Autor: |
Brigid Brown, Tim Soon Cheok, David Worsley, Hidde M. Kroon, Nathan Davis, Ruurd L. Jaarsma, Job Doornberg, D-Yin Lin |
Jazyk: |
angličtina |
Rok vydání: |
2024 |
Předmět: |
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Zdroj: |
BMC Anesthesiology, Vol 24, Iss 1, Pp 1-6 (2024) |
Druh dokumentu: |
article |
ISSN: |
1471-2253 |
DOI: |
10.1186/s12871-024-02740-1 |
Popis: |
Abstract Background Finding the balance of good postoperative analgesia while facilitiating mobility is important for a safe and satisfactory patient experience during Total Knee Arthroplasty (TKA). This study aimed to compare the efficacy of intrathecal morphine, adductor canal block, and their combination in optimizing pain management and postoperative recovery in TKA patients. This retrospective analysis of prospectively collected data evaluated postoperative pain scores, time to mobilisation, and length of hospital stay. Methods 1006 consecutive patients undergoing elective TKA across two large tertiary centres were included over six years. They were divided into one of four groups according to the type of analgesia received: Group N patients received no neuraxial morphine or regional block. Group B patients received adductor canal block (ACB) only. Group M patients received intrathecal morphine (ITM) but no regional block. Group BM patients received both ACB and ITM. Results Patients who received an ACB had faster postoperative mobilization compared to those without (p |
Databáze: |
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