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Analgesic efficacy of ultrasound-guided adductor canal blockade after arthroscopic anterior cruciate ligament reconstruction
- Source :
- European Journal of Anaesthesiology. 30:422-428
- Publication Year :
- 2013
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2013.
-
Abstract
- Anterior cruciate ligament (ACL) reconstruction surgery is associated with moderate to severe postoperative pain, which may be ameliorated by peripheral nerve blocks. The adductor canal block (ACB) is an almost exclusively sensory nerve block that has been demonstrated to reduce pain and opioid consumption after major knee surgery.To investigate the analgesic effect of ACB in patients receiving a basic analgesic regimen of paracetamol and ibuprofen after arthroscopic ACL reconstruction under general anaesthesia.Randomised, double-blind, placebo-controlled, parallel groups.Day Case Surgery, University of Copenhagen, Glostrup Hospital, Denmark, June 2010 to March 2012.Fifty patients, aged 18 to 70 years, scheduled for arthroscopic ACL reconstruction.Patients were randomised to receive ACB with either 30 ml ropivacaine 7.5 mg ml (n = 25) or 30 ml 0.9% saline (n = 24).Primary outcome was pain score (0 to 100 mm) during standing at 2 h after surgery. Secondary outcomes were pain at rest, during standing and after walking 5 m, opioid consumption and opioid-related side effects for 24 h after surgery.Median (interquartile range) pain scores for the primary outcome were 20 (12 to 36) mm in the ropivacaine and 20 (10 to 44) mm in the control group (P = 0.84, 95% confidence interval for difference of -9 to 12 mm). No significant differences were observed in any of the secondary outcomes.An analgesic regimen with paracetamol and ibuprofen provides acceptable postoperative pain control after arthroscopic ACL reconstruction. ACB did not confer further benefit in our patients.Clinicaltrials.gov Identifier: NCT01212666.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Adolescent
Anterior cruciate ligament reconstruction
Adductor canal
medicine.medical_treatment
Analgesic
Ibuprofen
law.invention
Cruciate ligament
Arthroscopy
Young Adult
Double-Blind Method
Randomized controlled trial
law
medicine
Humans
Ropivacaine
Acetaminophen
Aged
Analgesics
Anterior Cruciate Ligament Reconstruction
business.industry
Nerve Block
Middle Aged
musculoskeletal system
Amides
Blockade
Surgery
Analgesics, Opioid
Treatment Outcome
Anesthesiology and Pain Medicine
medicine.anatomical_structure
Area Under Curve
Anesthesia
Female
business
medicine.drug
Sensory nerve
Subjects
Details
- ISSN :
- 02650215
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- European Journal of Anaesthesiology
- Accession number :
- edsair.doi.dedup.....b38dddd8276b2db101e0032139d42746