Adductor canal block in the outpatient clinic for pain control following knee surgery

Rhatomy, Sholahuddin and Rahmadian, Rizki and Rasyid, Faiz Alam and Margaretha, Evlin (2021) Adductor canal block in the outpatient clinic for pain control following knee surgery. Anesthesiology and Pain Medicine, 11 (1). 1 – 6. ISSN 22287523

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Abstract

Background: Effective postoperative pain control is an important factor for the success of rehabilitation programs. Adductor canal block (ACB) is a recently developed technique. Objectives: This study aimed to evaluate the application of ACB in patients who underwent knee surgery. Methods: We performed ACB guided with ultrasonography for patients who underwent knee surgery. ACB was performed 14 days after surgery in the outpatient clinic with a ropivacaine mixture. The pain was evaluated using the visual analogue scale (VAS) every two days. Results: In this study, 115 patients were included. The mean score of VAS before ACB on the fifth, seventh, and ninth days was 7.4, 7.2, and 6.2, respectively. Mean VAS was significantly decreased after providing the intervention. However, the VAS score was increased gradually until the 23rd day and then flattened. Analgesic (etoricoxib) consumption was 102 mg, 98 mg, and 98 mg in postoperative days (POD), 5th, 7th, and 9th, respectively. Analgesic consumption was significantly decreased (16 mg) after ACB (POD 15th) and gradually increased in PODs 17th, 19th, and 21st. Only one patient complained of thigh hematoma after the ACB procedure. Conclusions: Single-shot ACB, provided in outpatient clinics, is a safe intervention that could significantly decrease both pain and analgesic consumption. It may enhance the postoperative rehabilitation program. © 2021, Author(s).

Item Type: Article
Additional Information: Cited by: 5; All Open Access, Gold Open Access, Green Open Access
Uncontrolled Keywords: analgesic agent; bupivacaine; codeine; dexamethasone; etoricoxib; metoclopramide; morphine; paracetamol; ropivacaine; adductor canal block; adult; analgesia; anterior cruciate ligament reconstruction; Article; body mass; cohort analysis; controlled study; cross-sectional study; diabetes mellitus; echography; fascia; female; femoral artery; hematoma; human; knee ligament surgery; knee surgery; major clinical study; male; meniscal surgery; nerve block; outpatient department; pain intensity; posterior cruciate ligament reconstruction; postoperative pain; prospective study; sartorius muscle; thigh; total knee arthroplasty; visual analog scale; voltage clamp technique
Subjects: R Medicine > RD Surgical Divisions
Divisions: Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition
Depositing User: Sri JUNANDI
Date Deposited: 26 Sep 2024 00:53
Last Modified: 26 Sep 2024 00:53
URI: https://ir.lib.ugm.ac.id/id/eprint/4642

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