대표어
한국학술지인용색인(NRF)
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|---|
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Background: Total knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Because inadequate postoperative pain control can hinder early physiotherapy and rehabilitation, it is the most influential factor dictating a good outcome. The purpose of this study was to evaluate the effectiveness of continuous psoas compartment block (PCB) in comparison to intravenous patient-controlled analgesia (IVPCA) in TKA patients.
Methods: 40 TKA patients were randomly divided into 2 groups. Group IVPCA (n = 20) received intravenous patient controlled analgesia (IVPCA) for 48 hours. Group PCB (n = 20) received continuous PCB for 48 hours at the fourth intertransverse process of the lumbar using the C-arm. Pain scores, side effects, satisfaction, the length of hospital stay, rescue antiemetics, and analgesics were recorded.
Results: Pain scores (VNRS 0-100) were higher in Group IVPCA than in Group PCB. Nausea and sedation occurred more frequently in Group IVPCA than in Group PCB. There were no differences between the groups in the length of the hospital stay, satisfaction scores, and the use of rescue antiemetics and analgesics.
Conclusions: Continuous PCB seemed to be an appropriate and reliable technique for TKA patients, because it provided better analgesia and fewer side effects such as nausea and sedation when compared to IVPCA.권호기사
참고문헌 (21건) : 자료제공( 네이버학술정보 )
| 번호 | 참고문헌 | 국회도서관 소장유무 |
|---|---|---|
| 1 | The Effect of Bilateral Femoral Nerve Block Combined with Intravenous Patient-controlled Analgesia after a Bilateral Total Knee Replacement | 소장 |
| 2 | Effects of Intravenous Patient-Controlled Analgesia with Morphine, Continuous Epidural Analgesia, and Continuous Three-in-One Block on Postoperative Pain and Knee Rehabilitation After Unilateral Total Knee Arthroplasty  |
미소장 |
| 3 | Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after major knee surgery. |
미소장 |
| 4 | Modified Continuous Femoral Three-in-One Block for Postoperative Pain After Total Knee Arthroplasty |
미소장 |
| 5 | Kim YJ, Kim YJ, Kim DY. Effect of Single-injection Femoral Nerve Block Using Real-time Ultrasound on the Postoperative Pain after Bilateral Total Knee Arthroplasty: 0.25% vs 0.5% Levobupivacaine Korean J Pain 2009; 22: 234-40. | 미소장 |
| 6 | Continuous femoral blocks improve recovery and outcome of patients undergoing total knee arthroplasty |
미소장 |
| 7 | Schultz P, Anker-Møller E, Dahl JB, Christensen EF, Spangsberg N, Faunø P. Postoperative pain treatment after open knee surgery: continuous lumbar plexus block with bupivacaine versus epidural morphine. Reg Anesth 1991; 16: 34-7. | 미소장 |
| 8 | A comparison of epidural anesthesia and lumbar plexus-sciatic nerve blocks for knee surgery |
미소장 |
| 9 | Analgesia for total hip and knee arthroplasty: a review of lumbar plexus, femoral, and sciatic nerve blocks. |
미소장 |
| 10 | Comparison of sciatic psoas compartment block and sciatic femoral 3-in-1 block for knee arthroscopy |
미소장 |
| 11 | Continuous Psoas Compartment Block for Postoperative Analgesia After Total Hip Arthroplasty: New Landmarks, Technical Guidelines, and Clinical Evaluation |
미소장 |
| 12 | Magnetic Resonance Imaging of the Distribution of Local Anesthetic During the Three-In-One Block |
미소장 |
| 13 | Post‐operative analgesia following total knee replacement: an evaluation of the addition of an obturator nerve block to combined femoral and sciatic nerve block |
미소장 |
| 14 | Ben-David B, Schmalenberger K, Chelly JE. Analgesia after total knee arthroplasty: is continuous sciatic blockade needed in addition to continuous femoral blockade? Anesth Analg 2004; 98: 747-9. | 미소장 |
| 15 | Campbell A, McCormick M, McKinlay K, Scott NB. Epidural vs. lumbar plexus infusions following total knee arthroplasty: randomized controlled trial. Eur J Anaesthesiol 2008; 25: 502-7. | 미소장 |
| 16 | Postoperative Analgesia After Total Knee Replacement: The Effect of an Obturator Nerve Block Added to the Femoral 3-in-1 Nerve Block |
미소장 |
| 17 | Kaloul I, Guay J, Côté C, Fallaha M. The posterior lumbar plexus (psoas compartment) block and the three-in-one femoral nerve block provide similar postoperative analgesia after total knee replacement. Can J Anaesth 2004; 51: 45-51. | 미소장 |
| 18 | Raimer C, Priem K, Wiese AA, Birnbaum J, Dirkmorfeld LM, Mossner A, et al. Continuous psoas and sciatic block after knee arthroplasty: good effects compared to epidural analgesia or i.v. opioid analgesia: a prospective study of 63 patients. Acta Orthop 2007; 78: 193-200. | 미소장 |
| 19 | Continuous Versus Single-Injection Lumbar Plexus Blocks: Comparison of the Effects on Morphine Use and Early Recovery After Total Knee Arthroplasty |
미소장 |
| 20 | Postoperative Analgesia and Functional Recovery After Total-Knee Replacement: Comparison of a Continuous Posterior Lumbar Plexus (Psoas Compartment) Block, a Continuous Femoral Nerve Block, and the Combination of a Continuous Femoral and Sciatic Nerve Block |
미소장 |
| 21 | The psoas compartment block. |
미소장 |
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