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Single shot adductor canal block combined with intravenous patient-controlled analgesia can be effective as continuous adductor canal block in reducing opioid consumption and breakthrough pain after total knee arthroplasty
DC Field | Value | Language |
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dc.contributor.author | Kim, Sung Eun | - |
dc.contributor.author | Han, Hyuk-Soo | - |
dc.contributor.author | Lee, Myung Chul | - |
dc.contributor.author | Ro, Du Hyun | - |
dc.date.accessioned | 2022-10-11T01:16:04Z | - |
dc.date.available | 2022-10-11T01:16:04Z | - |
dc.date.created | 2022-09-08 | - |
dc.date.issued | 2022-08 | - |
dc.identifier.citation | Journal of Experimental Orthopaedics, Vol.9 No.1, p. 84 | - |
dc.identifier.issn | 2197-1153 | - |
dc.identifier.uri | https://hdl.handle.net/10371/185722 | - |
dc.description.abstract | Purpose The aim of this study was to compare the following three analgesic methods after Total knee arthroplasty (TKA): intravenous patient-controlled analgesia (IV-PCA), continuous adductor canal block (C-ACB), and intravenous patient-controlled analgesia combined with single shot adductor canal block (PCA + sACB). Methods Records of 482 patients undergoing primary TKA from September 2019 to September 2020 were analyzed. Patients were divided into three pain control groups: IV-PCA (n = 180), C-ACB (n = 173) and PCA + sACB (n = 129). Single shot adductor canal block was performed 24 h after surgery in the PCA + sACB group. Rescue opioid consumption, breakthrough pain, pain numerical rating scale (NRS), and anti-emetics administration were measured from postoperative day (POD) 1 to POD 5. Results Rescue opioid consumption was less in C-ACB or PCA + sACB group than in the IV-PCA group at POD1 (p < 0.001 and p = 0.002, respectively). Patients in C-ACB and PCA + sACB groups had less breakthrough pain (NRS > 5) than the IV-PCA group at POD1 (p = 0.007). On POD2, C-ACB was statistically superior to IV-PCA (p = 0.011) in terms of breakthrough pain. Postoperative pain NRS was lower in the C-ACB and PCA + sACB groups than in the IV-PCA group (p = 0.025 and p = 0.019, respectively). The total number of anti-emetics consumption was lower in C-ACB and PCA + sACB groups than in the IV-PCA group (p = 0.003 and p = 0.002, respectively). Conclusion PCA + sACB not only reduced patients' need for rescue opioids, but also decreased the number of breakthrough pain and anti-emetics compared to IV-PCA in early postoperative days after TKA. However, C-ACB and PCA + sACB did not differ significantly in analgesic efficacy or opioid-related side effects. PCA + sACB can be as effective as C-ACB for patients undergoing TKA. | - |
dc.language | 영어 | - |
dc.publisher | Springer International Publishing AG | - |
dc.title | Single shot adductor canal block combined with intravenous patient-controlled analgesia can be effective as continuous adductor canal block in reducing opioid consumption and breakthrough pain after total knee arthroplasty | - |
dc.type | Article | - |
dc.identifier.doi | 10.1186/s40634-022-00523-6 | - |
dc.citation.journaltitle | Journal of Experimental Orthopaedics | - |
dc.identifier.wosid | 000843515900001 | - |
dc.citation.number | 1 | - |
dc.citation.startpage | 84 | - |
dc.citation.volume | 9 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Han, Hyuk-Soo | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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