A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study
<i>Background and Objectives</i>: Patients experience severe pain after surgical correction of ankle fractures. Although their exact mechanism is unknown, dexamethasone and epinephrine increase the analgesic effect of anesthetics in peripheral nerve blocks. This study aimed to compare th...
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| Format: | Article |
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MDPI AG
2023-07-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/7/1302 |
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| author | Jeong-Kil Lee Gi-Soo Lee Sang-Bum Kim Chan Kang Kyong-Sik Kim Jae-Hwang Song |
| author_facet | Jeong-Kil Lee Gi-Soo Lee Sang-Bum Kim Chan Kang Kyong-Sik Kim Jae-Hwang Song |
| author_sort | Jeong-Kil Lee |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Patients experience severe pain after surgical correction of ankle fractures. Although their exact mechanism is unknown, dexamethasone and epinephrine increase the analgesic effect of anesthetics in peripheral nerve blocks. This study aimed to compare the postoperative pain control efficacy of peripheral nerve blocks with ropivacaine combined with dexamethasone/epinephrine and peripheral nerve blocks with only ropivacaine and added patient-controlled analgesia in patients with ankle fractures. <i>Materials and Methods</i>: This randomized, controlled prospective study included patients aged 18–70 years surgically treated for ankle fractures between December 2021 and September 2022. The patients were divided into group A (<i>n</i> = 30), wherein pain was controlled using patient-controlled analgesia after lower extremity peripheral nerve block, and group B (<i>n</i> = 30), wherein dexamethasone/epinephrine was combined with the anesthetic solution during peripheral nerve block. In both groups, ropivacaine was used as the anesthetic solution for peripheral nerve block, and this peripheral nerve block was performed just before ankle surgery for the purpose of anesthesia for surgery. Pain (visual analog scale), patient satisfaction, and side effects were assessed and compared between the two groups. <i>Results</i>: The patients’ demographic data were similar between groups. Pain scores were significantly lower in group B than in group A postoperatively. Satisfaction scores were significantly higher in group B (<i>p</i> = 0.003). There were no anesthesia-related complications in either group. <i>Conclusions</i>: Dexamethasone and epinephrine as adjuvant anesthetic solutions can effectively control pain when performing surgery using peripheral nerve blocks for patients with ankle fractures. |
| first_indexed | 2024-03-11T00:50:31Z |
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| id | doaj.art-13e7637119684490b0071a61847a2717 |
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| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T00:50:31Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-13e7637119684490b0071a61847a27172023-11-18T20:24:48ZengMDPI AGMedicina1010-660X1648-91442023-07-01597130210.3390/medicina59071302A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective StudyJeong-Kil Lee0Gi-Soo Lee1Sang-Bum Kim2Chan Kang3Kyong-Sik Kim4Jae-Hwang Song5Department of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon 34134, Republic of KoreaDepartment of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon 34134, Republic of KoreaDepartment of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon 34134, Republic of KoreaDepartment of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon 34134, Republic of KoreaDepartment of Anaesthesia, Chungnam National University Sejong Hospital, Sejong 30099, Republic of KoreaDepartment of Orthopedic Surgery, Konyang University College of Medicine, Daejeon 35365, Republic of Korea<i>Background and Objectives</i>: Patients experience severe pain after surgical correction of ankle fractures. Although their exact mechanism is unknown, dexamethasone and epinephrine increase the analgesic effect of anesthetics in peripheral nerve blocks. This study aimed to compare the postoperative pain control efficacy of peripheral nerve blocks with ropivacaine combined with dexamethasone/epinephrine and peripheral nerve blocks with only ropivacaine and added patient-controlled analgesia in patients with ankle fractures. <i>Materials and Methods</i>: This randomized, controlled prospective study included patients aged 18–70 years surgically treated for ankle fractures between December 2021 and September 2022. The patients were divided into group A (<i>n</i> = 30), wherein pain was controlled using patient-controlled analgesia after lower extremity peripheral nerve block, and group B (<i>n</i> = 30), wherein dexamethasone/epinephrine was combined with the anesthetic solution during peripheral nerve block. In both groups, ropivacaine was used as the anesthetic solution for peripheral nerve block, and this peripheral nerve block was performed just before ankle surgery for the purpose of anesthesia for surgery. Pain (visual analog scale), patient satisfaction, and side effects were assessed and compared between the two groups. <i>Results</i>: The patients’ demographic data were similar between groups. Pain scores were significantly lower in group B than in group A postoperatively. Satisfaction scores were significantly higher in group B (<i>p</i> = 0.003). There were no anesthesia-related complications in either group. <i>Conclusions</i>: Dexamethasone and epinephrine as adjuvant anesthetic solutions can effectively control pain when performing surgery using peripheral nerve blocks for patients with ankle fractures.https://www.mdpi.com/1648-9144/59/7/1302ankle fractureanestheticnerve blockpain managementpostoperative pain control |
| spellingShingle | Jeong-Kil Lee Gi-Soo Lee Sang-Bum Kim Chan Kang Kyong-Sik Kim Jae-Hwang Song A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study Medicina ankle fracture anesthetic nerve block pain management postoperative pain control |
| title | A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study |
| title_full | A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study |
| title_fullStr | A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study |
| title_full_unstemmed | A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study |
| title_short | A Comparative Analysis of Pain Control Methods after Ankle Fracture Surgery with a Peripheral Nerve Block: A Single-Center Randomized Controlled Prospective Study |
| title_sort | comparative analysis of pain control methods after ankle fracture surgery with a peripheral nerve block a single center randomized controlled prospective study |
| topic | ankle fracture anesthetic nerve block pain management postoperative pain control |
| url | https://www.mdpi.com/1648-9144/59/7/1302 |
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