Tumescent infiltration versus femoral nerve block for skin graft harvest-a prospective randomized study

ABSTRACTIn this prospective, randomized study, 60 patients requiring a single sheet of graft were randomized into 2 groups. Tumescent infiltration was used for anesthesia in one group and femoral nerve block in the other. The pain during administration of anesthesia, the time required for onset of action, the pain during graft harvest and the failure rates were recorded. Statistical comparison was done using Fischers Exact probability test for the failure rates and Mann Whitney- U test for the other parameters. The pain during administration was significantly higher for tumescent infiltration. The time for onset of action was significantly faster with femoral nerve block. The pain during harvest and the failure rates did not show any significant difference. We conclude that tumescent infiltration is more painful than femoral nerve block but equally effective as anesthesia with no difference in the failure and complication rates.

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Does Patient Perception Differ Following Adductor Canal Block and Femoral Nerve Block in Total Knee Arthroplasty? A Simultaneous Bilateral Randomized Study

The Journal of Arthroplasty ◽

10.1016/j.arth.2017.01.025 ◽

2017 ◽

Vol 32 (6) ◽

pp. 1856-1861 ◽

Cited By ~ 5

Author(s):

Hyun J. Koh ◽

In J. Koh ◽

Man S. Kim ◽

Keun Y. Choi ◽

Hyeon U. Jo ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Nerve Block ◽

Knee Arthroplasty ◽

Femoral Nerve Block ◽

Randomized Study ◽

Femoral Nerve ◽

Patient Perception ◽

Adductor Canal Block ◽

Adductor Canal ◽

Total Knee

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Comparison of 0.2% Bupivacaine with 0.2% Ropivacaine in Femoral Nerve Block for Preoperative Positioning and Postoperative Analgesia in Femur Fractures

International Journal of Advances in Scientific Research ◽

10.7439/ijasr.v2i9.3638 ◽

2016 ◽

Vol 2 (9) ◽

pp. 169

Author(s):

Natarajan P ◽

Srinivasan S. K. ◽

Dhanasekaran C ◽

Sekaran N. K.

Keyword(s):

Nerve Block ◽

Postoperative Analgesia ◽

Femoral Nerve Block ◽

Randomized Study ◽

Femoral Nerve ◽

Pain Scale ◽

Spinal Block ◽

Femur Fractures ◽

Group B ◽

Spinal Epidural

Introduction: Femur fractures are very painful. The peripheral nerve block provides good analgesia in these patients before performing regional anesthesia. This study aims to compare 2 local anesthestics in femoral nerve block for analgesia in preoperative positioning and postoperative analgesia of patientsMethods: Prospective, randomized study was conducted on 60 patients (18-60 years) of ASA I&II scheduled for femur surgery under combined spinal epidural. anaesthesia In group B (n=30), femoral nerve block(FNB) was performed with 0.2% bupivacaine (30ml) and in group R(n=30), 0.2% ropivacaine (30 ml) was used. Various parameters like numeric rating pain scale, time to spinal anaesthesia, sensory and motor block onset times and durations, time to first analgesic use, intraoperative & postoperative visual analog scale (VAS) data, post- operative epidural top ups, vitals and side effects were recorded for each patient.Results: Pain assessed on visual analogue scale (VAS) during positioning was significantly less in FNB group using 0.2%bupivacaine at 5 minutes. Time to perform spinal block was significantly shorter in FNB group using 0.2% bupivacaine (8.30 min) versus ropivacaine group (17.30 min). But postoperative analgesic requirements were more in ropivacaine group and duration of analgesia was prolonged in bupivacaine group.Conclusion: With bupivacaine time to perform spinal anesthesia was reduced and postoperative analgesia was better with bupivacaine group.

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