Cargando…

A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study

Background and Objectives: Patients experience severe pain after surgical correction of ankle fractures. Although their exact mechanism is unknown, dexamethasone and epinephrine increase the analgesic effect of anesthetics in peripheral nerve blocks. This study aimed to compare the postoperative pai...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Jeong-Kil, Lee, Gi-Soo, Kim, Sang-Bum, Kang, Chan, Kim, Kyong-Sik, Song, Jae-Hwang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10386082/
https://www.ncbi.nlm.nih.gov/pubmed/37512113
http://dx.doi.org/10.3390/medicina59071302
_version_ 1785081572669521920
author Lee, Jeong-Kil
Lee, Gi-Soo
Kim, Sang-Bum
Kang, Chan
Kim, Kyong-Sik
Song, Jae-Hwang
author_facet Lee, Jeong-Kil
Lee, Gi-Soo
Kim, Sang-Bum
Kang, Chan
Kim, Kyong-Sik
Song, Jae-Hwang
author_sort Lee, Jeong-Kil
collection PubMed
description Background and Objectives: Patients experience severe pain after surgical correction of ankle fractures. Although their exact mechanism is unknown, dexamethasone and epinephrine increase the analgesic effect of anesthetics in peripheral nerve blocks. This study aimed to compare the postoperative pain control efficacy of peripheral nerve blocks with ropivacaine combined with dexamethasone/epinephrine and peripheral nerve blocks with only ropivacaine and added patient-controlled analgesia in patients with ankle fractures. Materials and Methods: This randomized, controlled prospective study included patients aged 18–70 years surgically treated for ankle fractures between December 2021 and September 2022. The patients were divided into group A (n = 30), wherein pain was controlled using patient-controlled analgesia after lower extremity peripheral nerve block, and group B (n = 30), wherein dexamethasone/epinephrine was combined with the anesthetic solution during peripheral nerve block. In both groups, ropivacaine was used as the anesthetic solution for peripheral nerve block, and this peripheral nerve block was performed just before ankle surgery for the purpose of anesthesia for surgery. Pain (visual analog scale), patient satisfaction, and side effects were assessed and compared between the two groups. Results: The patients’ demographic data were similar between groups. Pain scores were significantly lower in group B than in group A postoperatively. Satisfaction scores were significantly higher in group B (p = 0.003). There were no anesthesia-related complications in either group. Conclusions: Dexamethasone and epinephrine as adjuvant anesthetic solutions can effectively control pain when performing surgery using peripheral nerve blocks for patients with ankle fractures.
format Online
Article
Text
id pubmed-10386082
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103860822023-07-30 A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study Lee, Jeong-Kil Lee, Gi-Soo Kim, Sang-Bum Kang, Chan Kim, Kyong-Sik Song, Jae-Hwang Medicina (Kaunas) Article Background and Objectives: Patients experience severe pain after surgical correction of ankle fractures. Although their exact mechanism is unknown, dexamethasone and epinephrine increase the analgesic effect of anesthetics in peripheral nerve blocks. This study aimed to compare the postoperative pain control efficacy of peripheral nerve blocks with ropivacaine combined with dexamethasone/epinephrine and peripheral nerve blocks with only ropivacaine and added patient-controlled analgesia in patients with ankle fractures. Materials and Methods: This randomized, controlled prospective study included patients aged 18–70 years surgically treated for ankle fractures between December 2021 and September 2022. The patients were divided into group A (n = 30), wherein pain was controlled using patient-controlled analgesia after lower extremity peripheral nerve block, and group B (n = 30), wherein dexamethasone/epinephrine was combined with the anesthetic solution during peripheral nerve block. In both groups, ropivacaine was used as the anesthetic solution for peripheral nerve block, and this peripheral nerve block was performed just before ankle surgery for the purpose of anesthesia for surgery. Pain (visual analog scale), patient satisfaction, and side effects were assessed and compared between the two groups. Results: The patients’ demographic data were similar between groups. Pain scores were significantly lower in group B than in group A postoperatively. Satisfaction scores were significantly higher in group B (p = 0.003). There were no anesthesia-related complications in either group. Conclusions: Dexamethasone and epinephrine as adjuvant anesthetic solutions can effectively control pain when performing surgery using peripheral nerve blocks for patients with ankle fractures. MDPI 2023-07-14 /pmc/articles/PMC10386082/ /pubmed/37512113 http://dx.doi.org/10.3390/medicina59071302 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Jeong-Kil
Lee, Gi-Soo
Kim, Sang-Bum
Kang, Chan
Kim, Kyong-Sik
Song, Jae-Hwang
A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study
title A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study
title_full A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study
title_fullStr A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study
title_full_unstemmed A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study
title_short A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study
title_sort comparative analysis of pain control methods after ankle fracture surgery with a peripheral nerve block: a single-center randomized controlled prospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10386082/
https://www.ncbi.nlm.nih.gov/pubmed/37512113
http://dx.doi.org/10.3390/medicina59071302
work_keys_str_mv AT leejeongkil acomparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT leegisoo acomparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT kimsangbum acomparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT kangchan acomparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT kimkyongsik acomparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT songjaehwang acomparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT leejeongkil comparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT leegisoo comparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT kimsangbum comparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT kangchan comparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT kimkyongsik comparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy
AT songjaehwang comparativeanalysisofpaincontrolmethodsafteranklefracturesurgerywithaperipheralnerveblockasinglecenterrandomizedcontrolledprospectivestudy