지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 145 - 150 (6page)
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초록· 키워드
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Purpose: Total knee replacement is one of the most painful orthopedic procedures, and effective pain relief is essential for early mobility and discharge from hospital. The aim of this study was to evaluate whether addition of single-injection femoral nerve block to epidural analgesia would provide better postoperative pain control, compared to epidural analgesia alone, after total knee replacement. Materials and Methods: Thirty-eight patients received a single-injection femoral nerve block with 0.25% levobupivacaine (30 mL) combined with epidural analgesia (femoral nerve block group) and 40 patients received epidural analgesia alone (control group). Pain intensity and volume of patient-controlled epidural analgesia medication and rescue analgesic requirements were measured in the first 48 hours after surgery at three time periods; 0-6 hours, 6-24 hours, and 24-48 hours. Also, side effects such as nausea,vomiting, and pruritus were evaluated. Results: Median visual analog scale at rest and movement was significantly lower until 48 hours in the femoral nerve block group. Patient-controlled epidural analgesia volume was significantly lower throughout the study period, however, rescue analgesia requirements were significantly lower only up to 6 hours in the femoral nerve block group. The incidences of nausea and vomiting and rescue antiemetic requirement were significantly lower in the femoral nerve block group up to 6 hours. Conclusion: The combination of femoral nerve block with epidural analgesia is an effective pain management regimen in patients undergoing unilateral total knee replacement.
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참고문헌 (17)
참고문헌 신청
Adams HA / 2002 / Postoperative pain management in orthopaedic patients: no differences in pain score, but improved stress control by epidural anaesthesia / Eur J Anaesthesio
Barrington MJ / 2005 / Continuous femoral nerve blockade or epidural analgesia after total knee replacement: a prospective randomized controlled trial / Anesth Analg 101 : 18
Bonica J / 1990 / Postoperative pain. In The management of pain. 2nd ed / Lea & Febiger : 461 ~ 480
Chelly JE / 2001 / Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty / J Arthroplasty 16 : 436 ~ 445
Cuvillon P / 2001 / The continuous femoral nerve block catheter for postoperative analgesia: bacterial colonization, infectious rate and adverse effects / Anesth Analg 93 :
Barrington MJ / 2005 / Continuous femoral nerve blockade or epidural analgesia after total knee replacement: a prospective randomized controlled trial / Anesth Analg 101 : 18
Bonica J / 1990 / Postoperative pain. In The management of pain. 2nd ed / Lea & Febiger : 461 ~ 480
Chelly JE / 2001 / Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty / J Arthroplasty 16 : 436 ~ 445
Cuvillon P / 2001 / The continuous femoral nerve block catheter for postoperative analgesia: bacterial colonization, infectious rate and adverse effects / Anesth Analg 93 :
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