[Continuous femoral nerve block to control postoperative pain in outpatient orthopedic surgery]. / Bloqueo femoral continuo para control del dolor postoperatorio en cirugía ortopédica ambulatoria.
Rev Esp Anestesiol Reanim
; 54(4): 227-30, 2007 Apr.
Article
en Es
| MEDLINE
| ID: mdl-17518173
ABSTRACT
OBJECTIVE:
Postoperative pain is one of the most frequent complications of outpatient orthopedic surgery. We therefore studied the efficacy, feasibility, and safety of the continuous femoral nerve block as an analgesic technique for outpatient anterior cruciate ligament reconstruction. MATERIAL ANDMETHODS:
We carried out a single-blind prospective study of ASA 1-2 patients who received a continuous femoral nerve block with 0.125% bupivacaine through an elastomeric pump to treat postoperative pain as part of a multimodal approach. Postoperative pain was assessed on a verbal numerical scale from the immediate postoperative period until 48 hours after the operation. Side effects and patient satisfaction were also assessed.RESULTS:
Sixty-three patients were enrolled. The continuous femoral nerve block was effective in the first 24 hours following surgery 90% of patients had mild or no pain, and 92% required no rescue medication. It also proved safe, as there were no significant side effects.CONCLUSION:
The continuous femoral nerve block with 0.125% bupivacaine is a safe, effective option for the management of postoperative pain in outpatient anterior cruciate ligament reconstruction.
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Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
8_ODS3_consumo_sustancias_psicoactivas
Problema de salud:
8_opioid_abuse
Asunto principal:
Dolor Postoperatorio
/
Bloqueo Nervioso Autónomo
/
Bombas de Infusión
/
Ligamento Cruzado Anterior
/
Procedimientos Quirúrgicos Ambulatorios
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
Es
Revista:
Rev Esp Anestesiol Reanim
Año:
2007
Tipo del documento:
Article