Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind study
Abstract Background The aim of this study was to compare the efficacy of ultrasound-guided adductor canal block versus femoral nerve block in postoperative analgesia, as well as their effect on quadriceps muscle strength. Results The study included 66 patients who were underwent arthroscopic anterio...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | Ain Shams Journal of Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s42077-022-00272-9 |
| _version_ | 1828106178400354304 |
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| author | Kholoud Bahaa Eldin Abdel Mohsen ElShawady Gamal Fouad Saleh Zaki Hatem Saeed Abdelhamid Dalia Mahmoud Ahmed Elfawy Marwa Mamdoh Elfar |
| author_facet | Kholoud Bahaa Eldin Abdel Mohsen ElShawady Gamal Fouad Saleh Zaki Hatem Saeed Abdelhamid Dalia Mahmoud Ahmed Elfawy Marwa Mamdoh Elfar |
| author_sort | Kholoud Bahaa Eldin Abdel Mohsen ElShawady |
| collection | DOAJ |
| description | Abstract Background The aim of this study was to compare the efficacy of ultrasound-guided adductor canal block versus femoral nerve block in postoperative analgesia, as well as their effect on quadriceps muscle strength. Results The study included 66 patients who were underwent arthroscopic anterior cruciate ligament reconstruction under general anesthesia. They were randomly divided into 2 groups; A and F, of 33 patients in each. Patients in group A received an adductor canal block, while patients in group F received a femoral nerve block. The primary outcome was the total morphine requirements in the first 24 h after the procedure. Secondary outcomes included time to first analgesic request and the patients’ ability to perform straight leg raise in the post-anesthesia care unit and 2 h later. The straight leg raise was impaired in group F compared with group A both in the post-anesthesia care unit (p value = 0.017) and 2 h postoperatively (p value = 0.020). While there was no differences between both groups regarding time to first analgesic request, and total morphine requirements. Conclusions Compared with femoral nerve block, the adductor canal block may be an effective analgesic alternative with the advantage of sparing the quadriceps muscle strength in anterior cruciate ligament reconstruction surgeries. |
| first_indexed | 2024-04-11T10:13:04Z |
| format | Article |
| id | doaj.art-954a2c03fc084695bc6dbd2c6134f111 |
| institution | Directory Open Access Journal |
| issn | 2090-925X |
| language | English |
| last_indexed | 2024-04-11T10:13:04Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Ain Shams Journal of Anesthesiology |
| spelling | doaj.art-954a2c03fc084695bc6dbd2c6134f1112022-12-22T04:30:03ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2022-10-011411610.1186/s42077-022-00272-9Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind studyKholoud Bahaa Eldin Abdel Mohsen ElShawady0Gamal Fouad Saleh Zaki1Hatem Saeed Abdelhamid2Dalia Mahmoud Ahmed Elfawy3Marwa Mamdoh Elfar4Department of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Ain-Shams UniversityDepartment of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Ain-Shams UniversityDepartment of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Ain-Shams UniversityDepartment of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Ain-Shams UniversityDepartment of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Ain-Shams UniversityAbstract Background The aim of this study was to compare the efficacy of ultrasound-guided adductor canal block versus femoral nerve block in postoperative analgesia, as well as their effect on quadriceps muscle strength. Results The study included 66 patients who were underwent arthroscopic anterior cruciate ligament reconstruction under general anesthesia. They were randomly divided into 2 groups; A and F, of 33 patients in each. Patients in group A received an adductor canal block, while patients in group F received a femoral nerve block. The primary outcome was the total morphine requirements in the first 24 h after the procedure. Secondary outcomes included time to first analgesic request and the patients’ ability to perform straight leg raise in the post-anesthesia care unit and 2 h later. The straight leg raise was impaired in group F compared with group A both in the post-anesthesia care unit (p value = 0.017) and 2 h postoperatively (p value = 0.020). While there was no differences between both groups regarding time to first analgesic request, and total morphine requirements. Conclusions Compared with femoral nerve block, the adductor canal block may be an effective analgesic alternative with the advantage of sparing the quadriceps muscle strength in anterior cruciate ligament reconstruction surgeries.https://doi.org/10.1186/s42077-022-00272-9Adductor canal blockFemoral nerve blockAnterior cruciate ligament reconstructionQuadriceps muscle strength |
| spellingShingle | Kholoud Bahaa Eldin Abdel Mohsen ElShawady Gamal Fouad Saleh Zaki Hatem Saeed Abdelhamid Dalia Mahmoud Ahmed Elfawy Marwa Mamdoh Elfar Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind study Ain Shams Journal of Anesthesiology Adductor canal block Femoral nerve block Anterior cruciate ligament reconstruction Quadriceps muscle strength |
| title | Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind study |
| title_full | Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind study |
| title_fullStr | Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind study |
| title_full_unstemmed | Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind study |
| title_short | Adductor canal block vs. femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine: a comparative randomized controlled double-blind study |
| title_sort | adductor canal block vs femoral nerve block in patients undergoing arthroscopic anterior cruciate ligament reconstruction using levobupivacaine a comparative randomized controlled double blind study |
| topic | Adductor canal block Femoral nerve block Anterior cruciate ligament reconstruction Quadriceps muscle strength |
| url | https://doi.org/10.1186/s42077-022-00272-9 |
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