Comparison of Continuous Nerve Block Versus Patient-Controlled Analgesia for Postoperative Pain and Outcome After Talar and Calcaneal Fractures

2014 ◽  
Vol 35 (11) ◽  
pp. 1116-1121 ◽  
Author(s):  
Willem E. Luiten ◽  
Tim Schepers ◽  
Jan S. Luitse ◽  
J. Carel Goslings ◽  
Jeroen Hermanides ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Nerve Block ◽  
Patient Controlled Analgesia ◽  
Calcaneal Fractures ◽  
Continuous Nerve Block

scholarly journals Continuous Femoral Nerve Block versus Intravenous Patient Controlled Analgesia for Knee Mobility and Long-Term Pain in Patients Receiving Total Knee Replacement: A Randomized Controlled Trial

2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Lihua Peng ◽  
Li Ren ◽  
Peipei Qin ◽  
Jing Chen ◽  
Ping Feng ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Nerve Block ◽  
Femoral Nerve Block ◽  
Controlled Trial ◽  
Femoral Nerve ◽  
Patient Controlled Analgesia ◽  
Chronic Postoperative Pain ◽  
Intravenous Analgesia ◽  
Continuous Femoral Nerve Block ◽  
Total Knee

Objectives. To evaluate the comparative analgesia effectiveness and safety of postoperative continuous femoral nerve block (CFNB) with patient controlled intravenous analgesia (PCIA) and their impact on knee function and chronic postoperative pain.Methods. Participants were randomly allocated to receive postoperative continuous femoral nerve block (group CFNB) or intravenous patient controlled analgesia (group PCIA). Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for knee and incidence of chronic postoperative pain at 3, 6, and 12 months postoperatively were compared. postoperative pain and salvage medication at rest or during mobilization 24 hours, 48 hours, and 7 days postoperatively were also recorded.Results. After discharge from the hospital and rehabilitation of joint function, patients in group CFNB reported significantly improved knee flexion and less incidence of chronic postoperative pain at 3 months and 6 months postoperatively (P<0.05). Analgesic rescue medications were significantly reduced in patients receiving CFNB (P<0.001andP=0.031, resp.).Conclusion. With standardized rehabilitation therapy, continuous femoral nerve block analgesia reduced the incidence of chronic postoperative pain, improved motility of replaced joints, and reduced the dosages of rescue analgesic medications, suggesting a recovery-enhancing effect of peripheral nerve block analgesia.

SIMULTANEOUS PHARMACOKINETICS OF MORPHINE AND MORPHINE-6-B-D-GLUCURONIDE DURING PATIENT-CONTROLLED ANALGESIA THERAPY FOR POSTOPERATIVE PAIN

Analgesia ◽  
1995 ◽  
Vol 1 (4) ◽  
pp. 524-527 ◽  
Author(s):  
Thomas H. Kramer ◽  
Ray H. d’Amours ◽  
Lester A. Zuckerman ◽  
Catherine Buettner
Keyword(s):  
Postoperative Pain ◽  
Patient Controlled Analgesia

Postoperative Pain Management

2018 ◽  
Author(s):  
Abhishek Parmar
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Clinical Information ◽  
Postoperative Pain Management ◽  
Patient Controlled Analgesia ◽  
Management Options ◽  
Nerve Blocks ◽  
Epidural Catheter Placement ◽  
Opiate Abuse ◽  
Regional Nerve Block

The aim of this review is to provide practical clinical information on modern pain management options to guide the clinician on evidence-based practices, optimizing the treatment of pain and avoiding practices that may lead to potential abuse. Postoperative pain management is an essential component of any surgeon’s practice and has clear implications for surgical outcomes, patient satisfaction, and population health. Understanding options within a multimodal approach to pain management in the acute setting is a key determinant to improving outcomes for our patients. This review discusses multimodal analgesic options, including a variety of pain medications (opiates, antiinflammatory medications, and patient-controlled analgesia) and techniques (epidural catheter placement, regional nerve blocks) to be used in tandem. Lastly, best possible practices to avoid opiate abuse are discussed. This review contains 4 figures, 5 tables, 1 video and 96 references. Key words: antiinflammatories, epidural, narcotics, patient-controlled analgesia, postoperative pain, regional nerve block

Continuous Femoral Nerve Blockade versus Continuous Epidural Analgesia for Postoperative Pain Relief in Knee Surgeries

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hala Gomaa Salama ◽  
Ahmed Ali El- Shebiny ◽  
Abd Al Aziz Abdullah Abd Al Aziz ◽  
Mariam Mahmoud Ahmed Ali Shehata
Keyword(s):  
Postoperative Pain ◽  
Epidural Analgesia ◽  
Nerve Block ◽  
Femoral Nerve Block ◽  
Weight Bearing ◽  
Femoral Nerve ◽  
Disease Process ◽  
Continuous Epidural Analgesia ◽  
Significant Difference ◽  
Continuous Femoral Nerve Block

Abstract Background The progression of osteoarthritis is characteristically slow, occurring over several years or decades. Over this period, the patient can become less and less active and thus more susceptible to morbidities related to decreasing physical activity (including potential weight gain). Early in the disease process, the joints may appear normal. However, the patient’s gait may be antalgic if weight-bearing joints are involved. Objective Compare the benefits of continuous femoral nerve block (CFNB) with those of continuous epidural analgesia CEPA for postoperative pain management after Knee surgeries. Methods This study is a randomized controlled clinical trial was conducted in Ain Shams University Hospitals after obtaining approval from the Research Ethical Committee of Ain Shams University during a period of three months. Patients undergoing primary unilateral TKA for osteoarthritis, were recruited at least one day prior to the scheduled surgery, male and female patients. Results There was significant difference in terms of pain scoring between continuous femoral nerve block (CFNB) and continuous epidural analgesia (CEA) in the first 6 hours, 12 hours, 24 hours, 48 hours, 72 hours but non significant difference in incidence of side effects Conclusion Our study showed that CEA had optimal analgesia and pain control than CFNB in management of post operative pain after total knee replacement.

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