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
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.74 No.6
- 발행연도
- 2021.12
- 수록면
- 514 - 521 (8page)
- DOI
- 10.4097/kja.21040
이용수
초록· 키워드
오류제보하기
Background: Adductor canal block (ACB) provides effective analgesia after arthroscopic knee surgery. However, there is insufficient data regarding whether ACB should be performed before or after inflation of a thigh tourniquet. We aimed to investigate the efficacy of ACB performed before and after placement of a thigh tourniquet and evaluate associated quadriceps motor weakness.Methods: ACB was performed before tourniquet inflation in the PreT group, and it was performed after inflation in the PostT group. In the PO group, ACB was performed at the end of surgery after deflation of the tourniquet.Results: There were no statistically significant differences between the groups in terms of demographic data. There was no statistically significant difference among the three groups in terms of total postoperative opioid consumption (P = 0.513). Patient satisfaction and the amount of rescue analgesia administered were also not significantly different between the groups. There was no significant difference in terms of static and dynamic visual analog scale scores between the groups (for 24 h: P = 0.306 and P = 0.271, respectively). The incidence of motor block was higher in the PreT group (eight patients) than in the PostT group (no patients) and the PO group (one patient) (P = 0.005).Conclusions: Using a tourniquet before or after ACB did not result in differences in terms of analgesia quality; however, applying a tourniquet immediately after ACB may lead to quadriceps weakness.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Kim S / 2011 / Increase in outpatient knee arthroscopy in the United States : a comparison of National Surveys of Ambulatory Surgery, 1996 and 2006 / J Bone Joint Surg Am 93:994~1000
Lohmander LS / 2016 / Routine knee arthroscopic surgery for the painful knee in middle-aged and old patients--time to abandon ship / Acta Orthop 87:2~4
Rahimzadeh P / 2017 / Relieving pain after arthroscopic knee surgery: ultrasound-guided femoral nerve block or adductor canal block? / Turk J Anaesthesiol Reanim 45:218~224
Hanson NA / 2013 / Ultrasound-guided adductor canal block for arthroscopic medial meniscectomy : a randomized, double-blind trial / Can J Anaesth 60:874~880
Kejriwal R / 2018 / Efficacy of the adductor canal approach to saphenous nerve block for anterior cruciate ligament reconstruction with hamstring autograft : a randomized controlled trial / Orthop J Sports Med 6
Lohmander LS / 2016 / Routine knee arthroscopic surgery for the painful knee in middle-aged and old patients--time to abandon ship / Acta Orthop 87:2~4
Rahimzadeh P / 2017 / Relieving pain after arthroscopic knee surgery: ultrasound-guided femoral nerve block or adductor canal block? / Turk J Anaesthesiol Reanim 45:218~224
Hanson NA / 2013 / Ultrasound-guided adductor canal block for arthroscopic medial meniscectomy : a randomized, double-blind trial / Can J Anaesth 60:874~880
Kejriwal R / 2018 / Efficacy of the adductor canal approach to saphenous nerve block for anterior cruciate ligament reconstruction with hamstring autograft : a randomized controlled trial / Orthop J Sports Med 6
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