A COMPARISON OF PATIENT-CONTROLLED ANALGESIA AND CONTINUOUS LUMBAR PLEXUS BLOCK AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

被引：38

作者：

MATHENY, JM ^{[1
]}

HANKS, GA ^{[1
]}

RUNG, GW ^{[1
]}

BLANDA, JB ^{[1
]}

KALENAK, A ^{[1
]}

机构：

[1] PENN STATE UNIV,MILTON S HERSHEY MED CTR,COLL MED,MILTON S HERSHEY MED CTR,DIV ORTHOPAED SURG,HERSHEY,PA 17033

来源：

ARTHROSCOPY | 1993年 / 9卷 / 01期

关键词：

LUMBAR PLEXUS BLOCK; PATIENT-CONTROLLED ANALGESIA; POSTOPERATIVE PAIN CONTROL; ANTERIOR CRUCIATE LIGAMENT;

D O I：

10.1016/S0749-8063(05)80350-0

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Anterior cruciate ligament (ACL) reconstruction is often a painful operation. Fifty-eight patients who underwent ACL reconstruction using patellar tendon autograft received either a lumbar plexus block (LPB) or patient-controlled analgesia (PCA) for pain relief during the first 24 h after surgery. The average total dose of narcotic used was dramatically less for the LPB group (10.1 mg) than for the PCA group (91.9 mg). The common narcotic analgesic side effects of nausea, pruritus, sedation, and urinary retention were significantly less in the LPB group. The LPB is a safe and effective alternative analgesia after ACL reconstruction.

引用

页码：87 / 90

页数：4

共 20 条

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