Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty
BackgroundTotal knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Because inadequate postoperative pain control can hinder early physiotherapy and rehabilitation, it is the most influential factor dictating a good outcome. The purpos...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2012-01-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-62-47.pdf |
| _version_ | 1818966376835973120 |
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| author | Jae Jin Lee Sang Sik Choi Mi Kyoung Lee Byung Gun Lim Wonseok Hur |
| author_facet | Jae Jin Lee Sang Sik Choi Mi Kyoung Lee Byung Gun Lim Wonseok Hur |
| author_sort | Jae Jin Lee |
| collection | DOAJ |
| description | BackgroundTotal knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Because inadequate postoperative pain control can hinder early physiotherapy and rehabilitation, it is the most influential factor dictating a good outcome. The purpose of this study was to evaluate the effectiveness of continuous psoas compartment block (PCB) in comparison to intravenous patient-controlled analgesia (IVPCA) in TKA patients.Methods40 TKA patients were randomly divided into 2 groups. Group IVPCA (n = 20) received intravenous patient controlled analgesia (IVPCA) for 48 hours. Group PCB (n = 20) received continuous PCB for 48 hours at the fourth intertransverse process of the lumbar using the C-arm. Pain scores, side effects, satisfaction, the length of hospital stay, rescue antiemetics, and analgesics were recorded.ResultsPain scores (VNRS 0-100) were higher in Group IVPCA than in Group PCB. Nausea and sedation occurred more frequently in Group IVPCA than in Group PCB. There were no differences between the groups in the length of the hospital stay, satisfaction scores, and the use of rescue antiemetics and analgesics.ConclusionsContinuous PCB seemed to be an appropriate and reliable technique for TKA patients, because it provided better analgesia and fewer side effects such as nausea and sedation when compared to IVPCA. |
| first_indexed | 2024-12-20T13:31:55Z |
| format | Article |
| id | doaj.art-0305b451699e4e669087b1266497e85d |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-20T13:31:55Z |
| publishDate | 2012-01-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-0305b451699e4e669087b1266497e85d2022-12-21T19:39:04ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632012-01-01621475110.4097/kjae.2012.62.1.477342Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplastyJae Jin Lee0Sang Sik Choi1Mi Kyoung Lee2Byung Gun Lim3Wonseok Hur4Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, Korea.BackgroundTotal knee arthroplasty (TKA) generates severe postoperative pain in 60% of patients and moderate pain in 30% of patients. Because inadequate postoperative pain control can hinder early physiotherapy and rehabilitation, it is the most influential factor dictating a good outcome. The purpose of this study was to evaluate the effectiveness of continuous psoas compartment block (PCB) in comparison to intravenous patient-controlled analgesia (IVPCA) in TKA patients.Methods40 TKA patients were randomly divided into 2 groups. Group IVPCA (n = 20) received intravenous patient controlled analgesia (IVPCA) for 48 hours. Group PCB (n = 20) received continuous PCB for 48 hours at the fourth intertransverse process of the lumbar using the C-arm. Pain scores, side effects, satisfaction, the length of hospital stay, rescue antiemetics, and analgesics were recorded.ResultsPain scores (VNRS 0-100) were higher in Group IVPCA than in Group PCB. Nausea and sedation occurred more frequently in Group IVPCA than in Group PCB. There were no differences between the groups in the length of the hospital stay, satisfaction scores, and the use of rescue antiemetics and analgesics.ConclusionsContinuous PCB seemed to be an appropriate and reliable technique for TKA patients, because it provided better analgesia and fewer side effects such as nausea and sedation when compared to IVPCA.http://ekja.org/upload/pdf/kjae-62-47.pdflumbar plexusnerve blockpatient controlled analgesiapostoperative paintotal knee arthroplasty |
| spellingShingle | Jae Jin Lee Sang Sik Choi Mi Kyoung Lee Byung Gun Lim Wonseok Hur Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty Korean Journal of Anesthesiology lumbar plexus nerve block patient controlled analgesia postoperative pain total knee arthroplasty |
| title | Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty |
| title_full | Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty |
| title_fullStr | Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty |
| title_full_unstemmed | Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty |
| title_short | Effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty |
| title_sort | effect of continuous psoas compartment block and intravenous patient controlled analgesia on postoperative pain control after total knee arthroplasty |
| topic | lumbar plexus nerve block patient controlled analgesia postoperative pain total knee arthroplasty |
| url | http://ekja.org/upload/pdf/kjae-62-47.pdf |
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