FEMORAL NERVE BLOCK AS AN ALTERNATIVE TO PARENTERAL NARCOTICS FOR PAIN CONTROL AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION

被引：49

作者：

EDKIN, BS

SPINDLER, KP

FLANAGAN, JFK

机构：

[1] VANDERBILT SPORTS MED CTR,NASHVILLE,TN 37212

[2] VANDERBILT UNIV,MED CTR,DEPT ORTHOPAED & REHABIL,NASHVILLE,TN 37232

[3] VANDERBILT UNIV,MED CTR,DEPT ANESTHESIOL,NASHVILLE,TN 37232

来源：

ARTHROSCOPY | 1995年 / 11卷 / 04期

关键词：

FEMORAL NERVE BLOCK; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; PAIN; NARCOTICS; KETOROLAC;

D O I：

10.1016/0749-8063(95)90191-4

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 associated with significant postoperative pain, usually requiring parenteral narcotics. A prospective study of arthroscopically assisted autograft patellar tendon ACLR was initiated using Winnie's ''three-in-one'' femoral nerve block (FNB) as the primary means of postoperative pain control. Patient satisfaction and absence of parenteral narcotic use indicated clinical success, Of 24 patients studied, 92% had no parenteral narcotics administered following FNB, Ninety-five percent of patients believed FNB was beneficial and would request another. The average duration of pain control was 29 hours and the majority of patients (79%) believed discharge was possible within 23 hours. There were two patients who failed to respond to FNBs (8%) and no major complications, FNB is a safe, reliable, and effective form of analgesia following ACLR, eliminating the need for parenteral narcotics.

引用

页码：404 / 409

页数：6

共 28 条

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