Periarticular Block, Serum Bupivacaine Level, Total Knee Arthroplasty
Conditions
Keywords
bupivacaine level, periarticular block, total knee arthroplasty
Brief summary
Patients with knee arthroplasty usually performed under spinal anesthesia with a single-shot femoral nerve block and periarticular block, so we would like to know the plasma concentration of bupivacaine in these patients.
Interventions
20 ml of 0.5% bupivacaine for single-shot femoral nerve block will be done at the beginning then another 20 ml of 0.5% bupivacaine for periarticular block will be performed at the end of operation. Blood sample will be drawn at 60 min after femoral nerve block and before periarticular block, 15, 30, 45, 60 min after periarticular block.
Sponsors
Study design
Eligibility
Inclusion criteria
* age of 30-70 yr * ASA I-II * patient undergo total knee arthroplasty under spinal block and single shot femoral nerve block and periarticular block
Exclusion criteria
* patient's refusal * allergic to bupivacaine * body weight less than 50 kg * liver disease * heart disease * coagulopathy * Hct\<35% * infection at both groin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| plasma concentration of bupivacaine after spinal anesthesia with single-shot femoral nerve block and periarticular block | 2 hours |
Secondary
| Measure | Time frame |
|---|---|
| bupivacaine toxicity | 24 hr |
Countries
Thailand