Bupivacaine Extended-Release Liposomal Injection Versus Bupivacaine HCl for Early Postoperative Pain Control Following Wrist Operations: A Prospective, Randomized Control Trial

2020 ◽  
Vol 45 (6) ◽  
pp. 550.e1-550.e8 ◽  
Author(s):  
Elizabeth L. Dale ◽  
Chase T. Kluemper ◽  
S. Justin Cowart ◽  
Marshall Jemison ◽  
J. Woody Kennedy ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pain Control ◽  
Randomized Control Trial ◽  
Extended Release ◽  
Postoperative Pain Control ◽  
Prospective Randomized Control Trial ◽  
Randomized Control

scholarly journals Effect of periarticular multimodal injection versus femoral nerve block on in-hospital rehabilitation after total knee arthroplasty in Chinese population: A prospective randomized control trial study

2020 ◽  
Vol 27 (2) ◽  
pp. 214-220
Author(s):  
Ip Hoi Yeung ◽  
Yeung Yip Kan ◽  
Lo Kim Cheong ◽  
Tse Choi Yeung Andy ◽  
Wong Kwok Ho
Keyword(s):  
Total Knee Arthroplasty ◽  
Pain Control ◽  
Randomized Control Trial ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Length Of Hospital Stay ◽  
Knee Score ◽  
Prospective Randomized Control Trial ◽  
Total Knee ◽  
Randomized Control

Introduction: Total knee arthroplasty has been adopted to be the most successful treatment for advanced knee osteoarthritis. The adoption of multimodal periarticular analgesic (MPI) has been shown to have satisfactory pain control after surgery. However, there is relatively lack of data investigating whether this mode of pain control is effective in enhancing rehabilitation. Method: This is a prospective randomized control trial from July 2017 to June 2018, including 82 patients, in which 43 of them had MPI injection and 39 of them had no MPI injection. Primary outcome measures included the number of days required to perform straight leg raise, length of hospital stay, and Insall knee score upon discharge. Secondary outcome measures included total dose of patient-controlled analgesia (PCA) consumption postoperatively and visual analog scale (VAS) at rest and on motion during postoperative days 1–4. Result: The MPI group performed significantly better than the femoral nerve block (FNB) group in terms of early functional outcome, namely the number of days required to perform straight leg raising and length of hospital stay. The total postoperative PCA consumption and VAS score on motion during postoperative day 1 were also significantly better for MPI group. There was no difference in Insall knee score upon discharge between these two groups. Conclusion: Compared to FNB, MPI depicts a faster inpatient rehabilitation, accounted by its quadriceps-sparing, and better pain relief especially in the early postoperative period.

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