Saphenous nerve block is an effective regional technique for post-menisectomy pain

被引:48
作者
Akkaya, Taylan [1 ]
Ersan, Onder [2 ]
Ozkan, Derya [1 ]
Sahiner, Yeliz [1 ]
Akin, Mine [1 ]
Gumus, Haluk [1 ]
Ates, Yalim [2 ]
机构
[1] Diskapi Yildirim Beyazit Training Hosp, Anesthesiol & Reanimat Dept, Ankara, Turkey
[2] Diskapi Yildirim Beyazit Training Hosp, Dept Orthoped, Ankara, Turkey
关键词
saphenous nerve block; arthroscopic knee surgery; medial menisectomy; postoperative analgesia;
D O I
10.1007/s00167-008-0572-4
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In this study we have evaluated the post menisectomy pain relief offered by Saphenous nerve block. This study was planned on 40 patients with a pre-operative and post operative diagnosis of medial meniscus lesion undergoing partial menisectomy arthroscopically. Patients were randomized into 2 groups where Group I received a preoperative Saphenous block while group 2 did not receive a peripheral block, but received 1 ml of saline as placebo injection. After blocks both groups received general anesthesia and IV patient controlled analgesia (PCA) with tramadol for post operative pain relief. Patients rest and activity pain scores were evaluated on post operative 0, 2, 4, 6, 12 and 24 h using visual analog scale (VAS). Total tramadol consumption as well as pain at rest, when weight bearing and the need for external support while walking were recorded. Group I VAS scores were statistically lower then group II during the time of observation periods at rest as well as active movement periods. Tramadol consumption through IV PCA was statistically significantly lower in group I than in group II (P < 0.05). Pain during walking measured at 24 h was significantly different with better results in group I (P < 0.001). Saphenous nerve block is used for different indications; it can also be a good analgesic method for arthroscopic interventions. We have shown it to be effective after medial partial menisectomies. According to our knowledge this report is the first one utilizing saphenous nerve block for pain after arthroscopic medial menisectomy.
引用
收藏
页码:855 / 858
页数:4
相关论文
共 16 条
[1]   COMPARISON OF PRILOCAINE AND BUPIVACAINE FOR POST-ARTHROSCOPY ANALGESIA - A PLACEBO-CONTROLLED DOUBLE-BLIND TRIAL [J].
ATES, Y ;
KINIK, H ;
BINNET, MS ;
ATES, Y ;
CANAKCI, N ;
KECIK, Y .
ARTHROSCOPY, 1994, 10 (01) :108-109
[2]   Comparison of the different approaches to saphenous nerve block [J].
Benzon, HT ;
Sharma, S ;
Calimaran, A .
ANESTHESIOLOGY, 2005, 102 (03) :633-638
[3]  
CANDIDO KD, 2005, ESSENTIALS PAIN MED, P645
[4]   Regional anaesthesia for outpatient knee arthroscopy: a randomized clinical comparison of two different anaesthetic techniques [J].
Casati, A ;
Cappelleri, G ;
Fanelli, G ;
Borghi, B ;
Anelati, D ;
Berti, M ;
Torri, G .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2000, 44 (05) :543-547
[5]   Saphenous nerve anaesthesia - A nerve stimulator technique [J].
Comfort, VK ;
Lang, SA ;
Yip, RW .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1996, 43 (08) :852-857
[6]  
DILBEROVIC F, 2007, TXB REGIONAL ANESTHE, P43
[7]   FEMORAL NERVE BLOCK AS AN ALTERNATIVE TO PARENTERAL NARCOTICS FOR PAIN CONTROL AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION [J].
EDKIN, BS ;
SPINDLER, KP ;
FLANAGAN, JFK .
ARTHROSCOPY, 1995, 11 (04) :404-409
[8]  
HINTZE J, 2001, NCSS PASS NUMBER CRU, P23907
[9]   Femoral block provides superior analgesia compared with intra-articular ropivacaine after anterior cruciate ligament reconstruction [J].
Iskandar, H ;
Benard, A ;
Ruel-Raymond, J ;
Cochard, G ;
Manaud, B .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2003, 28 (01) :29-32
[10]   Outpatient arthroscopic knee surgery under multimodal analgesic regimens [J].
Miskulin, Mladen ;
Maldini, Branka .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2006, 22 (09) :978-983