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Article: Continuous femoral nerve block versus patient-controlled analgesia following total knee arthroplasty

TitleContinuous femoral nerve block versus patient-controlled analgesia following total knee arthroplasty
Authors
Issue Date2012
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/
Citation
Journal of Orthopaedic Surgery, 2012, v. 20 n. 1, p. 23-26 How to Cite?
AbstractPURPOSE: To compare total knee arthroplasty (TKA) patients who received continuous femoral nerve block (FNB) with local anaesthetics through a catheter versus patient-controlled analgesia (PCA) with intravenous morphine. METHODS: 50 women and 10 men aged 51 to 84 years with matched characteristics underwent TKA and received either continuous FNB with local anaesthetics through a catheter (n=30) or PCA with intravenous morphine (n=30). None of the patients had had previous knee surgery. All operations were performed according to the standard protocol. Daily mean pain numerical rating scale at rest (NRS-R) and during movement (NRS-M), requirement of extra pain control, complications related to pain control, and overall patient satisfaction in both groups were compared. RESULTS: Both groups were similar in terms of pain NRS-R and NRS-M, overall satisfaction, and length of hospital stay. Within each group, pain NRS-M score was significantly higher than pain NRS-R score. In the FNB group, 3 patients had dislodgement of the femoral catheter on day 1 and switched to PCA with intravenous morphine. Two of them had fair satisfaction. Patients in the PCA group had significantly more side-effects (nausea, vomiting, dizziness, and pruritis); 2 of the 5 patients with nausea and vomiting had fair satisfaction. No patients had any surgical complication. CONCLUSION: Both FNC and PCA provide reliable pain control.
Persistent Identifierhttp://hdl.handle.net/10722/164441
ISSN
2015 Impact Factor: 0.542
2015 SCImago Journal Rankings: 0.458

 

DC FieldValueLanguage
dc.contributor.authorNg, FYen_US
dc.contributor.authorChiu, KYen_US
dc.contributor.authorYan, CHen_US
dc.contributor.authorNg, KFJ-
dc.date.accessioned2012-09-20T07:59:36Z-
dc.date.available2012-09-20T07:59:36Z-
dc.date.issued2012en_US
dc.identifier.citationJournal of Orthopaedic Surgery, 2012, v. 20 n. 1, p. 23-26en_US
dc.identifier.issn1022-5536-
dc.identifier.urihttp://hdl.handle.net/10722/164441-
dc.description.abstractPURPOSE: To compare total knee arthroplasty (TKA) patients who received continuous femoral nerve block (FNB) with local anaesthetics through a catheter versus patient-controlled analgesia (PCA) with intravenous morphine. METHODS: 50 women and 10 men aged 51 to 84 years with matched characteristics underwent TKA and received either continuous FNB with local anaesthetics through a catheter (n=30) or PCA with intravenous morphine (n=30). None of the patients had had previous knee surgery. All operations were performed according to the standard protocol. Daily mean pain numerical rating scale at rest (NRS-R) and during movement (NRS-M), requirement of extra pain control, complications related to pain control, and overall patient satisfaction in both groups were compared. RESULTS: Both groups were similar in terms of pain NRS-R and NRS-M, overall satisfaction, and length of hospital stay. Within each group, pain NRS-M score was significantly higher than pain NRS-R score. In the FNB group, 3 patients had dislodgement of the femoral catheter on day 1 and switched to PCA with intravenous morphine. Two of them had fair satisfaction. Patients in the PCA group had significantly more side-effects (nausea, vomiting, dizziness, and pruritis); 2 of the 5 patients with nausea and vomiting had fair satisfaction. No patients had any surgical complication. CONCLUSION: Both FNC and PCA provide reliable pain control.-
dc.languageengen_US
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/-
dc.relation.ispartofJournal of Orthopaedic Surgeryen_US
dc.rightsJournal of Orthopaedic Surgery. Copyright © Hong Kong Academy of Medicine Press.-
dc.subject.meshAnalgesia, Patient-Controlled-
dc.subject.meshArthroplasty, Replacement, Knee-
dc.subject.meshFemoral Nerve-
dc.subject.meshNerve Block - methods-
dc.subject.meshPain, Postoperative - prevention and control-
dc.titleContinuous femoral nerve block versus patient-controlled analgesia following total knee arthroplastyen_US
dc.typeArticleen_US
dc.identifier.emailNg, FY: fyng@hkucc.hku.hken_US
dc.identifier.emailChiu, KY: pkychiu@hkucc.hku.hken_US
dc.identifier.emailYan, CH: yanchunhoi@yahoo.com.hken_US
dc.identifier.emailNg, KFJ: tpng@hkucc.hku.hk-
dc.identifier.authorityChiu, KY=rp00379en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.pmid22535806-
dc.identifier.scopuseid_2-s2.0-84865109890-
dc.identifier.hkuros208373en_US
dc.identifier.hkuros237370-
dc.identifier.volume20en_US
dc.identifier.issue1-
dc.identifier.spage23en_US
dc.identifier.epage26en_US
dc.publisher.placeHong Kong-

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