Comparison of the efficacy of femoral nerve block and fascia iliaca compartment block in patients with total knee replacement    
Yazarlar (9)
Hasan Kanadlı
Serkan Doğru
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Tuğba KARAMAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Serkan KARAMAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Hakan TAPAR Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Aynur Şahin
Türkiye
Murat Aşçı
Ka Kanadlı
Mustafa Süren
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Minerva Anestesiologica
Dergi ISSN 0375-9393 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 10-2018
Cilt No 84
Sayı 10
Sayfalar 1134 / 1141
DOI Numarası 10.23736/S0375-9393.18.12062-1
Makale Linki https://www.minervamedica.it/index2.php?show=R02Y2018N10A1134
Özet
Blocking the femoral nerve reduces postoperative pain and analgesic consumption in patients who have undergone total knee and hip replacement surgery. A limited number of studies have compared the efficacy of the fascia iliaca compartment and femoral nerve block techniques. Therefore, this study aimed to investigate the analgesic effectiveness of fascia iliaca compartment block (FIB) and femoral nerve block using ultrasound. A total of 100 patients were included in the study. Patients were divided into two randomized and equal groups (Group I had patients who underwent fascia iliaca compartment block, N.=50; Group II had patients who underwent femoral nerve block, N.=50). Visual Analogue Scale levels (VAS) in the postoperative 30th min and 1st, 2nd, 6th, 12th and 24th hours and the amounts of analgesic consumption were recorded. The Quality of Recovery-40 (QoR-40) questionnaire was completed by patients 24 hours after surgery. The VAS level at the 24th hour was significantly lower in Group I compared to Group II. Analgesic consumption between 0-30th minutes was lower in Group II than in Group I; however, it was significantly lower in the 6-24 hours of Group I compared to Group II. The QoR-40 score was found to be significantly higher in Group I than Group II. Femoral nerve block provided more potent analgesia in the first six hours after operation. After six hours, FIB demonstrated better pain control. The quality of postoperative recovery was higher in patients with fascia iliaca compartment block.
Anahtar Kelimeler
Arthroplasty, replacement, knee | Pain, postoperative | Femur | Nerve block