Major Complications Associated with Femoral Nerve Catheters for Knee Arthroplasty A Word of Caution

被引：94

作者：

Feibel, Robert J. ^{[1
]}

Dervin, Geoffrey F. ^{[1
]}

Kim, Paul R. ^{[1
]}

Beaule, Paul E. ^{[1
]}

机构：

[1] Univ Ottawa, Div Orthopaed Surg, Adult Reconstruct Serv, Ottawa, ON, Canada

来源：

JOURNAL OF ARTHROPLASTY | 2009年 / 24卷 / 06期

关键词：

catheters; continuous infusion; ropivicaine; femoral nerve catheter; REGIONAL ANESTHESIA; PERINEURAL CATHETERS; ULTRASOUND GUIDANCE; BLOCK CATHETER; PSOAS ABSCESS; ANALGESIA; REHABILITATION; EFFICACY; TRIAL; FALLS;

D O I：

10.1016/j.arth.2009.04.008

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：

100224 [整形外科学];

摘要：

One thousand one hundred ninety patients underwent knee arthroplasty between January 2004 and July 1, 2007, and received an indwelling continuous infusion femoral catheter for postoperative ropivicaine pump infusion. Catheters were placed using electrical stimulation guidance. For the initial 469 patients (group 1), the continuous infusion ran for 2 to 3 days. In 721 patients, the infusion was discontinued 12 hours after surgery. There were 9 femoral nerve palsies (2 in group 1, 7 in group 2) and 8 major falls (0.7%). The overall complication rate was 1.5%, and the risk of permanent nerve injury was 0.2%. Patients should be made aware of these complications as part of the usual informed consent process before using this technique for postoperative pain control after knee arthroplasty. We did not observe fewer falls when the continuous infusion was stopped 12 hours after surgery.

引用

页码：132 / 137

页数：6

共 26 条

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Psoas abscess complicating femoral nerve block catheter [J].