Complications of Femoral Nerve Blockade in Total Knee Arthroplasty and Strategies to Reduce Patient Risk
| Autor: | Carl T. Talmo, Abdel K. Mehio, Claire E. Robbins, James V. Bono, Lalit Puri, Justin M. LaReau |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Catheters Knee Joint medicine.medical_treatment Periprosthetic Osteoarthritis Compartment Syndromes Femoral nerve medicine Humans Orthopedics and Sports Medicine Anesthetics Local Arthroplasty Replacement Knee Aged Pain Measurement Pain Postoperative Rehabilitation business.industry Incidence Nerve Block Middle Aged Osteoarthritis Knee medicine.disease Bupivacaine Arthroplasty Blockade Surgery Radiography Catheter Treatment Outcome Anesthesia Orthopedic surgery Female Periprosthetic Fractures business Femoral Nerve |
| Zdroj: | The Journal of Arthroplasty. 27:564-568 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2011.06.028 |
| Popis: | Femoral nerve catheters are widely used for analgesia in total knee arthroplasty. Although evidence suggests that catheters improve pain control and may facilitate short-term rehabilitation, few reports exist regarding their complications. This case series explores the experience of femoral nerve catheter use at high-volume orthopedic specialty hospitals. Serious complications including compartment syndrome, periprosthetic fracture, and vascular injury are reported. The authors support femoral nerve catheter use with appropriate precautions taken to reduce risk of patient falls, vascular injury, and wrong-site surgery. |
| Databáze: | OpenAIRE |
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