Femoral Preincisional Block in Acute Postoperative Pain Management of Surgery Orthopaedic Lower Limb
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Postoperatory EVA values and need for rescue analgesia with IV morphine
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA I and II patients, both sexes, plan for elective orthopaedic surgery of the lower limbs (femur and knee) under general anesthesia
排除标准
- •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
研究组 & 干预措施
Intravenous analgesia
Intravenous analgesia with ketoprofen, dipyrone and morphine. IV morphine to rescue analgesia
干预措施: Intravenous analgesia (Drug)
femoral block by US and NE and intravenous analgesia
preincisional femoral block by ultrasound and neurostimulation, with 20 ml bupivacaine 0,5% and epinephrine. ketoprofen, dipyrone and dexamethasone IV. Morphine IV to rescue analgesia
干预措施: Intravenous analgesia (Drug)
femoral block by US and NE and intravenous analgesia
preincisional femoral block by ultrasound and neurostimulation, with 20 ml bupivacaine 0,5% and epinephrine. ketoprofen, dipyrone and dexamethasone IV. Morphine IV to rescue analgesia
干预措施: Femoral block by ultrasound and neurostimulation (Procedure)
结局指标
主要结局
Postoperatory EVA values and need for rescue analgesia with IV morphine
时间窗: 24 hours
次要结局
未报告次要终点
研究者
Beatriz Arismendi Gómez
Anesthesiologist
Hospital Central Dr. Luis Ortega