Document Detail


Ultrasound-guided single-injection femoral nerve block provides effective analgesia after total knee arthroplasty up to 48 hours.
MedLine Citation:
PMID:  25205409     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: The purpose of this study is to evaluate the effects of ultrasound (US) guided single-injection femoral nerve block (FNB) spinal anesthesia on pain control, morphine consumption, adverse effects, and patient satisfaction during the postoperative 48-hour period in patients undergoing total knee arthroplasty (TKA).
METHODS: One hundred four ASA physical status I-III patients undergoing single TKA for degenerative joint disease were enrolled in this clinical study. Patients were randomly distributed into two groups: US-guided single-injection FNB with 40 ml of 0.5% bupivacaine and 1:200,000 epinephrine was administered to Group F (n=51) patients. Preservative-free saline was injected in Group P (n=53) patients using the same method as Group F. Pain scores, morphine consumption, incidences of adverse events, and patient satisfaction were assessed over the course of 48 hours.
RESULTS: Group F used significantly less morphine compared with Group P (18.7 mg vs. 39.6 mg) during the first 48 hours after surgery (p<0.001). When compared with group P, the VRS scores both at rest and during movement were significantly lower in Group F at 4, 8, 12, 24, and 48 hours after TKA (for all comparisons p<0.001). In addition, patient satisfaction was better in Group F than Group P.
CONCLUSION: This study suggests that a US-guided single-injection femoral nerve block following TKA improves patient satisfaction and reduces consumption of morphine during the first 48 hours.
Authors:
Levent Sahin; Halil Fatih Korkmaz; Mehrican Sahin; Güneri Atalan
Related Documents :
23906269 - Effect of anterior acetabular rim recession on radiographic parameters: an in vivo study.
24403769 - Evaluation of the degree of knee joint osteoarthritis in patients with early gray hair.
23307669 - The importance of adequate stem anteversion for rotational stability in cemented total ...
23265749 - Comparison of quadriceps-sparing minimally invasive and medial parapatellar total knee ...
12869909 - Effect of amoxicillin or clindamycin on the adenoids bacterial flora.
24140139 - Endoscopic repair of full-thickness abductor tendon tears: surgical technique and outco...
8645689 - Labial sensory function following sagittal split osteotomy.
12787039 - Photodynamic therapy (pdt) using topically applied delta-aminolevulinic acid (ala) for ...
7096419 - Acute haematogenous osteomyelitis.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Aǧrı : Ağrı (Algoloji) Derneği'nin Yayın organıdır = The journal of the Turkish Society of Algology     Volume:  26     ISSN:  1300-0012     ISO Abbreviation:  Agri     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-09-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9426197     Medline TA:  Agri     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  113-8     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Laparoscopic cholecystectomy pain: effects of the combination of incisional and intraperitoneal levo...
Next Document:  [The relationship between scapular dyskinesia, pain, range of motion, and flexibility in patients wi...