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9135

Comparative Study between Ultra-Sound Guided Femoral Nerve Block and Adductor Canal Block in Postoperative Analgesia after Knee Arthroscopy

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Last updated: 03 Jan 2025

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Abstract

Background : Analgesia after knee operations can be achieved by integrated multimodal analgesic protocols using two or more analgesic modalities that work by different mechanisms that will optimize the analgesia and minimize the potential risks and side effects.
Objective: of this study was to evaluate the reliability of the postoperative pain control using adductor canal block (ACB) compared with that using the femoral nerve block (FNB) in patients undergoing knee arthroscopy.
Patients and Methods: Eighty patients who had been scheduled to knee arthroscopy were included in this prospective, blinded study, and were randomly allocated into two groups (40 each); A group, had received ACB and F group, had received FNB. After 15 minutes; sensation, motor power and vital signs are assessed, then patients transferred to operating room where all patients had received general anesthesia. Total intraoperative fentanyl and vital signs are assessed. The postoperative pain (numeric rating scale [NRS]) and quadriceps power were assessed in the postoperative care at (1, 2, 4, 6, 8, 10, 12, 18 and 24) hours. The time to 1st pethidine and total pethidine requirements were also recorded.
Results: Patients in group FNB had significantly less quadriceps power (at 6-8 h) postoperatively than those in groupACB. There were no significant differences between the two studied groups as regard NRS, time to 1st pethidine and total pethidine requirements in the 1st 24 h.
Conclusion: In patients undergoing knee arthroscopy, the ACB can maintain a higher quadriceps power compared with the FNB and is efficient as FNB in control of postoperative pain.

DOI

10.21608/ejhm.2018.9135

Keywords

Anesthetic techniques, adductor canal block, femoral nerve block, regional, Bupivacaine, knee arthroscopy

Authors

First Name

El-Feky

Last Name

A A

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Affiliation

Anesthesiology and Intensive care department, Faculty of Medicine, Al-Azhar University

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First Name

Abdel Karim

Last Name

U I

MiddleName

-

Affiliation

Anesthesiology and Intensive care department, Faculty of Medicine, Al-Azhar University

Email

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City

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Orcid

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First Name

Ismael

Last Name

A M

MiddleName

-

Affiliation

Anesthesiology and Intensive care department, Faculty of Medicine, Al-Azhar University

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Orcid

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Volume

72

Article Issue

3

Related Issue

1778

Issue Date

2018-07-01

Receive Date

2018-07-15

Publish Date

2018-07-01

Page Start

4,179

Page End

4,184

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 72_Issue 3_Pages 4179-4184.pdf

PDF . 602.3kB

Link

https://ejhm.journals.ekb.eg/article_9135.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=9135

Order

23

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparative Study between Ultra-Sound Guided Femoral Nerve Block and Adductor Canal Block in Postoperative Analgesia after Knee Arthroscopy

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Article

Created At

22 Jan 2023