Postoperative Analgesic Effect of Additional Local Infiltration Analgesia Combined With Continuous Femoral and Sciatic Nerve Blocks in Total Knee Arthroplasty: A Single-Center Retrospective Study

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タイトル ( eng )
Postoperative Analgesic Effect of Additional Local Infiltration Analgesia Combined With Continuous Femoral and Sciatic Nerve Blocks in Total Knee Arthroplasty: A Single-Center Retrospective Study
著者
土井 克史
渡辺 康江
串崎 浩行
収録物名
Shimane Journal of Medical Science
41
4
開始ページ 101
終了ページ 107
収録物識別子
ISSN 03865959
EISSN 24332410
内容記述
抄録・要旨
Purpose: The aim of this retrospective study was to assess the efficacy of postoperative pain control with additional Local infiltration analgesia (LIA) combined with femoral nerve block (FNB) and sciatic nerve block (SNB). Methods: A total of 88 patients undergoing total knee arthroplasty (TKA) were enrolled in this study. All patients received combined continuous FNB and SNB, but only the LIA group received additional LIA, including methylprednisolone, at the end of surgery. We analyzed the numerical rating scale (NRS) for pain at rest at 24 and 48 hours postoperatively. Results: The peripheral nerve block (PNB) and LIA groups included 29 and 59 patients, respectively. The median NRS at rest at both 24 and 48 hours in the LIA group was significantly lower than in the PNB group (postoperative day 1 [POD1]: 0 vs. 5; postoperative day 2 [POD2]: 2 vs. 3; p < 0.01). Conclusion: Additional LIA combined with FNB and SNB provided better postoperative analgesia through POD2 compared to PNB alone.
主題
local infiltrate analgesia
femoral nerve block
sciatic nerve block
postoperative pain
total knee arthroplasty
言語
英語
資源タイプ 紀要論文
出版者
Faculty of Medicine, Shimane University
島根大学医学部
Faculty of Medicine, Shimane University
Shimane University Faculty of Medicine
発行日 2024-12
権利情報
Faculty of Medicine, Shimane University
権利関係(リンク) Creative Commons License
This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
出版タイプ Version of Record(出版社版。早期公開を含む)
アクセス権 オープンアクセス
関連情報
[NCID] AA00841586