ISSN: 2155-6148
Hatem Hassan Maghraby
Egypt
Research Article
Comparison of Combined Intrathecal Morphine and Sonar-guided Single-shot Femoral Nerve Block vs. Either Technique Alone for Postoperative Analgesia in Patients Undergoing Total Knee Replacement Surgery
Author(s): Ashraf Amin Mohamed, Hatem Hassan Maghraby and Hala Saad Abdel-Ghaffar
Ashraf Amin Mohamed, Hatem Hassan Maghraby and Hala Saad Abdel-Ghaffar
Background: Postoperative pain associated with total knee replacement surgery (TKR) is considerable and requires adequate analgesia. Objectives: To study the additive effect of femoral nerve block (FNB) and 0.2 mg intrathecal morphine (ITM) compared with either technique alone for postoperative analgesia in patients undergoing (TKR) under spinal anesthesia. Design: Prospective double-blind randomized comparative study. Setting: University hospital. Methods: Sixty ASA I–III subjects undergoing unilateral TKR were enrolled in a randomized, parallel group, double-blind study receiving 15 mg hyperbaric bupivacine spinal anesthesia plus 0.2 mg ITM (Group M), FNB (Group F), or 0.2 mg ITM and FNB (Group MF) for postoperative analgesia. Assessment parameters included; postoperative morphine PCA consumption in first 48 h postoperative, time to first request for rescue analgesia, pain sco.. View More»
DOI:
10.4172/2155-6148.1000637