| Autor: |
O'Leary ST; Heatherwood and Wexham Park Hospitals Trust, Wexham Park Hospital, Slough, UK, Unwin A, Smith BL, Allum RL |
| Jazyk: |
angličtina |
| Zdroj: |
The Knee [Knee] 2000 Apr 01; Vol. 7 (2), pp. 95-99. |
| DOI: |
10.1016/s0968-0160(00)00033-8 |
| Abstrakt: |
We have reviewed 33 patients undergoing primary reconstruction of the anterior cruciate ligament with a four-strand hamstring graft to assess the analgesic effect of a '3 in 1' lumbar plexus block. Patients were randomised into two groups to determine whether or not they received a catheter infusion of bupivacaine for 24 h after operation. Pain scores and additional analgesic requirements were assessed at 4, 8, 12, 16, 20 and 24 h after surgery. No difference was found between the two groups in terms of pain scores (P=0.884) and the numbers requiring morphine were similar (5/16 and 7/17). There was a trend (2.0 vs. 3.4 tablets) towards a greater coproxamol requirement for the non-block group, although not quite statistically significant (P=0.06). We conclude that the additional risk and cost of '3 in 1' lumbar plexus blockade is not justifiable after this procedure. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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