Comparison of epidural, continuous femoral block and intraarticular analgesia after anterior cruciate ligament reconstruction

Dauri, Mario; Polzoni, Mauro; Fabbi, Eleonora; Sidiropoulou, Tatiana; Servetti, S; Coniglione, Filadelfo; Mariani, Pier Paolo; Sabato, Alessandro

doi:10.1034/j.1399-6576.2003.470104.x

Cited by 76 publications

(38 citation statements)

References 22 publications

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“…Patient-controlled analgesia, with opioids, is one of the most recent procedures and has been frequently studied in postoperative pain research (2,(4)(5) .…”

Section: Los Objetivos De Este Estudio Fueron Determinar La Incidencimentioning

confidence: 99%

Postoperative urinary retention: evaluation of patients using opioids analgesic

Fernandes

Costa

Saraiva

2007

Rev. Latino-Am. Enfermagem

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“…Patient-controlled analgesia, with opioids, is one of the most recent procedures and has been frequently studied in postoperative pain research (2,(4)(5) .…”

Section: Los Objetivos De Este Estudio Fueron Determinar La Incidencimentioning

confidence: 99%

Postoperative urinary retention: evaluation of patients using opioids analgesic

Fernandes

Costa

Saraiva

2007

Rev. Latino-Am. Enfermagem

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“…Some authors prefer epidural analgesia and femoral block over intraarticular analgesia (Dauri et al 2003); although some others did not find significant difference (Goransson et al 1997). Availability and simple technique of intraarticular injection, as well as long lasting analgesia remain advantages of this method (Heard et al 1992).…”

Section: Resultsmentioning

confidence: 99%

“…Local anaesthetics enable the reduction of other analgesic drugs thus reducing their unwanted side-effects. Beside epidural analgesia (Pascoe 1992) and femoral block analgesia (Dauri et al 2003), the topical intraarticular administration is preferred for its simplicity and minimizing of side-effects, as well as other systemic effects (Sammarco et al 1996).…”

Section: Analgesia Knee Jointmentioning

confidence: 99%

Effect of Intraarticular Bupivacaine Administration on Postoperative Pain Relief after Arthrotomic or Arthroscopic Management of Cranial Cruciate Ligament Rupture in Dogs

Raušer¹,

Dvořák²,

Nečas³

et al. 2005

Acta Vet. Brno

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The goal of the study was to disclose superiority of either arthroscopy or arthrotomy in the treatment of CCL rupture with respect to post-surgical pain, to find whether bupivacaine administered intraarticularly is of any value in reducing postoperative pain, and through the present pain scoring system consisting of degree of the lameness, CPS and VAS to recommend therapeutical plan of CCL repair offering the better analgesia.Thirty-seven dogs with cranial crucial ligament (CCL) rupture were randomly assigned to arthrotomy (20 dogs) or arthroscopy (17 dogs). The dogs were subjected to the intraarticular administration of bupivacaine 2.5 mg/kg or saline 0.5 ml/kg (control group) after the closure of joint capsule, the two protocols being distributed at random. Postoperative analgesia was assessed with regard to the degree of the lameness, cumulative pain score (CPS) and visual analogue scale (VAS), recorded at 1, 2, 3, 4, 5, 6, 8, 12 and 24 hours after intraarticular administration of bupivacaine or saline. Postoperative analgesia was most of the time significantly (p < 0.01) better in dogs that underwent arthroscopy and received bupivacaine intraarticularly when compared to the other groups. There was no significant difference in postoperative analgesia between arthroscopic control group and arthrotomy groups, both with and without bupivacaine. The results of this study suggest that intraarticular administration of bupivacaine after arthroscopic surgical management of cranial crucial ligament rupture provides satisfactory postoperative analgesia 24 hours after the arthroscopy.

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“…The Heart rate and MAP registered statistically insignificant (P>0.05) drop in the immediate postoperative period (0 hour) in relation to the pre-operative value and persisted to remain so for next 24hours of infusion. The preoperative mean respiratory rate of our patients varied in the range of 17.97±2.12 to 17.37±0.77 from 0 hours to 20 hours after the infusion of bupivacaine was started which is insignificant [Table 5,6,7].…”

Section: Discussionmentioning

confidence: 99%

Disposable Non-Mechanical Elastomeric Balloon Pump for Continuous Epidural Infusion: An Effective and Reliable Means for Postoperative Analgesia

Saloi¹,

Taye²,

Paul³

2016

jemds

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Postoperative pain an unpleasant sensory and emotional experience is one of the most challenging and gratifying domains to treat. Aim is here to assess effectiveness of postoperative pain relief, side effects and complications while using non-mechanical disposable elastomeric pump as continuous epidural infusion. PATIENTS AND METHODSThe present study has been carried out on thirty patients in postoperative wards. At the end of operation the Elastomeric pump containing 125ml of bupivacaine (0.125%) was connected with the epidural catheter Pain was assessed by VAS scoring system ranging from 0 to 10. Haemodynamic parameters, quality of analgesia, degree of motor block, and adverse effect encountered were recorded at two hours interval for 24 hours at the end of two hours of subarachnoid block when operation is over. RESULTS AND OBSERVATIONSNone of our patients had shown any clinically significant changes in their cardiorespiratory indices in the postoperative period. All the patients at 0 hr. were having VAS score of 0 and till 22 hours enjoyed good pain relief, i.e. VAS of 3-4. Infusion is not always steady as set by the manufacturer. There is no motor blockade after 16 hours (Bromage-0). Insignificant number of patients experienced nausea or vomiting and backache. CONCLUSIONSElastomeric balloon pumps is a reliable device to deliver LA agents steadily and safely with 0.125% bupivacaine as continuous epidural.

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Comparison of epidural, continuous femoral block and intraarticular analgesia after anterior cruciate ligament reconstruction

Abstract: We conclude that either epidural or continuous femoral nerve block provide adequate pain relief in patients who undergo ACLR, whereas intraarticular analgesia seems unable to cope satisfactorily with the analgesic requirements of this surgical procedure.

Cited by 76 publications

References 22 publications

Postoperative urinary retention: evaluation of patients using opioids analgesic

Postoperative urinary retention: evaluation of patients using opioids analgesic

Effect of Intraarticular Bupivacaine Administration on Postoperative Pain Relief after Arthrotomic or Arthroscopic Management of Cranial Cruciate Ligament Rupture in Dogs

Disposable Non-Mechanical Elastomeric Balloon Pump for Continuous Epidural Infusion: An Effective and Reliable Means for Postoperative Analgesia

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