Phasing out epidural analgesia for knee arthroplasty.
نویسنده
چکیده
1 El-Seify ZA, Khattab AM, Shaaban AA, Metwalli OE, Hassan HE, Ajjoub LF. Xylometazoline pretreatment reduces nasotracheal intubation-related epistaxis in paediatric dental surgery. Br J Anaesth 2010; 105: 501–5; doi:10.1093/bja/aeq205 2 Kihara S, Komatsuzaki T, Brimacombe JR, et al. A silicone-based wire-reinforced tracheal tube with a hemispherical bevel reduces nasal morbidity for nasotracheal intubation. Anesth Analg 2003; 97: 1488–91 3 Sanki T, Hirokane M, Kotani J. Epistaxis during nasotracheal intubation: a comparison of nostril sides. J Oral Maxilofac Surg 2010; 68: 618–21
منابع مشابه
REGIONAL ANAESTHESIA High-volume local infiltration analgesia combined with intravenous or local ketorolac1morphine compared with epidural analgesia after total knee arthroplasty
Key points † After total knee arthroplasty, local infiltration analgesia (LIA) with intra-articular ketorolac and morphine was superior to epidural anaesthesia after the initial 24 h. † Epidural anaesthesia offered better initial pain relief, despite more common side-effects such as hypotension at the post-anaesthetic care unit. † Ketorolac and morphine showed a superior therapeutic balance whe...
متن کاملEpidural anesthesia followed by epidural analgesia produces less inflammatory response than spinal anesthesia followed by intravenous morphine analgesia in patients with total knee arthroplasty
BACKGROUND Anesthesia and inflammatory response have been studied in major abdominal and thoracic surgical procedures, but not in major orthopaedic reconstructive procedures such as total knee arthroplasty. Most studies have compared general anesthesia with epidural anesthesia, but none has compared epidural with spinal. MATERIAL/METHODS In a prospective randomized study, 2 groups of patients...
متن کامل[Ultrasound and nerve stimulator guided continuous femoral nerve block analgesia after total knee arthroplasty: a multicenter randomized controlled study].
BACKGROUND AND OBJECTIVES Postoperative analgesia is crucial for early functional excise after total knee arthroplasty. To investigate the clinical efficacy of ultrasound and nerve stimulator guided continuous femoral nerve block analgesia after total knee arthroplasty. METHODS 46 patients with ASA grade I-III who underwent total knee arthroplasty received postoperative analgesia from October...
متن کاملAnalgesia for total hip and knee arthroplasty: a multimodal pathway featuring peripheral nerve block.
Patients undergoing total hip and knee arthroplasty experience substantial and sustained postoperative pain. Inadequate analgesia may impede physical therapy and rehabilitative efforts and delay hospital dismissal. Traditionally, postoperative analgesia after total joint replacement was provided by either intravenous patient-controlled analgesia or epidural analgesia. Each, however, had disadva...
متن کاملLocal infiltration analgesia in hip and knee arthroplasty: an emerging technique.
The optimal form of post-operative analgesia in hip and knee arthroplasty is still debated. Traditionally, patient-controlled analgesia and epidural anaesthesia were used. Potential side-effects such as nausea, confusion, urinary retention, hypotension and immobility have resulted in the emergence of newer techniques that limit opioid use. Peripheral nerve blockade provides excellent analgesia ...
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ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 106 2 شماره
صفحات -
تاریخ انتشار 2011