Patient-controlled regional analgesia after total hip arthroplasty: Psoas compartment block versus three-in one femoral nerve block Total Kalça Protezi Cerrahisinde Hasta Kontrollü Rejyonal Analjezi: Psoas Kompartman ve Üçlü Femoral Sinir Blokajinin Karşilaştirilmasi
Anestezi Dergisi, cilt.14, sa.1, ss.43-47, 2006 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 14 Sayı: 1
- Basım Tarihi: 2006
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.43-47
- Anahtar Kelimeler: Patient controlled regional analgesia, Psoas compartment block, Three-in-one femoral nerve block, Total hip arthroplasty
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Objective: After total hip arthroplasty, it is difficult to control pain at rest or during movement. In the present study, we compared the analgesic efficacy of psoas compartment block by posterior approach and three in one block by anterior approach during patient controlled lumbar plexus analgesia. Method: Forty-four ASA I-III patients scheduled for unilateral hip arthroplasty were allocated for the study. The patients were randomly assigned two groups as psoas compartment (P, n=22) and three in one block (F, n=22). Before standardized general anaesthesia, the catheters were placed following contraction of the quadriceps muscle was obtained with a stimulus of 0.5 mA or less in both groups. Thereafter, all patients received 40 ml bupivacaine 0.25 % with adrenaline through the catheter and the distribution of the sensory block was evaluated. The patient controlled analgesia device, which was planned to continue for 48 hr, was set up to deliver 10 ml bupivacaine 0.125 % boluses with a lock-out time of 60 min. The postoperative pain (at rest and during physiotherapy), distribution of sensory block, additional analgesic requirement, bupivacaine consumption, patient satisfaction and side effects were recorded. Results: Sufficient analgesia and patient satisfaction were obtained in both groups during the first postoperative 48 hr. Pain scores, distribution of sensory block, patient satisfaction, bupivacaine consumption and additional analgesic requirement were found to be similar. Conclusion: Psoas compartment and three in one block techniques provide similar efficacy during patient controlled lumbar plexus analgesia after total hip arthroplasty.