| Femoral nerve block using ropivacaine 0.025%, 0.05% and 0.1%: effects on the rehabilitation programme following total knee arthroplasty: a pilot study. | |
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MedLine Citation:
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PMID: 18540926 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Femoral nerve blockade is recommended for analgesia following total knee arthroplasty. Following implementation of this type of postoperative analgesia in our hospital we found that active mobilization the day after surgery, may be difficult due to insufficient quadriceps muscle strength. We therefore designed a pilot study comparing the effect of ropivacaine 0.1%, 0.05% or 0.025% on the patient's postoperative rehabilitation and analgesia. Three groups of 12 patients received bolus doses of ropivacaine via their femoral nerve catheters for postoperative analgesia. The ability to actively mobilize, quadriceps muscle strength, pain VAS-scores and patient's satisfaction were measured during in the first three postoperative days. There were no significant differences in the patient's ability to actively mobilize and the pain VAS-scores. The overall satisfaction of the patients with the pain treatment was significantly better (p = 0.049) in the 0.1% compared with the 0.025% group. This pilot-study demonstrated no advantage associated with the use of a ropivacaine concentration less than 0.1%. |
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Authors:
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J J Paauwe; B J Thomassen; J Weterings; E van Rossum; M E Ausems |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2008-06-06 |
Journal Detail:
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Title: Anaesthesia Volume: 63 ISSN: 1365-2044 ISO Abbreviation: Anaesthesia Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-08-13 Completed Date: 2008-09-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370524 Medline TA: Anaesthesia Country: England |
Other Details:
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Languages: eng Pagination: 948-53 Citation Subset: AIM; IM |
Affiliation:
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Department of Anaesthesiology, Maasland Hospital, Orbis medisch en Zorgconcern, MB, Sittard, the Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Amides / administration & dosage* Anesthetics, Local / administration & dosage* Arthroplasty, Replacement, Knee / rehabilitation* Dose-Response Relationship, Drug Double-Blind Method Drug Administration Schedule Early Ambulation / methods Female Femoral Nerve Humans Knee Joint / physiopathology Male Middle Aged Muscle Strength / drug effects Muscle, Skeletal / physiopathology Nerve Block / methods* Pain Measurement / methods Pain, Postoperative / prevention & control* Patient Satisfaction Pilot Projects Postoperative Care / methods Range of Motion, Articular |
| Chemical | |
Reg. No./Substance:
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0/Amides; 0/Anesthetics, Local; 84057-95-4/ropivacaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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