Comparison of Rebound Pain and Postoperative Tramadol Requirement in Patients Who Had Femoral Nerve Block or Adductor Canal Block for Pain After Total Knee Arthroplasty

Özgüner, Yusuf; Alptekin, Alp

doi:10.5222/jarss.2021.60590

Cited by 1 publication

(1 citation statement)

References 26 publications

(43 reference statements)

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“…1 Regional anesthesia has advantages such as patient consciousness, avoidance of complications related to endotracheal intubation due to continuation of spontaneous breathing and preservation of airway reflexes, prevention of aspiration risk, early mobilization and recovery, postoperative pain control and early hospital discharge time. [2][3][4] The suitability of the anatomy of the brachial plexus and its easy accessibility are the reasons for preference in anesthesia for orthopedic interventions in the upper extremity. In reconstructive surgery, vasodilation due to sympathetic blockade accompanying brachial plexus anesthesia significantly increases the incidence of surgical success.…”

Section: Introductionmentioning

confidence: 99%

Comparison of bupivacaine and levobupivacaine in continuous axillary brachial plexus block

Altınsoy,

Can,

İnan

et al. 2024

EAJAIC

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Aims: This study compares bupivacaine – lidocaine and levobupivacaine – lidocaine administrations in terms of initiation and duration of motor and sensorial blockage, total number of additional analgesic applications, analgesic amount consumed in 24 hours, side-effects and hemodynamic effects in continuous axillary brachial pleksus block in hand and forearm surgery. Methods: Thirty ASA I & II physical status patients, scheduled hand or forearm surgery were enrolled for of the two groups in a randomized study. Axillary catheter duly placed in both group with appropriate guided techniques. Patients in group B received 0. 5% bupivacaine 20 ml + 2% lidocaine 20 ml and group L received 0. 5% levobupivacaine 20 ml + 2% lidocaine 20 ml through the axillary catheter. Initiation and duration of motor and sensorial block, total number of additional analgesic applications and analgesic amount consumed in postoperative 24 hours were recorded. Pre-block, peri-operative and post-operative blood pressures and heart beat rates were also recorded. Block application duration, operation duration, tourniquet duration and demographic data of patients (age, sex, weight, and length) were recorded. Demanded and applied analgesic doses by the patient controlled analgesia devices, side effects and complications were also recorded. Results: There was no statistically significant difference between two groups in terms of initiation and duration of motor and sensorial block, amount of analgesic consumed in 24 hours, demanded and applied analgesic doses by the patient controlled analgesia devices and hemodynamic data (p>0. 05). There is a mild and positive relation between block application duration and patient weight. (p=0. 014; r=0. 444) Conclusion: Both bupivacaine+lidocaine and levobupivacaine+lidocaine combinations can safely be used in axillary continuous brachial plexus block without any difference in terms of initiation and duration of block, total analgesic amount consumed. Their duration of action and effect on hemodynamic responses are similar.

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