Journals / Anestezi Dergisi / 2009 / Cilt: 17 - Sayı: 4

Femoral nerve block for postoperative pain therapy after knee artroplasthy

Diz artroplastisisinde postoperatif ağrı tedavisinde femoral sinir bloğu

Pages
181–185
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this review we evaluated the femoral block technique after total knee arthroplasty for postoperative analgesia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The postoperative period after total knee arthroplasty is extremely painful.
📊
Key Findings & Data:In these circumstances the appropiate anesthesia technique combined with good postoperative pain management decreases the morbidity and mortality rates.
💡
Conclusion & Impact:In this review we evaluated the femoral block technique after total knee arthroplasty for postoperative analgesia.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The postoperative period after total knee arthroplasty is extremely painful. These kind of surgeries are often performed with elderly patients with systemic comorbid dieases and patients who have to use multible drugs because of these. In these circumstances the appropiate anesthesia technique combined with good postoperative pain management decreases the morbidity and mortality rates. Recent studies show that after total knee artroplasty, epidural block is the most effective analgesia technique. Also procedures performed on a single extremity, peripheral nerve blocks are a good alternative and have gained popularity in the last years. After total knee arthroplasty femoral 3 in 1 block technique is easy to perform, safe and effective with minimal side effects. Using peripheral nerve stimulators and ultrasound imaging techniques improves the success rate. In this review we evaluated the femoral block technique after total knee arthroplasty for postoperative analgesia.

Özet

Total diz artroplastisi sonrası postoperatif dönem oldukça ağrılıdır. Bu tür operasyonlar genellikle yaşlı, yandaş sistemik hastalıkları bulunan ve bu hastalıkları nedeniyle çeşitli ilaçlar kullanması gereken hasta grubuna uygulanan girişimlerdir. Bu durumda seçilecek anestezi tekniğiyle birlikte postoperatif iyi ağrı kontrolü morbidite ve mortalitenin azalmasını sağlar. Son zamanlarda yapılan çalışmalar total diz artropastisi sonrasında epidural analjezinin en etkin analjezi yöntemi olduğunu göstermektedir. Bunun yanı sıra tek ekstremiteye ait girişimlerde periferik sinir blokları iyi bir alternatif olmuş ve son yıllarda popülerlik kazanmıştır. Total diz artroplastisi sonrası femoral 3 in 1 blok, uygulaması kolay basit, güvenilir, yan etkisi az ve etkin bir tekniktir. Periferik sinir stimülatörleri ve ultrasonografik görüntülemenin kullanımı başarı oranının artırmaktadır. Bu derlemede total diz replasmanı sonrası analjezi için kullanılan femoral blok tekniği değerlendirilmiştir.

🔖

Cite This Article

CAN, Ö. S., ÖZGENCİL, E., HASDOĞAN, M., ÖKTEN, F. (2009). Femoral nerve block for postoperative pain therapy after knee artroplasthy. Anestezi Dergisi, Cilt: 17 - Sayı: 4, 181–185. https://ajindex.com/articles/355224

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Hirst GC, Lang SA, Dust WN, Cassidy JD, Yip RW. Femoral nerve block. Single injection versus continuous infusion for total knee arthroplasty. Reg Anesth. 1996
  2. 21(4): 292-7. 2. Serpell MG, Millar FA, Thomson MF. Comparison of lumbar plexus block versus conventional opioid analgesia after total knee replacement. Anaesthesia. 1991
  3. 46(4): 275-7. 3. Bonica J. Postoperative pain. In: Bonica J, ed. The management of pain. 2nd ed. Philedelphia: Lea & Febiger, 1990: 461-80. 4. Kehlet H.Surgical stress: the role of pain and analgesia. Br J Anaesth. 1989
  4. 63(2): 189-95. Review. 5. Beattie WS, Buckley DN, Forrest JB.Epidural morphine reduces the risk of postoperative myocardial ischaemia in patients with cardiac risk factors. Can J Anaesth. 1993
  5. 40(6): 532-41. 6. Mangano DT, Siliciano D, Hollenberg M, et al.Postoperative myocardial ischemia. Therapeutic trials using intensive analgesia following surgery. The Study of Perioperative Ischemia (SPI) Research Group. Anesthesiology. 1992
  6. 76(3): 342-53. 7. Yeager MP, Glass DD, Neff RK, Brinck-Johnsen T. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology. 1987
  7. 66(6): 729-36. 8. Loper KA, Ready LB.Epidural morphine after anterior cruciate ligament repair: a comparison with patient-controlled intravenous morphine. Anesth Analg. 1989
  8. 68(3): 350-2. 9. Baker MW, Tullos HS, Bryan WJ, Oxspring H. The use of epidural morphine in patients undergoing total knee arthroplasty. J Arthroplasty. 1989
  9. 4(2): 157-61. 10. Ilahi OA, Davidson JP, Tullos HS. Continuous epidural analgesia using fentanyl and bupivacaine after total knee arthroplasthy. Clin Orthop Relat Res. 1994
  10. Ferrante FM, Orav EJ, Rocco AG, Gallo J.A statistical model for pain in patient-controlled analgesia and conventional intramuscular opioid regimens. Anesth Analg. 1988
  11. 67(5): 457-61. 12. Edwards ND, Wright EM.Continuous low-dose 3-in-1 nerve blockade for postoperative pain relief after total knee replacement. Anesth Analg. 1992
  12. 75(2): 265-7. 13. Singelyn F, Gouverneur JM. Postoperative analgesia after open knee surgery: comparison between continuous "3-in-1" block (CB) and continuous epidural analgesia (EA) abstract). Anesthesiology 1997
  13. A803. 14. Singelyn FJ, Deyaert M, Joris D, Pendeville E, Gouverneur JM. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee a