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Article: Continuous femoral nerve block versus patient-controlled analgesia following total knee arthroplasty
Title | Continuous femoral nerve block versus patient-controlled analgesia following total knee arthroplasty |
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Authors | |
Issue Date | 2012 |
Publisher | Hong 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? |
Abstract | PURPOSE: 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 Identifier | http://hdl.handle.net/10722/164441 |
ISSN | 2023 Impact Factor: 1.3 2023 SCImago Journal Rankings: 0.557 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Ng, FY | en_US |
dc.contributor.author | Chiu, KY | en_US |
dc.contributor.author | Yan, CH | en_US |
dc.contributor.author | Ng, KFJ | - |
dc.date.accessioned | 2012-09-20T07:59:36Z | - |
dc.date.available | 2012-09-20T07:59:36Z | - |
dc.date.issued | 2012 | en_US |
dc.identifier.citation | Journal of Orthopaedic Surgery, 2012, v. 20 n. 1, p. 23-26 | en_US |
dc.identifier.issn | 1022-5536 | - |
dc.identifier.uri | http://hdl.handle.net/10722/164441 | - |
dc.description.abstract | PURPOSE: 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.language | eng | en_US |
dc.publisher | Hong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/ | - |
dc.relation.ispartof | Journal of Orthopaedic Surgery | en_US |
dc.rights | Journal of Orthopaedic Surgery. Copyright © Hong Kong Academy of Medicine Press. | - |
dc.subject.mesh | Analgesia, Patient-Controlled | - |
dc.subject.mesh | Arthroplasty, Replacement, Knee | - |
dc.subject.mesh | Femoral Nerve | - |
dc.subject.mesh | Nerve Block - methods | - |
dc.subject.mesh | Pain, Postoperative - prevention and control | - |
dc.title | Continuous femoral nerve block versus patient-controlled analgesia following total knee arthroplasty | en_US |
dc.type | Article | en_US |
dc.identifier.email | Ng, FY: fyng@hkucc.hku.hk | en_US |
dc.identifier.email | Chiu, KY: pkychiu@hkucc.hku.hk | en_US |
dc.identifier.email | Yan, CH: yanchunhoi@yahoo.com.hk | en_US |
dc.identifier.email | Ng, KFJ: tpng@hkucc.hku.hk | - |
dc.identifier.authority | Chiu, KY=rp00379 | en_US |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.pmid | 22535806 | - |
dc.identifier.scopus | eid_2-s2.0-84865109890 | - |
dc.identifier.hkuros | 208373 | en_US |
dc.identifier.hkuros | 237370 | - |
dc.identifier.volume | 20 | en_US |
dc.identifier.issue | 1 | - |
dc.identifier.spage | 23 | en_US |
dc.identifier.epage | 26 | en_US |
dc.identifier.isi | WOS:000209171000005 | - |
dc.publisher.place | Hong Kong | - |
dc.identifier.issnl | 1022-5536 | - |