Adding clonidine to the induction bolus and postoperative infusion during continuous femoral nerve block delays recovery of motor function after total knee arthroplasty

Anesthesia and Analgesia

Volumn 100, Issue 3, 2005, Pages 866-872

  Casati, Andrea ^a,d   Vinciguerra, Federico ^b   Cappelleri, Gianluca ^b   Aldegheri, Giorgio ^b   Fanelli, Guido ^a   Putzu, Marta ^a   Chelly, Jacques E ^c  

^a UNIVERSITY OF PARMA   (Italy)

^b VITA SALUTE SAN RAFFAELE UNIVERSITY   (Italy)

^c University School of Medicine   (United States)

^d Policlinico Di Parma   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

CLONIDINE; KETOPROFEN; LOCAL ANESTHETIC AGENT; MIDAZOLAM; MORPHINE; ROPIVACAINE;

ADULT; AGED; ANALGESIA; ANESTHESIA INDUCTION; ANESTHETIC RECOVERY; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOSE TIME EFFECT RELATION; DRUG EFFECT; DRUG INFUSION; FEMALE; FEMORAL NERVE; FEMORAL NERVE BLOCK; HEMODYNAMICS; HUMAN; INFUSION PUMP; MAJOR CLINICAL STUDY; MALE; MOTOR PERFORMANCE; NAUSEA; NERVE BLOCK; PATIENT CONTROLLED ANALGESIA; PERIPHERAL NERVE; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; SEDATION; SIDE EFFECT; TOTAL KNEE REPLACEMENT; VISUAL ANALOG SCALE; VOMITING;

EID: 14544278857     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000143952.75985.8F     Document Type: Article

References (18)

1. Singelyn F, Deyaert M, Pendeville E, et al. Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. Anesth Analg 1998;87:88-92.
2. Capdevila X, Barthelet Y, Biboulet P, et al. Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. Anesthesiology 1999; 91:8-15.
3. Chelly JE, Greger J, Gebhard R, et al. Continuous femoral nerve blocks improve recovery and outcome of patients undergoing total knee arthroplasty. J Arthroplasty 2001;16:436-45.
4. Horlocker TT, Wedel DJ, Benzon H, et al. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation). Reg Anesth Pain Med 2003;28:172-97.
5. Ilfeld BM, Morey TE, Wang RD, Enneking FK. Continuous popliteal sciatic nerve block for postoperative pain control at home: a randomized, double-blinded, placebo controlled study. Anesthesiology 2002;97:959-65.
6. Casati A, Vinciguerra F, Scarioni M, et al. Lidocaine versus ropivacaine for continuous interscalene brachial plexus block after open shoulder surgery. Acta Anaesthesiol Scand 2003;47:355-60.
7. Bernard JM, Macarie P. Dose-range effects of clonidine added to lidocaine for brachial plexus block. Anesthesiology 1997;87:277-84.
8. Casati A, Magistris L, Fanelli G, et al. Small-dose clonidine prolongs postoperative analgesia after sciatic-femoral nerve block with 0.75% ropivacaine for foot surgery. Anesth Analg 2000;91:388-92.
9. Ilfeld BM, Morey TE, Enneking FK. Continuous infraclavicular perineural infusion with clonidine and ropivacaine compared with ropivacaine alone: a randomized, double-blinded, controlled study. Anesth Analg 2003;97:706-12.
10. Chelly JE, Casati A, Fanelli G, eds. Continuous peripheral nerve block techniques. Segrate, Italy: Mosby, 2001:59-80.
11. Chernik DA, Gilling SD, Laine H, et al. Validity and reliability of the Observer's Assessment of Alertness/Sedation scale: study with intravenous midazolam. J Clin Psycopharmacol 1990;10:244-51.
12. Casati A, Manzoni P, Mamo D, et al. A preliminary evaluation of the effects of adding clonidine to 0.2% ropivacaine for continuous femoral nerve block after major knee surgery [abstract]. Anesthesiology 2003;99:A1016.
13. Browner WS, Black D, Newman B, Hulley SB. Estimating sample size and power. In: Hulley SB, Cummings SR, eds. Designing clinical research: an epidemiologic approach. Baltimore: Williams & Wilkins, 1988:139-50.
14. Erlacher W, Schuschnig C, Koinig H, et al. Clonidine as adjuvant for mepivacaine, ropivacaine and bupivacaine in axillary, perivascular brachial plexus block. Can J Anaesth 2001;48:522-5.
15. Casati A, Magistris L, Beccaria P, et al. Improving postoperative analgesia after axillary brachial plexus anesthesia with 0.75% ropivacaine: a double-blind evaluation of adding clonidine. Minerva Anestesiol 2001;67:407-12.
16. Singelyn FJ, Gouverneur JM, Robert A. A minimum dose of clonidine added to mepivacaine prolongs the duration of anesthesia and analgesia after axillary brachial plexus block. Anesth Analg 1996;83:1046-50.
17. Aveline C, El Metaoua S, Masmoudi A, et al. The effect of clonidine on the minimum local analgesic concentration of epidural ropivacaine during labor. Anesth Analg 2002;95:735-40.
18. Landau R, Schiffer E, Morales M, et al. The dose-sparing effect of clonidine added to ropivacaine for labor epidural analgesia. Anesth Analg 2002;95:728-34.