Naslov
Is the ultrasound guide „single shot“ femoral nerve block good analgesia following anterior cruciate ligament reconstruction surgery – prospective randomised study

Autori
Baranović, Senka ; Mladini, Branka ; Milošević Milan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Regional Anaesthesia and Pain medicine / - , 2013, E1-E259

Skup
32th European Society of Regional Anaesthesia Congress

Mjesto i datum
Glasgow, Ujedinjeno Kraljevstvo, 05.09.2013. - 09.09.2013

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Ultrasound; Femoral block; Orthopaedic knee reconstruction surgery
(Ultrazvuk; femoralni blok; Ortopedska rekonstruktivna kirurgija koljena)

Sažetak
Purpose Femoral nerve block (FB) is a common technique of analgesia for postoperative pain control after anterior cruciate ligament reconstruction surgery. The aim of this study is compare the effects of two different types of femoral analgesia in development of postoperative pain, need for rescue analgetics, and strength of the quadriceps femoris muscle in early postoperative time. Materials and Methods 60 patients were included in this prospective, randomized study. They were randomized into two groups, SSFNB (single shot femoral nerve block) and CFNB (continuous femoral nerve block). FB in group SSFNB was performed with ultrasound, whilst FB in group CFNB was performed with nerve stimulator. The VAS score was assessed every two hours at rest and in motion. We measured needs for rescue analgetisc (morphin through patient-controlled analgesia) and strength of the quadriceps femoris muscle at 12 and 24 hours after operation. Results There was no statistically significant differences between groups regarding demographic characteristics and ASA status. CFNB group had lower VAS score as well as lower rescue analgesics use, but it is not statistically significant . There were no statistically significant differences in postoperative complications between groups. Maximum voluntary isometric contraction of the quadriceps femoris muscle was statistically significant higher in SSFNB group (P < 0.05) 24 hours after operation, but 12 hours after operation there were not statistically significant differences between groups. Conclusions SSFNB is good analgesia after anterior cruciate ligament reconstruction surgery with minor loss of muscle strength of quadriceps femoris muscle in early postoperatively period.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA