A single injection ultrasound-assisted femoral nerve block provides side effect-sparing analgesia when compared with intrathecal morphine in patients undergoing total knee arthroplasty

Anesthesia and Analgesia

Volumn 99, Issue 5, 2004, Pages 1539-1543

  Sites, Brian D ^a   Beach, Michael ^a   Gallagher, John D ^a   Jarrett, Robert A ^a   Sparks, Michael B ^a   Lundberg, C Johan F ^a  

^a DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; BUPIVACAINE; CLONIDINE; MORPHINE; ROPIVACAINE;

ADULT; AGED; ANALGESIA; ANESTHESIOLOGICAL TECHNIQUES; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DISEASE SEVERITY; DOSE RESPONSE; ECHOGRAPHY; FEMALE; FEMORAL NERVE; HUMAN; HYPOTENSION; INTERMETHOD COMPARISON; MALE; NAUSEA; NERVE BLOCK; PAIN ASSESSMENT; PATIENT SATISFACTION; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PROSPECTIVE STUDY; PRURITUS; RANDOMIZED CONTROLLED TRIAL; RESPIRATION DEPRESSION; SEDATION; SIDE EFFECT; SINGLE BLIND PROCEDURE; TOTAL KNEE REPLACEMENT; ULTRASOUND ASSISTED FEMORAL NERVE BLOCK; URINE RETENTION; VISUAL ANALOG SCALE; VOMITING;

AGED; ANALGESICS, OPIOID; ARTHROPLASTY, REPLACEMENT, KNEE; FEMALE; FEMORAL NERVE; HUMANS; INJECTIONS, SPINAL; MALE; MIDDLE AGED; MORPHINE; NERVE BLOCK; PAIN MEASUREMENT; PATIENT SATISFACTION; POSTOPERATIVE NAUSEA AND VOMITING; PROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 6444239380     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000136470.51029.52     Document Type: Article

References (15)

1. Bonica J. Postoperative pain. In: Bonica J, ed. The management of pain, 2nd ed. Philadelphia: Lea & Febiger, 1990:461-80.
2. Singelyn F, Deyaert M, Pebdeville E, Gouverneur J. 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.
3. Horlocker T, Hebl J, Kinney M, Cabanela M. Opioid-free analgesia following total knee arthroplasty: a multimodal approach using continuous lumbar plexus (psoas compartment) block, acetaminophen, and ketorolac. Reg Anesth Pain Med 2002;27: 105-8.
4. Alien HW, Liu SS, Ware PD, et al. Peripheral nerve blocks improve analgesia after total knee replacement surgery. Anesth Analg 1998;87:93-7.
5. Capdevila X, Barthelet Y, Bivoulet 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.
6. Sites B, Beach M, Biggs R, et al. Intrathecal clonidine added to a bupivacaine-morphine spinal anesthetic improves postoperative analgesia for total knee arthroplasty. Anesth Analg 2003; 96:1083-8.
7. Grace D, Bunting H, Milligan KR, Fee JPH. Postoperative analgesia after co-administration of clonidine and morphine by the intrathecal route in patients undergoing hip replacement. Anesth Analg 1995;80:86-91.
8. Bailey P, Rhondeau S, Schafer P, et al. Dose response pharmacology of intrathecal morphine in human volunteers. Anesthesiology 1993;79:49-59.
9. Tarkkila P, Tuominen M, Huhtala J, Lindgren L. Comparison of intrathecal morphine and continuous femoral 3-in-1 block for pain after major knee surgery under spinal anesthesia. Eur J Anaesthesiol 1998;15:6-9.
10. Casati A, Magistris L, Fanelli G, et al. Small-dose clonidine prolongs postoperative analgesia after sciatic-femoral nerve block with 75% ropivacaine for foot surgery. Anesth Analg 2000;91:388-92.
11. Marhofer P, Schrogendorfer K, Koinig H, et al. Ultrasound guidance improves sensory block and onset time of three-in-one blocks. Anesth Analg 1997;85:854-7.
12. Cuvillon P, Ripart J, Lalourcey L, et al. The continuous femoral nerve catheter for postoperative analgesia: bacterial colonization, infectious rate and adverse effects. Anesth Analg 2001;93: 1045-9.
13. Turk D, Melzack R. The measurement of pain and the assessment of people experiencing pain. In: Turk D, Melzack R, eds. Handbook of pain assessment, 2nd ed. New York: The Guilford Press, 2001:9.
14. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain 1986;27:117-26.
15. Kremer E, Atkinson JH, Ignelzi RJ. Measurement of pain: patient preference does not confound pain measurement. Pain 1981;10:241-8.