scholarly journals Intraoperative single-shot “3-in-1” femoral nerve block with ropivacaine 0.25%, ropivacaine 0.5% or bupivacaine 0.25% provides comparable 48-hr analgesia after unilateral total knee replacement

2001 ◽  
Vol 48 (11) ◽  
pp. 1102-1108 ◽  
Author(s):  
Huey Ping ◽  
Keng Fatt Cheong ◽  
Aymeric Lim ◽  
Jui Lim ◽  
Mark E. Puhaindran
Keyword(s):  
Total Knee Replacement ◽  
Nerve Block ◽  
Knee Replacement ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Single Shot ◽  
Total Knee

scholarly journals Comparative analysis of combined spinal epidural and spinal plus single shot femoral nerve block as post-operative analgesia in total knee replacement surgery

2021 ◽  
Vol 12 (7) ◽  
pp. 58-63
Author(s):  
Shirish Mohan Mahure ◽  
Ramprasad Pralhad Chavan ◽  
Kalyanji Dedhiya ◽  
Dnyanesh Balkrishna Amle
Keyword(s):  
Total Knee Replacement ◽  
Nerve Block ◽  
Knee Replacement ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Single Shot ◽  
Rescue Analgesia ◽  
Combined Spinal Epidural ◽  
Total Knee ◽  
Spinal Epidural

Background: Effective anaesthesia is required to overcome complications of epidural anaesthesia and relieve the patients undergoing lower limb surgeries such as total knee replacement from severe pain. Aims and Objective: The current study was aimed to study combined spinal- epidural anaesthesia (CSEA) and spinal plus single shot femoral nerve block (SSFNB) for post-operative analgesia in total knee replacement surgeries. Materials and Methods: This prospective observational and randomized study included 60 subjects undergoing Total knee replacement which were randomized into two groups and administered combined spinal epidural block and single shot femoral nerve block as per standardised protocol for post-operative pain management. Pain as per visual analogue scale and need of rescue analgesia and other haemodynamic parameters were compared between two groups and at different time interval. Result: Two study groups were found to be matched for age, gender, weigh, height and ASA grading. SSFNB group showed significantly high VAS score at 6 Hr, need for rescue analgesia, compared to CSEA group. CSEA group had significantly high number of patients with motor block. significant difference in the variation of pulse rate was observed within both the groups. Significantly higher systolic blood pressure at 6h, 12h, 24h and 36h., diastolic blood pressure at 6h, 24h and 48h and in mean arterial pressure at 6h, 24h and 36 h was observed in SSFNB group compared to CSEA group. Conclusion: We concluded that, patients undergoing total knee replacement show better analgesia and hemodynamic stability with CSEA in comparison to SSFNB, but at the cost of more motor blockade on non-operative limb and delayed recovery.

scholarly journals Optimizing dose infusion of 0.125% bupivacaine for continuous femoral nerve block after total knee replacement

2010 ◽  
Vol 58 (5) ◽  
pp. 468 ◽  
Author(s):  
Chang Kil Park ◽  
Choon Kyu Cho ◽  
Gang Geun Lee ◽  
Jong Hyuk Lee
Keyword(s):  
Total Knee Replacement ◽  
Nerve Block ◽  
Knee Replacement ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Dose Infusion ◽  
Continuous Femoral Nerve Block ◽  
Total Knee
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