Psoas compartment block for total hip arthoplasty: A comparison of continuous infusion and patients controlled analgesia Total kalça artroplastisinde psoas kompartman bloǧu: Kontinü infüzyon ve hasta kontrollü analjezi tekniklerinin karşilaştirilmasi
Anestezi Dergisi, cilt.15, sa.2, ss.129-133, 2007 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 2
- Basım Tarihi: 2007
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.129-133
- Anahtar Kelimeler: Patients controlled regional analgesia, Psoas compartment block, Total hip arthroplasty
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Objective: The aim of the present study was to assess the efficacy of 3 different patient-controlled analgesia techniques for psoas compartment block after total hip arthroplasty. Patient satisfaction and local anesthetic consumption were compared. Methods: Sixty ASA I-III patients scheduled for unilateral total hip arthroplasty were included in the study. Before general anaesthesia, the psoas compartment catheters were placed in the patients of all three groups using the Chayen technique after a contraction of quadriceps muscle was obtained with a stimulus of 0.5 mA or less. Forty mL of 0.25% bupivacaine with adrenaline was given through the catheter and the distribution of the sensory and motor block was evaluated. The patient-controlled analgesia device was connected to the catheter postoperatively. The patients were randomly assigned to three groups: Group 1= 0.125% bupivacain continuous infusion at a rate of 10 mL h-1, Group 2 = 0.125% bupivacain continuous infusion at the rate of 5 mL h-1 plus 5 mL bolus with a 60 min lock-outperiod and Group 3 = 10 mL boluses of 0.125% bupivacain with a 60 min lock-out period. The postoperative pain scores, distribution of sensory block, additional analgesic requirement, total bupivacaine consumption, patient satisfaction and side effects were recorded for 48 hours. Results: Sufficient analgesia and patient satisfaction were obtained in both groups during the first postoperative 48 hour period. Pain scores, additional analgesic requirement and distribution of sensory block were found to be similar. Bupivacaine consumption was significantly different among the three groups; (440 ± 35, 367.7 ± 76.0, 179.2 ± 92.3 mL respectively, p<0.05). Conclusion: The patient controlled analgesic program with 10 mL boluses and 60 min lockout time was found to reduce local anesthetic use while providing sufficient analgesic and patient satisfaction.