A Comparative Study between Continuous Epidural Infusion and Continuous Femoral Nerve Block for Post-Operative Pain Relief in Total Knee Replacement Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 4
Abstract
Background: Postoperative pain management in TKR is of imperative importance. Epidural analgesia though considered as a standard technique in postoperative pain management in TKR it was commonly associated with unwanted side effects such as hypotension and urinary retention. FNB is also a common method of analgesia which is a much easier technique to master and has a very low risk of side effects. Aim: To compare the efficacy between continuous epidural analgesia and continuous femoral nerve block for postoperative pain relief in Total knee replacement surgeries. Methodology: The study was conducted by the department of anaesthesiology of Vinayaka Misssions Kirupananda Variyar Medical College and Hospital,salem for a period of 1 year between Jan 2016–Dec 2016. A total of 60 patients were included in our study. 30 patients received continuous femoral nerve block and 30 patients received continuous epidural analgesia. The patient’s pain assessment was done by visual analogue scale and Wong baker faces pain rating scale. Pain assessment was done every 4th hour for 48 hours. Patients were also monitored for any incidence of side effects. Results: Among the patients who had received femoral nerve block the visual analogue pain score ranged between 0 and 2, whereas among the patients who had received epidural analgesia the score ranged between 2 and 4. There was a statistically significant difference in the pain perception between the two groups and a similar type of pain perception was also seen with Wong baker faces pain rating scale. Epidural analgesia group of patients experienced higher incidence of side effects like urinary retention, nausea, vomiting and hypotension compared to femoral nerve block and the difference was found to be statistically significant. Conclusion: Continuous femoral nerve block can be recommended as an effective alternative to epidural analgesia for postoperative pain management in TKR.
Authors and Affiliations
R. Brindha
Keywords
Related Articles
- EP ID EP472319
- DOI 10.21088/ijaa.2349.8471.4417.24
- Views 81
- Downloads 0
Efficacy of Spinal Anaesthesia as a Safer Technique in Laparoscopic Cholecystectomy with Better Outcome
Spinal anaesthesia is always a safe, cost effective and a better option in patients where general anaesthesia can be complicated and to fulfill the purpose of postoperative analgesia. After conducting many upper abdomin...
Effects of Oral Clonidine Premedication on Spinal Subarachnoid Blockade with Hyperbaric Bupivacaine
Background: The prolongation of local anesthetic induced sensory and motor block after co-administration with intrathecal clonidine [1,2] is well documented, but with oral clonidine the effect remains controversial [1.3]...
Clinical Study on Complications of Ketamine
Intrathecally administered ketamine is advantageous as its beneficial effects on the cardiovascular system and respiratory functions may be combined with the analgesic effects of spinal anesthesia. The primary mechanism...
Evaluation of Optimal Preemptive Dose of Oral Gabapentine for Postoperative Epidural Analgesia
The international association for the study of pain has defined pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Unrelieved...
A Study on the Efficacy of Ketamine Given Intrathecallyas A Spinal Anesthetic Agent
Ketamine a phencyclidine derivative with potent analgesic properties possesses few advantages over the other local anesthetics as it tends to stimulate the cardiovascular system and maintains the respiratory response to...