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Peripheral Nerve Stimulator Versus Ultrasound-Guided Femoral Nerve Block for Knee Arthroscopy Procedures: A Randomized Controlled Trial
Background Femoral nerve block (FNB) provides effective analgesia and is a widely used technique for postoperative pain relief for orthopedic procedures on lower limbs. This study aims to compare the efficacy of ultrasonography (USG) versus peripheral nerve stimulator (PNS)-guided FNB in knee arthro...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710297/ https://www.ncbi.nlm.nih.gov/pubmed/36465230 http://dx.doi.org/10.7759/cureus.32043 |
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author | Behera, Sanjaya K Gunupuru, Bharat Sahu, Lingaraj Das, Saswati |
author_facet | Behera, Sanjaya K Gunupuru, Bharat Sahu, Lingaraj Das, Saswati |
author_sort | Behera, Sanjaya K |
collection | PubMed |
description | Background Femoral nerve block (FNB) provides effective analgesia and is a widely used technique for postoperative pain relief for orthopedic procedures on lower limbs. This study aims to compare the efficacy of ultrasonography (USG) versus peripheral nerve stimulator (PNS)-guided FNB in knee arthroscopic procedures. Methodology This randomized comparative study included two study groups with 30 participants in each group who were given FNB with either PNS or USG for knee arthroscopic procedures following spinal anesthesia. The study evaluated the number of needle repositioning, the time taken for performing the block, the efficacy of postoperative analgesia based on the duration of the block, and patient satisfaction. Results The number of needle repositioning and time taken to finish the procedure using USG was lower compared to the group using PNS (p < 0.001). The duration of the block was comparable in both groups (p = 0.584). Patients were satisfied with both techniques and responded as either very good or outstanding and chose neither as inferior (p = 0.310). Conclusions Both techniques have equal efficacy concerning the duration of the effect of the block and patient satisfaction. However, the procedural time and number of needle repositioning were significantly less in the group where USG was used for the block. |
format | Online Article Text |
id | pubmed-9710297 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-97102972022-12-01 Peripheral Nerve Stimulator Versus Ultrasound-Guided Femoral Nerve Block for Knee Arthroscopy Procedures: A Randomized Controlled Trial Behera, Sanjaya K Gunupuru, Bharat Sahu, Lingaraj Das, Saswati Cureus Anesthesiology Background Femoral nerve block (FNB) provides effective analgesia and is a widely used technique for postoperative pain relief for orthopedic procedures on lower limbs. This study aims to compare the efficacy of ultrasonography (USG) versus peripheral nerve stimulator (PNS)-guided FNB in knee arthroscopic procedures. Methodology This randomized comparative study included two study groups with 30 participants in each group who were given FNB with either PNS or USG for knee arthroscopic procedures following spinal anesthesia. The study evaluated the number of needle repositioning, the time taken for performing the block, the efficacy of postoperative analgesia based on the duration of the block, and patient satisfaction. Results The number of needle repositioning and time taken to finish the procedure using USG was lower compared to the group using PNS (p < 0.001). The duration of the block was comparable in both groups (p = 0.584). Patients were satisfied with both techniques and responded as either very good or outstanding and chose neither as inferior (p = 0.310). Conclusions Both techniques have equal efficacy concerning the duration of the effect of the block and patient satisfaction. However, the procedural time and number of needle repositioning were significantly less in the group where USG was used for the block. Cureus 2022-11-30 /pmc/articles/PMC9710297/ /pubmed/36465230 http://dx.doi.org/10.7759/cureus.32043 Text en Copyright © 2022, Behera et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anesthesiology Behera, Sanjaya K Gunupuru, Bharat Sahu, Lingaraj Das, Saswati Peripheral Nerve Stimulator Versus Ultrasound-Guided Femoral Nerve Block for Knee Arthroscopy Procedures: A Randomized Controlled Trial |
title | Peripheral Nerve Stimulator Versus Ultrasound-Guided Femoral Nerve Block for Knee Arthroscopy Procedures: A Randomized Controlled Trial |
title_full | Peripheral Nerve Stimulator Versus Ultrasound-Guided Femoral Nerve Block for Knee Arthroscopy Procedures: A Randomized Controlled Trial |
title_fullStr | Peripheral Nerve Stimulator Versus Ultrasound-Guided Femoral Nerve Block for Knee Arthroscopy Procedures: A Randomized Controlled Trial |
title_full_unstemmed | Peripheral Nerve Stimulator Versus Ultrasound-Guided Femoral Nerve Block for Knee Arthroscopy Procedures: A Randomized Controlled Trial |
title_short | Peripheral Nerve Stimulator Versus Ultrasound-Guided Femoral Nerve Block for Knee Arthroscopy Procedures: A Randomized Controlled Trial |
title_sort | peripheral nerve stimulator versus ultrasound-guided femoral nerve block for knee arthroscopy procedures: a randomized controlled trial |
topic | Anesthesiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710297/ https://www.ncbi.nlm.nih.gov/pubmed/36465230 http://dx.doi.org/10.7759/cureus.32043 |
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