Continuous Lumbar Plexus Block Provides Improved Analgesia With Fewer Side Effects Compared With Systemic Opioids After Hip Arthroplasty: A Randomized Controlled Trial
作者： Z SIDDIQUI , M CEPEDA , W DENMAN , R SCHUMANN , D CARR
DOI: 10.1016/J.RAPM.2007.04.008
关键词: Vomiting 、 Opioid 、 Randomized controlled trial 、 Surgery 、 Lumbosacral plexus 、 Anesthesia 、 Hip replacement (animal) 、 Hip surgery 、 Arthroplasty 、 Medicine 、 Perioperative
摘要: Background and Objectives: A single injection lumbar plexus block for acute pain management after hip surgery is usually limited to the immediate postoperative period. We conducted a randomized controlled trial determine effect of continuous on perioperative opioid requirements intensity. Methods: Adult patients undergoing elective arthroplasty under general anesthesia were combined with patient-controlled analgesia (PCA) or PCA only pain. Patients allocated had catheter placed before surgery. followed 36 hours. Perioperative requirement was primary outcome; secondary outcomes included assessment intensity, patient surgeon satisfaction analgesic technique, occurrence nausea vomiting. Results: Seventeen each treatment group. Compared in group, group required less morphine (12 mg) (95% CI, −12.9 −3.9), average (−2.1 units 0 10 scale) −3.8 −1.1), more satisfied their experienced One developed delayed paresis 1 respiratory depression. Conclusions: Continuous superior alone following replacement. It reduces requirements, related side effects, enhances satisfaction. However, additional research its safety light neurologic injury observed.
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