지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 276 - 281 (6page)
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초록· 키워드
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Purpose: We compared adductor canal block (ACB) alone and a combination of ACB and sciatic nerve block (SNB) to control early postoperative pain after total knee arthroplasty.
Materials and Methods: One hundred patients received continuous ACB alone (group A), and another 100 patients received continuous ACB and single popliteal SNB (group B). Pain was evaluated at rest and 45° knee flexion using the numeric rating scale (NRS). The number of times the patient pressed the intravenous patient-controlled analgesia (PCA) button, total PCA volume infused, and the total dosage of additional analgesics were evaluated. We also investigated complications associated with each pain control technique.
Results: The NRS score on postoperative day 1 was significantly lower in group B than in group A. The number of times patients pressed the PCA button on postoperative day 1 and the total infused volume were significantly lower in group B than in group A. Thirty-five (35%) patients in group B developed foot drop immediately after surgery; but they all fully recovered on postoperative day 1.
Conclusions: SNB can be effective for management of early postoperative pain that persists even after ACB. Further research is needed to determine the proper dosage and technique for reducing the incidence of foot drop.
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등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Abdallah FW / 2011 / Is sciatic nerve block advantageous when combined with femoral nerve block for postoperative analgesia following total knee arthroplasty? A systematic re
Abdallah FW / 2016 / Is sciatic nerve block advantageous when combined with femoral nerve block for postoperative analgesia following total knee arthroplasty? a meta-analysis
Chelly JE / 2001 / Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty / J Arthroplasty 16 : 436 ~ 445
Eledjam JJ / 2002 / Postoperative analgesia by femoral nerve block with ropivacaine 0.2% after major knee surgery: continuous versus patient-controlled techniques / Reg Anes
Gao F / 2017 / Adductor canal block versus femoral nerve block for analgesia after total knee arthroplasty : a systematic review and meta-analysis / Clin J Pain 33 : 356 ~ 36
Abdallah FW / 2016 / Is sciatic nerve block advantageous when combined with femoral nerve block for postoperative analgesia following total knee arthroplasty? a meta-analysis
Chelly JE / 2001 / Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty / J Arthroplasty 16 : 436 ~ 445
Eledjam JJ / 2002 / Postoperative analgesia by femoral nerve block with ropivacaine 0.2% after major knee surgery: continuous versus patient-controlled techniques / Reg Anes
Gao F / 2017 / Adductor canal block versus femoral nerve block for analgesia after total knee arthroplasty : a systematic review and meta-analysis / Clin J Pain 33 : 356 ~ 36
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