Continuous popliteal block for postoperative analgesia in total ankle arthroplasty.
Foot Ankle Int
; 33(3): 208-12, 2012 Mar.
Article
em En
| MEDLINE
| ID: mdl-22734282
ABSTRACT
BACKGROUND:
Total ankle arthroplasty is associated with severe postoperative pain. Development of analgesic techniques such as a block with continuous infusion at the popliteal level has been shown to result in good pain control, a decrease in the use of rescue analgesia and a low rate of complications. We reviewed our experience with this method of analgesia in patients who underwent total ankle arthroplasty.METHODS:
A prospective study of 30 patients undergoing total ankle arthroplasty was carried out. Twenty-two of these received and maintained a block at the popliteal level with a continuous infusion of bupivacaine, while the remaining eight received no such block.RESULTS:
The visual analog scale evaluation (VAS) showed a significant improvement in pain control in the group with the popliteal block after 6, 12, 18, and 24 hours postsurgery, with pain levels peaking and being most different between 6 and 12 hours postsurgery for the two groups. The group with the popliteal block also exhibited a significantly lower consumption of morphine and a greater degree of patient satisfaction.CONCLUSION:
The block with continuous infusion at the popliteal fossa was a safe technique for total ankle arthroplasty postoperative analgesia, which provided good pain control, a lower requirement of opiates and a higher level of patient satisfaction.
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Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Nervo Isquiático
/
Artroplastia de Substituição do Tornozelo
/
Anestésicos Locais
/
Bloqueio Nervoso
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article