Femoral nerve block-sciatic nerve block vs. femoral nerve block-local infiltration analgesia for total knee arthroplasty: a randomized controlled trial
| Autor: | Mari Nagafuchi, Hiroshi Morisaki, Kazunari Okuma, Tomoyuki Sato, Takahiro Sakuma, Hiromasa Hayashi, Akira Hashiuchi, Junya Oshida, Akemi Uematsu, Hidenori Tanikawa |
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| Jazyk: | angličtina |
| Předmět: |
Local anesthesia
Male medicine.medical_specialty Epinephrine Nerve block medicine.medical_treatment Sciatic nerve law.invention Postoperative pain Femoral nerve Randomized controlled trial law medicine Humans Pain Management Ropivacaine Prospective Studies Anesthetics Local Prospective cohort study Arthroplasty Replacement Knee Aged Analysis of Variance Pain Postoperative business.industry Length of Stay Arthroplasty Amides Surgery Knee arthroplasty Treatment Outcome Anesthesiology and Pain Medicine Patient Satisfaction Anesthesia Female Analgesia business medicine.drug Research Article Anesthesia Local |
| Zdroj: | BMC Anesthesiology |
| ISSN: | 1471-2253 |
| DOI: | 10.1186/s12871-015-0160-3 |
| Popis: | Background The use of femoral nerve block (FNB) combined with sciatic nerve block (SNB) after total knee arthroplasty (TKA) has recently become controversial. Local infiltration analgesia (LIA) has been reported to be effective for postoperative TKA pain control. We aimed to assess whether LIA with continuous FNB is as effective as SNB combined with continuous FNB. Methods This was a prospective, randomized, single-center, observer-blinded, parallel group comparison trial of 34 American Society of Anesthesiologists (ASA) physical status 1–3 patients who underwent TKA and fulfilled the inclusion and exclusion criteria. Patients were randomized into two groups: a periarticular LIA and FNB group (group L, n = 17), and an SNB and FNB group (group S, n = 17). In both groups, participants received FNB with 20 mL of 0.375 % ropivacaine, and 5 mL h−1 of 0.2 % ropivacaine after surgery. In group L, participants received 100-ml injections of 0.2 % ropivacaine and 0.5 mg epinephrine to the surgical region. In group S, participants received SNB with 20 ml of 0.375 % ropivacaine. After TKA, Numeric Rating Scale (NRS) scores for the first 24 h post-operation were compared via repeated-measures analysis of variance (ANOVA) as the primary outcome. Other outcome measures included NRS score changes within groups, area under the curve for the NRS scores, total analgesic dose, change in knee flexion and extension, pain control satisfaction, nausea and vomiting, and hospital stay duration. Results NRS score changes were greater in group L than in group S (P |
| Databáze: | OpenAIRE |
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