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Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty
INTRODUCTION: Postoperative pain management in the total knee replacement (TKR) represent a fundamental step for a positive outcome, allowing rapid mobilization, already on the first day. Further, continuous peripheral nerve block techniques have been reported to allow effective and safe control of...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Academy of Medical Sciences of Bosnia and Herzegovina
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164727/ https://www.ncbi.nlm.nih.gov/pubmed/32317836 http://dx.doi.org/10.5455/medarh.2020.74.54-57 |
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author | Cappiello, Giovanni Camarda, Lawrence Pulito, Giuseppe Tarantino, Andrea Di Martino, Daniela Russi, Valentina Stramazzo, Leonardo Ragusa, Clara Guarino, Gianmarco Ripani, Umberto |
author_facet | Cappiello, Giovanni Camarda, Lawrence Pulito, Giuseppe Tarantino, Andrea Di Martino, Daniela Russi, Valentina Stramazzo, Leonardo Ragusa, Clara Guarino, Gianmarco Ripani, Umberto |
author_sort | Cappiello, Giovanni |
collection | PubMed |
description | INTRODUCTION: Postoperative pain management in the total knee replacement (TKR) represent a fundamental step for a positive outcome, allowing rapid mobilization, already on the first day. Further, continuous peripheral nerve block techniques have been reported to allow effective and safe control of acute postoperative pain, ensuring the implementation and completion of an accurate and intensive joint rehabilitation program. AIM: The aim of this study was to assess early mobility and compliance of patients that underwent TKR surgery using the femoral block. METHODS: For the study, all patients that underwent TKR from 2015 to 2018 with ASA score between II-III was evaluated. Patients underwent vital parameters monitoring and were treated initially with midazolam (0.05mg / kg) e.v. combined sciatic block + femoral perineural catheter positioning using a peripheral nerve stimulation-assisted technique. RESULTS: Intraoperatively, satisfactory analgesia was guaranteed in all patients, associated with a complete muscle relaxation of the affected limb. High patient compliance, associated with good control of acute postoperative pain was obtained in the first 24 hours after surgery (VAS 0- 1). The ROM outcomes were good in all rehabilitation stages, managing to reach 90 degrees bending on the seventh day with an average KSS score of 88-90. Patient satisfaction and impact on quality of life were assessed with the SF-36 showing average scores of 78. CONCLUSION: Continuous femoral nerve blocking ensures good postoperative analgesia in TKR allowing an early joint mobilization, a rapid functional recovery of the knee and increasing patient compliance during the post-operative rehabilitation program. |
format | Online Article Text |
id | pubmed-7164727 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Academy of Medical Sciences of Bosnia and Herzegovina |
record_format | MEDLINE/PubMed |
spelling | pubmed-71647272020-04-21 Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty Cappiello, Giovanni Camarda, Lawrence Pulito, Giuseppe Tarantino, Andrea Di Martino, Daniela Russi, Valentina Stramazzo, Leonardo Ragusa, Clara Guarino, Gianmarco Ripani, Umberto Med Arch Professional Paper INTRODUCTION: Postoperative pain management in the total knee replacement (TKR) represent a fundamental step for a positive outcome, allowing rapid mobilization, already on the first day. Further, continuous peripheral nerve block techniques have been reported to allow effective and safe control of acute postoperative pain, ensuring the implementation and completion of an accurate and intensive joint rehabilitation program. AIM: The aim of this study was to assess early mobility and compliance of patients that underwent TKR surgery using the femoral block. METHODS: For the study, all patients that underwent TKR from 2015 to 2018 with ASA score between II-III was evaluated. Patients underwent vital parameters monitoring and were treated initially with midazolam (0.05mg / kg) e.v. combined sciatic block + femoral perineural catheter positioning using a peripheral nerve stimulation-assisted technique. RESULTS: Intraoperatively, satisfactory analgesia was guaranteed in all patients, associated with a complete muscle relaxation of the affected limb. High patient compliance, associated with good control of acute postoperative pain was obtained in the first 24 hours after surgery (VAS 0- 1). The ROM outcomes were good in all rehabilitation stages, managing to reach 90 degrees bending on the seventh day with an average KSS score of 88-90. Patient satisfaction and impact on quality of life were assessed with the SF-36 showing average scores of 78. CONCLUSION: Continuous femoral nerve blocking ensures good postoperative analgesia in TKR allowing an early joint mobilization, a rapid functional recovery of the knee and increasing patient compliance during the post-operative rehabilitation program. Academy of Medical Sciences of Bosnia and Herzegovina 2020-02 /pmc/articles/PMC7164727/ /pubmed/32317836 http://dx.doi.org/10.5455/medarh.2020.74.54-57 Text en © 2020 Giovanni Cappiello, Lawrence Camarda, Giuseppe Pulito, Andrea Tarantino, Daniela Di Martino, Valentina Russi, Leonardo Stramazzo, Clara Ragusa, Gianmarco Guarino, Umberto Ripani http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Professional Paper Cappiello, Giovanni Camarda, Lawrence Pulito, Giuseppe Tarantino, Andrea Di Martino, Daniela Russi, Valentina Stramazzo, Leonardo Ragusa, Clara Guarino, Gianmarco Ripani, Umberto Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty |
title | Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty |
title_full | Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty |
title_fullStr | Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty |
title_full_unstemmed | Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty |
title_short | Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty |
title_sort | continuous femoral catheter for postoperative analgesia after total knee arthroplasty |
topic | Professional Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164727/ https://www.ncbi.nlm.nih.gov/pubmed/32317836 http://dx.doi.org/10.5455/medarh.2020.74.54-57 |
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