtual reality environment to manipulate anatomical models. ; The effect of COVID-19 restrictions on the electricity price forecasting models. ; Depression prevention through artificial intelligence. ; State of the art in Prototypes as complements to the learning of the Colombian Sign Language (LSC). ; A computational proposal for gene expression deterministic analysis in associated disorders to depression and anxiety. ; Evaluation of postural stability from the predictability of the measurement of the center of pressure. ; Psychophysiological Analysis of Sound Stimuli.; Delphi method for the identification of relevant variables in the development of low-power photovoltaic solar projects. ; Socioeconomic impact of a refrigerator powered by a photovoltaic system in La Guajira. ; Energy Efficiency: characteristics that allow the reduction of greenhouse gases in. ; Possibilities for the implementation of a bioreactor from organic waste. ; Energy Potential with Small Hydroelectric Power Plants in Non- interconnected Zones of Colombia. ; Energy Potential in Photovoltaic Solar Solutions in Non-Interconnected Areas of Colombia. ; Photovoltaic system, towards the energy transition from home. ; Blockchain model to increase the transparency of public sector processes. ; Intelligent agricultural irrigation prescription system based on sensor networks and crop modeling. ; Design and implementation of a digital modulation classification system using intelligent algorithms. ; A mobile application proposal to minimize intermediation during agricultural process distribution of products in supply chain. ; Accompanying strategy for the social appropriation of new technologies in vulnerable agricultural communities: case in communities producing Gulupas fruits (Passiflora edulis Sims). ; Predictive model of transparency as an indicator of Public Policies. ; Smart system for recognition of ripening level in blackberry fruits. ; Project-based learning as an alternative methodology for technological education in electronics. ; Design and construction of an automated system for N. ; Four bar mechanisms (FBM) and their Software-Based applications: a reviewFT aquaponic culture of Red Carp and Crespa Lettuce. ; Intelligent search implementation for the construction of states of the art: a python application. ; Indoor and Outdoor propagation models on 5G environments: state of the art. ;The electronic detection of offenders (DOO) in the District Secretary of mobility of Bogotá: a step forward in the configuration of the concept of digital citizenship in Colombia. ; Monitoring through ICT of Mobility: technological collaborative feature to incorporate IoT in a Smart City. ; Characterization model of asphalt mixtures using digital image processing. ; Review: identification of diseases and/or pests in fruit trees through image processing techniques and artificial intelligence. ; VRS applicated to Nasa Yuwe language. ; Application of Pix2Pix for edge reconstruction in images. ; Brushless DC Motor Control System for Active Myoelectric Prosthesis. ; Implementation of a Water Conductivity Measuring System. ; 2 DOF robot programmed with MatLab® (guide and Peter Corke) and Arduino uno for writing alphabetical characters. ; Simulator of the behavior of the center of mass in a quadruped robot. ; Biomimetic prototype for flapping movement of batsContent: Contenido: Approach to the diagnostic of cesarean birth using bio-inspired models. ; Design of a tool in a virtual reality environment to manipulate anatomical models. ; The effect of COVID-19 restrictions on the electricity price forecasting models. ; Depression prevention through artificial intelligence. ; State of the art in Prototypes as complements to the learning of the Colombian Sign Language (LSC). ; A computational proposal for gene expression deterministic analysis in associated disorders to depression and anxiety. ; Evaluation of postural stability from the predictability of the measurement of the center of pressure. ; Psychophysiological Analysis of Sound Stimuli.; Delphi method for the identification of relevant variables in the development of low-power photovoltaic solar projects. ; Socioeconomic impact of a refrigerator powered by a photovoltaic system in La Guajira. ; Energy Efficiency: characteristics that allow the reduction of greenhouse gases in. ; Possibilities for the implementation of a bioreactor from organic waste. ; Energy Potential with Small Hydroelectric Power Plants in Non- interconnected Zones of Colombia. ; Energy Potential in Photovoltaic Solar Solutions in Non-Interconnected Areas of Colombia. ; Photovoltaic system, towards the energy transition from home. ; Blockchain model to increase the transparency of public sector processes. ; Intelligent agricultural irrigation prescription system based on sensor networks and crop modeling. ; Design and implementation of a digital modulation classification system using intelligent algorithms. ; A mobile application proposal to minimize intermediation during agricultural process distribution of products in supply chain. ; Accompanying strategy for the social appropriation of new technologies in vulnerable agricultural communities: case in communities producing Gulupas fruits (Passiflora edulis Sims). ; Predictive model of transparency as an indicator of Public Policies. ; Smart system for recognition of ripening level in blackberry fruits. ; Project-based learning as an alternative methodology for technological education in electronics. ; Design and construction of an automated system for N. ; Four bar mechanisms (FBM) and their Software-Based applications: a reviewFT aquaponic culture of Red Carp and Crespa Lettuce. ; Intelligent search implementation for the construction of states of the art: a python application. ; Indoor and Outdoor propagation models on 5G environments: state of the art. ;The electronic detection of offenders (DOO) in the District Secretary of mobility of Bogotá: a step forward in the configuration of the concept of digital citizenship in Colombia. ; Monitoring through ICT of Mobility: technological collaborative feature to incorporate IoT in a Smart City. ; Characterization model of asphalt mixtures using digital image processing. ; Review: identification of diseases and/or pests in fruit trees through image processing techniques and artificial intelligence. ; VRS applicated to Nasa Yuwe language. ; Application of Pix2Pix for edge reconstruction in images. ; Brushless DC Motor Control System for Active Myoelectric Prosthesis. ; Implementation of a Water Conductivity Measuring System. ; 2 DOF robot programmed with MatLab® (guide and Peter Corke) and Arduino uno for writing alphabetical characters. ; Simulator of the behavior of the center of mass in a quadruped robot. ; Biomimetic prototype for flapping movement of bat