Document Detail


Anaesthesia for total knee arthroplasty: efficacy of single-injection or continuous lumbar plexus associated with sciatic nerve blocks--a randomized controlled study.
MedLine Citation:
PMID:  19961044     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Total knee arthroplasty (TKA) often results in marked postoperative pain. We compared in a randomized controlled study tramadol consumption, postoperative pain and patient satisfaction after primary TKA in patients who received a single injection lumbar plexus and sciatic nerve blocks or a continuous lumbar plexus and sciatic nerve blocks. Forty-four patients scheduled for unilateral total knee arthroplasty were allocated to the single shot group (group A) or to the catheter group (group B). All patients (in both groups) reported being satisfied with their anaesthetic management. Although pain scores and tramadol consumption appeared lower in the active infusion group, the differences did not reach statistical significance. This study confirms that either single injection or continuous infusion of Ropivacaine in lumbar plexus provides reliable and long-acting anaesthesia and analgesia.
Authors:
L Frassanito; A Vergari; A Messina; S Pitoni; C Puglisi; A Chierichini
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European review for medical and pharmacological sciences     Volume:  13     ISSN:  1128-3602     ISO Abbreviation:  Eur Rev Med Pharmacol Sci     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-12-07     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9717360     Medline TA:  Eur Rev Med Pharmacol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  375-82     Citation Subset:  IM    
Affiliation:
Emergency and Admittance Department, Catholic University of Sacred Heart, Rome, Italy. lucfras75@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Amides / administration & dosage*
Analgesics, Opioid / therapeutic use
Anesthetics, Local / administration & dosage*
Arthroplasty, Replacement, Knee / methods
Humans
Lumbosacral Plexus
Middle Aged
Nerve Block / methods*
Pain Measurement
Pain, Postoperative / drug therapy*
Patient Satisfaction
Sciatic Nerve
Tramadol / therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
0/Amides; 0/Analgesics, Opioid; 0/Anesthetics, Local; 27203-92-5/Tramadol; 84057-95-4/ropivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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