Analgesia after total hip replacement: epidural versus psoas compartment block
نویسندگان
چکیده
منابع مشابه
Arthroscopic psoas release for iliopsoas impingement after total hip replacement.
Psoas impingement is a rare cause of persisting pain after hip arthroplasty. Diagnosis is based on clinical examination and exclusion of other complications after arthroplasty by radiographs, ultrasound, CT and blood analysis. The diagnosis is strongly supported by temporary pain relief after infiltration. When conservative measures fail, treatment can consist of a psoas tenotomy or a revision ...
متن کاملPain related to the psoas muscle after total hip replacement.
Residual pain after total hip replacement may be due to a number of causes both local to and distant from the hip. We describe pain related to the psoas muscle after total hip replacement in nine patients. All presented with characteristic symptoms. We describe the key features and management. Gratifying results were achieved with treatment. This diagnosis should be considered when assessing pa...
متن کاملPsoas compartment block
Psoas compartment block (PCB) is a peripheral regional anaesthetic technique that blocks the main components of the lumbar plexus, namely the femoral, lateral femoral cutaneous (LFC), and obturator nerves as they run within the psoas major muscle. The psoas compartment block is also known as the posterior lumbar plexus block. A posterior approach to the lumbar plexus was first described by Winn...
متن کاملEffect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty
BACKGROUND Total knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Because inadequate postoperative pain control can hinder early physiotherapy and rehabilitation, it is the most influential factor dictating a good outcome. The purpose of this study was to evaluate the effectiveness of continuous psoas compartment block (PCB) in...
متن کاملThe efficacy of the psoas compartment block versus the intrathecal combination of morphine, fentanyl and bupivacaine for postoperative analgesia after primary hip arthroplasty: a randomized single-blinded study.
PURPOSE Intrathecal morphine and psoas compartment block represent two accepted techniques to provide postoperative analgesia after hip arthroplasty. We designed a prospective, randomized, single-blinded study to compare these two techniques. METHODS Forty patients scheduled for primary hip arthroplasty under general anesthesia were randomized to receive either an intrathecal administration o...
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ژورنال
عنوان ژورنال: Southern African Journal of Anaesthesia and Analgesia
سال: 2007
ISSN: 2220-1181,2220-1173
DOI: 10.1080/22201173.2007.10872470