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dc.contributor.authorBellido-Estévez, Inmaculada 
dc.contributor.authorPérez-Millón, V.
dc.contributor.authorBlanco-Reina, Encarnación 
dc.contributor.authorGómez-Luque, José Aurelio 
dc.date.accessioned2017-07-04T10:54:17Z
dc.date.available2017-07-04T10:54:17Z
dc.date.created2017
dc.date.issued2017-07-04
dc.identifier.urihttp://hdl.handle.net/10630/14103
dc.descriptionAbstract Congreso XXXVII National Meeting of the Spanish Society of Pharmacology with guest society: The British Pharmacological Societyes_ES
dc.description.abstractBackground and Aims: Total knee arthroplasty injuries are extremely painful and merit prompt attention to adequate postoperative analgesia. We aim to compare femoral and sciatic ultrasound-guided combined nerve block vs. neurostimulation for femoral and sciatic combined nerve block or for femoral nerve block in postoperative pain in primary elective total knee prosthesis. Summary of work and outcomes: A three arms, prospective longitudinal study of patients having primary elective unilateral knee prosthesis and randomly assigned to catheter insertion guided by ultrasound or neurostimulation was done: 1) Ultrasound-guided femoral and sciatic combined nerve block (USFSCN) (N=15); 2) Neurostimulation for femoral and sciatic combined nerve block (NSFSCN) (N=17); 3) Neurostimulation for femoral nerve block (NSFN) (N=11). Total analgesia (morphine) consumption after 48 hours was the primary endpoint. The postoperative pain intensity (visual analogue pain scale (VAS)) at post-anaesthetic recovery unit (PARU), 6, 24, 48 h, and during movement and postoperative complications were secondary outcomes. Results and discussion: 43 patients (68.3±8 years old, 77% female) subjected to elective unilateral knee prosthesis were enrolled. There were no differences in the demographic, anaesthetic and surgical variables between groups. Pain intensity was lower in the USFSCN group compared with NSFSCN and NSFN during the first 48 h post-surgery (% of intense pain at PARU/6h/24h/48h): USFSCN 0.8/1.4/3.2/1.6; NSFSCN 5.6/8.3/7.5/3; NSFN 7.2/5.3/6.4/5.4. The average consumption of morphine within 48 h after surgery was similar in the groups USFSCN and NSFSCN (3 mg vs. 3.11 mg), and significantly lower than NSFN (4.19 mg) (p<0.05). And the number of complications was significantly lower in the USFSCN group compared with NSFSCN and NSFN during the first 48 h of postoperative. Conclusion: Ultrasound-guided femoral and sciatic combined nerve block presented better analgesia and was more safety than neurostimulation for femoral and sciatic combined nerve block or for femoral nerve block in primary elective total knee arthroplasty.es_ES
dc.description.sponsorshipUniversidad de Málaga. Campus de Excelencia Internacional Andalucía Tech.es_ES
dc.language.isoenges_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.subjectArtroplastiaes_ES
dc.subjectCuidados postoperatorioses_ES
dc.subject.otherPaines_ES
dc.subject.otherNeurostimulation nerve blockes_ES
dc.subject.otherUltrasound-guided nerve blockes_ES
dc.subject.otherFemorales_ES
dc.subject.otherSciatices_ES
dc.titlePostoperative pain and morphine consumption after ultrasound-guided femoral and sciatic combined nerve block versus neurostimulation for femoral and sciatic combined nerve block or neurostimulation for femoral nerve block in primary elective total knee arthroplasty.es_ES
dc.typeinfo:eu-repo/semantics/conferenceObjectes_ES
dc.centroFacultad de Medicinaes_ES
dc.relation.eventtitleXXXVII National Meeting of the Spanish Society of Pharmacology with guest society: The British Pharmacological Societyes_ES
dc.relation.eventplaceBarcelonaes_ES
dc.relation.eventdate18-21 Junio-2017es_ES
dc.identifier.orcidhttp://orcid.org/0000-0002-9362-8635es_ES
dc.rights.ccby-nc-nd


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