Analgesic efficacy of ultrasound-guided adductor canal blockade after arthroscopic anterior cruciate ligament reconstruction
| Autor: | J. S. Fomsgaard, Malene Espelund, Jørgen Haraszuk, Ole Mathiesen, Jørgen B. Dahl |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Anterior cruciate ligament reconstruction Adductor canal medicine.medical_treatment Analgesic Ibuprofen law.invention Cruciate ligament Arthroscopy Young Adult Double-Blind Method Randomized controlled trial law medicine Humans Ropivacaine Acetaminophen Aged Analgesics Anterior Cruciate Ligament Reconstruction business.industry Nerve Block Middle Aged musculoskeletal system Amides Blockade Surgery Analgesics Opioid Treatment Outcome Anesthesiology and Pain Medicine medicine.anatomical_structure Area Under Curve Anesthesia Female business medicine.drug Sensory nerve |
| Zdroj: | European Journal of Anaesthesiology. 30:422-428 |
| ISSN: | 0265-0215 |
| DOI: | 10.1097/eja.0b013e328360bdb9 |
| Popis: | Anterior cruciate ligament (ACL) reconstruction surgery is associated with moderate to severe postoperative pain, which may be ameliorated by peripheral nerve blocks. The adductor canal block (ACB) is an almost exclusively sensory nerve block that has been demonstrated to reduce pain and opioid consumption after major knee surgery.To investigate the analgesic effect of ACB in patients receiving a basic analgesic regimen of paracetamol and ibuprofen after arthroscopic ACL reconstruction under general anaesthesia.Randomised, double-blind, placebo-controlled, parallel groups.Day Case Surgery, University of Copenhagen, Glostrup Hospital, Denmark, June 2010 to March 2012.Fifty patients, aged 18 to 70 years, scheduled for arthroscopic ACL reconstruction.Patients were randomised to receive ACB with either 30 ml ropivacaine 7.5 mg ml (n = 25) or 30 ml 0.9% saline (n = 24).Primary outcome was pain score (0 to 100 mm) during standing at 2 h after surgery. Secondary outcomes were pain at rest, during standing and after walking 5 m, opioid consumption and opioid-related side effects for 24 h after surgery.Median (interquartile range) pain scores for the primary outcome were 20 (12 to 36) mm in the ropivacaine and 20 (10 to 44) mm in the control group (P = 0.84, 95% confidence interval for difference of -9 to 12 mm). No significant differences were observed in any of the secondary outcomes.An analgesic regimen with paracetamol and ibuprofen provides acceptable postoperative pain control after arthroscopic ACL reconstruction. ACB did not confer further benefit in our patients.Clinicaltrials.gov Identifier: NCT01212666. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|