Surgery
Conditions
Keywords
postoperatory pain, orthopaedic surgery, femoral block
Brief summary
Proper management of acute postoperative pain (DAPO) is essential for the recovery of orthopedic surgeries. The blockade of the femoral nerve preincisional (BFP) is simple and its effectiveness increases guided by ultrasound and neurostimulation. OBJECTIVE: To evaluate the effectiveness of BFP in patients undergoing orthopedic surgery of the lower limbs under general anesthesia. METHODS: A comparative study was conducted, randomized, two groups, surgeries of the hip, femur and knee, ASA I-II, aged 18 years. Group B (n = 15) received BFP and ultrasound-guided nerve stimulation with 20 ml of bupivacaine 0.5% plus epinephrine 1: 200,000. Group S (n = 15) without blocking. Both groups received intravenous analgesia with ketoprofen 100 mg regimen and dipyrone 1g c / 8 hs and balanced general anesthesia. Postoperative morphine 0.03 mgr / kgr / weight was administered if EVA ≥4
Interventions
PROCEDUREFemoral block by ultrasound and neurostimulation
Intravenous analgesia with ketoprofen, dipyrone and dexamethasone. IV morphine to rescue analgesia
Sponsors
Hospital Central Dr. Luis Ortega
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ASA I and II patients, both sexes, plan for elective orthopaedic surgery of the lower limbs (femur and knee) under general anesthesia
Exclusion criteria
* Patients with any anesthetic or surgical complication * Patients with neuromuscular diseases * Allergy to any of the drugs used in the study * Inability to understand and use a pain scale * Also those patients in whom it was not possible to locate anatomical landmarks and / or failed femoral block
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperatory EVA values and need for rescue analgesia with IV morphine | 24 hours |
Countries
Venezuela
Outcome results
None listed