Comparative Study between Ultra-Sound Guided Femoral Nerve Block and Adductor Canal Block in Postoperative Analgesia after Knee Arthroscopy | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 23, Volume 72, Issue 3, July 2018, Pages 4179-4184 PDF (588.18 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2018.9135 | ||
| Authors | ||
| El-Feky A A; Abdel Karim U I; Ismael A M | ||
| Anesthesiology and Intensive care department, Faculty of Medicine, Al-Azhar University | ||
| Abstract | ||
| Background : Analgesia after knee operations can be achieved by integrated multimodal analgesic protocols using two or more analgesic modalities that work by different mechanisms that will optimize the analgesia and minimize the potential risks and side effects. Objective: of this study was to evaluate the reliability of the postoperative pain control using adductor canal block (ACB) compared with that using the femoral nerve block (FNB) in patients undergoing knee arthroscopy. Patients and Methods: Eighty patients who had been scheduled to knee arthroscopy were included in this prospective, blinded study, and were randomly allocated into two groups (40 each); A group, had received ACB and F group, had received FNB. After 15 minutes; sensation, motor power and vital signs are assessed, then patients transferred to operating room where all patients had received general anesthesia. Total intraoperative fentanyl and vital signs are assessed. The postoperative pain (numeric rating scale [NRS]) and quadriceps power were assessed in the postoperative care at (1, 2, 4, 6, 8, 10, 12, 18 and 24) hours. The time to 1st pethidine and total pethidine requirements were also recorded. Results: Patients in group FNB had significantly less quadriceps power (at 6-8 h) postoperatively than those in groupACB. There were no significant differences between the two studied groups as regard NRS, time to 1st pethidine and total pethidine requirements in the 1st 24 h. Conclusion: In patients undergoing knee arthroscopy, the ACB can maintain a higher quadriceps power compared with the FNB and is efficient as FNB in control of postoperative pain. | ||
| Keywords | ||
| Anesthetic techniques; adductor canal block; femoral nerve block; regional; Bupivacaine; knee arthroscopy | ||
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