Effectiveness of 3-in-1 continuous femoral block of differing concentrations compared to patient controlled intravenous morphine for post total knee arthroplasty analgesia and knee rehabilitation

Anaesthesia and Intensive Care

Volumn 34, Issue 1, 2006, Pages 25-30

  Seet, Chuen Ping Edwin ^a,b   Leong, W L ^a   Yeo, A S N ^a   Fook Chong, S ^a  

^a SINGAPORE GENERAL HOSPITAL   (Singapore)

^b Singapore General Hospital ^*  (Singapore)

Author keywords

Analgesia; Arthroplasty; Femoral block; Patient controlled morphine; Rehabilitation

Indexed keywords

MORPHINE; ONDANSETRON; PARACETAMOL; ROFECOXIB; ROPIVACAINE;

ADULT; ARTICLE; CLINICAL TRIAL; CONTINUOUS INFUSION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG USE; ELECTIVE SURGERY; FEMALE; FEMORAL NERVE; FOLLOW UP; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; MOBILIZATION; NERVE BLOCK; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRURITUS; RANDOMIZED CONTROLLED TRIAL; SEDATION; SENSORIMOTOR FUNCTION; SOMNOLENCE; SPINAL ANESTHESIA; STATISTICAL ANALYSIS; TOTAL KNEE REPLACEMENT; URINE RETENTION;

EID: 33244464549     PISSN: 0310057X     EISSN: None     Source Type: Journal    
DOI: 10.1177/0310057x0603400110     Document Type: Article

References (20)

1. Shoji H, Solomonow M, Yoshino S et al. Factors affecting postoperative flexion in total knee arthroplasty. Orthopedics 1990; 13:643-649.
2. Capdevila X, Barthelet Y, Biboulet P et al. Effects of perioperative analgesic technique on surgical outcomes and duration of rehabilitation after major knee surgery. Anesthesiology 1999; 91:8-15.
3. Ferrante FM, Orav EJ, Rocco AG, Gallo J. A statistical model for pain in patient-controlled analgesia and conventional intramuscular opioid regimens. Anesth Analg 1988; 67:457-461.
4. Baker MW, Tullos HS, Bryan WJ, Oxspring H. The use of epidural morphine in patients undergoing total knee arthroplasty. J Arthroplasty 1989; 4:157-161.
5. Ilahi OA, Davidson JP, Tullos HS. Continuous epidural analgesia using fentanyl and bupivacaine after total knee arthroplasty. Clin Orthop Relat Res1994; 299:44-52.
6. Sites BD, Beach M, Gallagher JD et al. A single injection ultrasound-assisted femoral nerve block provides side effect-sparing analgesia when compared with intrathecal morphine in patients undergoing total knee arthroplasty. Anesth Analg 2004; 99:1539-1543.
7. Winnie AP, Ramamurthy S, Durrani Z. The inguinal paravascular technique of lumbar plexus anesthesia: the 3 in 1 block. Anesth Analg 1973; 52:989-996.
8. Ben-David B, Jacques EC. Continuous peripheral neural blockade for postoperative analgesia: Practical advantages. Anesth Analg 2003; 96:1537.
9. Ben-David B, Schmalenberger K, Chelly JE. Analgesia after total knee arthroplasty: Is continuous sciatic blockade needed in addition to continuous femoral blockade? Anesth Analg 2004; 98:747-749.
10. Macalou D, Trueck S, Meuret P et al. Postoperative analgesia after total knee replacement: The effect of an obturator nerve block added to the femoral 3-in-1 nerve block. Anesth Analg 2004; 99:251-254.
11. Singelyn FJ, Deyaert M, Joris D, Pendeville E, Gouverneur JM. 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.
12. Allen HW, Liu SS, Ware PD, Nairn CS, Owens BD. Peripheral nerve blocks improve analgesia after total knee replacement surgery. Anesth Analg 1998; 87:93-97.
13. Ng HP, Cheong KF, Lim A, et al. Intraoperative single-shot "3-in-1" femoral nerve block with ropivacaine 0.25%, ropivacaine 0.5% or bupivacaine 0.25% provides comparable 48-hr analgesia after unilateral total knee replacement. Can J Anaesth 2001; 48:1102-1108.
14. Singelyn FJ, Contreras V, Gouverneur JM. Epidural anesthesia complicating continuous 3-in-1 lumbar plexus blockade. Anesthesiology 1995; 83:217-220.
15. Kehler H. Surgical stress: the role of pain and analgesia. Br J Anaesth 1989; 63:189-195.
16. Gustafsson L, Friberg-Nielsen S, Garle M et al. Extradural and parenteral morphine: kinetics and effects in postoperative pain. A controlled clinical study, Br J Anaesth 1982; 54:1167-1174.
17. Raj P, Knarr D, Vigdorth E et al. Comparison of continuous epidural infusion of a local anesthetic and administration of systemic narcotics in the management of pain after total knee replacement. Anesth Analg 1987; 66:401-406.
18. Edwards N, Wright E. Continuous low-dose 3-in-1 blockade for postoperative pain relief after total knee replacement. Anesth Analg 1992; 75:265-267.
19. Ganapathy S, Wasserman R, Watson J, et al. Modified continuous femoral three-in-one block for postoperative pain after total knee arthroplasty. Anesth Analg 1999; 89:1197-1202.
20. Anker-Moller E, Spansberg N, Dahl JB et al. Continuous blockade of the lumbar plexus after knee surgery: a comparison of the plasma concentration and analgesic effect of bupivacaine 0.250% and 0.125%. Acta Anaesthesiol Scand 1990;34:468-472.