Comparison of postoperative pain control methods after bony surgery in the foot and ankle

被引:14
作者
Kang, Chan [2 ]
Lee, Gi-Soo [1 ,3 ]
Kim, Sang-Bum [1 ]
Won, You-Gun [1 ]
Lee, Jeong-Kil [2 ]
Jung, You-Sun [1 ]
Cho, Hyung-June [1 ]
机构
[1] Konyang Univ, Coll Med, Dept Orthoped Surg, Daejeon, South Korea
[2] Chungnam Natl Univ, Sch Med, Dept Orthopaed Surg, Daejeon, South Korea
[3] Konyang Univ, Myunggok Med Res Inst, Daejeon, South Korea
关键词
Foot and ankle; Nerve block; Opioid patch; Postoperative pain control; SCIATIC-NERVE BLOCK; TOTAL KNEE ARTHROPLASTY; ULTRASOUND GUIDANCE; ORTHOPEDIC-SURGERY; ROPIVACAINE; MANAGEMENT; ANALGESIA;
D O I
10.1016/j.fas.2017.06.006
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
Background: We performed a prospective study to evaluate and compare the effectiveness of postoperative pain control methods after bone surgery in the foot and ankle. Methods: Among the patients who underwent foot and ankle surgery from June 2014 to September 2015 with an ultrasound-guided nerve block, 84 patients who fully completed a postoperative pain survey were enrolled. An opioid patch (fentanyl patch, 25 mg) was applied in group A (30 patients). Diluted anesthetic (0.2% ropivacaine, 30 ml) was injected into the sciatic nerve once, about 12 h after the preoperative nerve block, in group B (27 patients). Periodic intramuscular injection of an analgesic (ketorolac [Tarasyn], 30 mg) was performed in group C (27 patients). The visual analogue scale (VAS) pain scores at 6, 12, 18, 24, and 48 h after surgery were checked, and the complications of all methods were monitored. Results: The mean VAS pain score was lower in group B, with a statistically significant difference (P <. 05) between groups A, B, and C at 12 and 18 h after surgery. Four patients in group A experienced nausea and vomiting; however, no other patients complained of any complications or adverse effects. Conclusion: The ultrasound-guided injection of a diluted anesthetic into the sciatic nerve seemed to be the most useful method for controlling pain in the acute phase after bone surgery in the foot and ankle. The injection of the diluted anesthetic once on the evening of the day of surgery resulted in less postoperative pain in the patients. (c) 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:521 / 524
页数:4
相关论文
共 26 条
[1]   RESPIRATORY-RELATED CRITICAL EVENTS WITH INTRAVENOUS PATIENT-CONTROLLED ANALGESIA [J].
ASHBURN, MA ;
LOVE, G ;
PACE, NL .
CLINICAL JOURNAL OF PAIN, 1994, 10 (01) :52-56
[2]   Postoperative pain in ambulatory surgery [J].
Chung, F ;
Ritchie, E ;
Su, J .
ANESTHESIA AND ANALGESIA, 1997, 85 (04) :808-816
[3]   Effectiveness of acute postoperative pain management: I. Evidence from published data [J].
Dolin, SJ ;
Cashman, JN ;
Bland, JM .
BRITISH JOURNAL OF ANAESTHESIA, 2002, 89 (03) :409-423
[4]   Ultrasound guidance for lateral midfemoral sciatic nerve block:: A prospective, comparative, randomized study [J].
Domingo-Triado, Vicente ;
Selfa, Salvador ;
Martinez, Francisco ;
Sanchez-Contreras, Dolores ;
Reche, Montserrat ;
Tecles, Jose ;
Crespo, Maria T. ;
Palanca, Jose M. ;
Moro, Blanca .
ANESTHESIA AND ANALGESIA, 2007, 104 (05) :1270-1274
[5]   RESPIRATORY DEPRESSION ASSOCIATED WITH PATIENT-CONTROLLED ANALGESIA - A REVIEW OF 8 CASES [J].
ETCHES, RC .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1994, 41 (02) :125-132
[6]   Neurological complication analysis of 1000 ultrasound guided peripheral nerve blocks for elective orthopaedic surgery: a prospective study [J].
Fredrickson, M. J. ;
Kilfoyle, D. H. .
ANAESTHESIA, 2009, 64 (08) :836-844
[7]   Post-operative pain management in orthopaedic surgery and traumatology [J].
Giesa, M ;
Jage, J ;
Meurer, A .
ORTHOPADE, 2006, 35 (02) :211-220
[8]   UNANTICIPATED ADMISSION TO THE HOSPITAL FOLLOWING AMBULATORY SURGERY [J].
GOLD, BS ;
KITZ, DS ;
LECKY, JH ;
NEUHAUS, JM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 262 (21) :3008-3010
[9]   The analgesic efficacy of sciatic nerve block in addition to femoral nerve block in patients undergoing total knee arthroplasty: a systematic review and meta-analysis [J].
Grape, S. ;
Kirkham, K. R. ;
Baeriswyl, M. ;
Albrecht, E. .
ANAESTHESIA, 2016, 71 (10) :1198-1209
[10]  
강찬, 2010, [journal of korean foot and ankle society, 대한족부족관절학회지], V14, P90