The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Effect of Single-injection Femoral Nerve Block Using Real-time Ultrasound on the Postoperative Pain after Bilateral Total Knee Arthroplasty: 0.25% vs 0.5% Levobupivacaine

초음파 유도 하 일회성 넙다리신경블록이 슬관절 전치환술 후 통증에 미치는 영향: 0.25% Levobupivacaine과 0.5% Levobupivacaine 주입의 비교

  • Kim, Yun Joo (Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University) ;
  • Kim, Youn Jin (Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University) ;
  • Kim, Dong Yeon (Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University)
  • 김윤주 (이화여자대학교 의학전문대학원 마취통증의학교실) ;
  • 김윤진 (이화여자대학교 의학전문대학원 마취통증의학교실) ;
  • 김동연 (이화여자대학교 의학전문대학원 마취통증의학교실)
  • Received : 2009.09.10
  • Accepted : 2009.10.15
  • Published : 2009.12.01
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Abstract

Background: The purpose of this study was to compare the analgesic effect of 0.25% and 0.5% levobupivacaine for real time ultrasound guided single-injection femoral nerve block for the patients who are undergoing bilateral total knee arthroplasty (TKA). Methods: Femoral nerve block was done to all patients with 20 ml of 0.9% normal saline on one leg and 20 ml of 0.25% levobupivacaine on the other leg for group I (n = 16) and 0.5% levobupivacaine for group II (n = 15) with 1:200,000 epinephrine and using real-time ultrasound and a nerve stimulator. The data concerning the verbal numerical rating scale (VNRS) for each leg, the consumption of the intravenous patient-controlled analgesia (IV PCA) and the demands for the additional analgesics was collected at 0, 1, 6, 12, 24 and 48 hours after the operation. Results: The legs on which femoral nerve block was done with levobupivacaine showed a lower VNRS score than the legs with normal saline in either group I or group II. The VNRS scores between the two legs, the consumption of the IV PCA and the demand for additional analgesics showed no significant differences between the groups. Conclusions: Our results demonstrate that single-injection femoral nerve block using real-time ultrasound with either 0.25% levobupivacaine or 0.5% levobupivacaine 20 ml provides a good effect for the postoperative pain control after TKA.

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References

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