Review: femoral nerve block may be the most effective option for pain relief following total knee replacement.
نویسندگان
چکیده
Implications for practice and research: Utilisation of continuous femoral nerve blockade (FNB) following knee replacement surgery can provide superior pain relief and fewer side effects, compared to traditional patient-controlled opioid analgesia. Further research is needed to compare the effectiveness of FNB to other pain management strategies, such as local anaesthetic infiltration and multimodal oral pain medication.
منابع مشابه
Effect of Combined Single-Injection Femoral Nerve Block and Patient-Controlled Epidural Analgesia in Patients Undergoing Total Knee Replacement
PURPOSE Total knee replacement is one of the most painful orthopedic procedures, and effective pain relief is essential for early mobility and discharge from hospital. The aim of this study was to evaluate whether addition of single-injection femoral nerve block to epidural analgesia would provide better postoperative pain control, compared to epidural analgesia alone, after total knee replacem...
متن کاملAdductor canal block versus femoral nerve block for total knee arthroplasty: a meta-analysis of randomized controlled trials
Femoral nerve blocks (FNB) can provide effective pain relief but result in quadriceps weakness with increased risk of falls following total knee arthroplasty (TKA). Adductor canal block (ACB) is a relatively new alternative providing pure sensory blockade with minimal effect on quadriceps strength. The meta-analysis was designed to evaluate whether ACB exhibited better outcomes with respect to ...
متن کاملبررسی مداخله ای میزان کارآیی بلوک عصب فمورال تحت هدایت سونوگرافی در کانال ادکتور و مقایسه آن با روش کلاسیک بلوک عصب فمورال در تسکین درد بعد از اعمال جراحی الکتیو زانو
Aim and Background: This study aimed to determine the efficacy of femoral nerve block in adductor canal and comparison it with the classical method of femoral nerve block in terms of pain relief after elective surgery of the knee. Materials and Methods: In this study clinical trial study, 92 patients who were candidate for knee arthroscopy in Rasool Akram hospital during 2014- 2015 were eva...
متن کاملFemoral versus Multiple Nerve Blocks for Analgesia after Total Knee Arthroplasty
BACKGROUND The PROSPECT (Procedure-Specific Postoperative Pain Management) Group recommended a single injection femoral nerve block in 2008 as a guideline for analgesia after total knee arthroplasty. Other authors have recommended the addition of sciatic and obturator nerve blocks. The lateral femoral cutaneous nerve is also involved in pain syndrome following total knee arthroplasty. We hypoth...
متن کاملDetermination of the EC50 of levobupivacaine for femoral and sciatic perineural infusion after total knee arthroplasty.
BACKGROUND Infusion of local anaesthetic through femoral and sciatic catheters is an accepted method of providing pain relief after knee arthroplasty. However, the minimum effective concentration of perineural local anaesthetics is not known. METHODS Twenty-four patients received femoral and sciatic perineural infusions of levobupivacaine in order to prevent pain relief after total knee arthr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Evidence-based nursing
دوره 18 2 شماره
صفحات -
تاریخ انتشار 2015