López Alvarez S, Salamanca Montaña M E, Diéguez García P, García Iglesias B, Cobián Llamas J M
Servicio Anestesiología, Reanimación y Terapéutica del Dolor, Unidad de Cirugía sin Ingreso del Hospital Abente y Lago, Complexo Hospitalario Universitario Juan Canalejo, A Coruña.
Rev Esp Anestesiol Reanim. 2007 Apr;54(4):227-30.
Postoperative pain is one of the most frequent complications of outpatient orthopedic surgery. We therefore studied the efficacy, feasibility, and safety of the continuous femoral nerve block as an analgesic technique for outpatient anterior cruciate ligament reconstruction.
We carried out a single-blind prospective study of ASA 1-2 patients who received a continuous femoral nerve block with 0.125% bupivacaine through an elastomeric pump to treat postoperative pain as part of a multimodal approach. Postoperative pain was assessed on a verbal numerical scale from the immediate postoperative period until 48 hours after the operation. Side effects and patient satisfaction were also assessed.
Sixty-three patients were enrolled. The continuous femoral nerve block was effective: in the first 24 hours following surgery 90% of patients had mild or no pain, and 92% required no rescue medication. It also proved safe, as there were no significant side effects.
The continuous femoral nerve block with 0.125% bupivacaine is a safe, effective option for the management of postoperative pain in outpatient anterior cruciate ligament reconstruction.
术后疼痛是门诊骨科手术最常见的并发症之一。因此，我们研究了连续股神经阻滞作为门诊前交叉韧带重建镇痛技术的有效性、可行性和安全性。
我们对ASA 1-2级患者进行了一项单盲前瞻性研究，这些患者通过弹性泵接受0.125%布比卡因连续股神经阻滞，作为多模式方法的一部分来治疗术后疼痛。术后疼痛采用言语数字评分法，从术后即刻至术后48小时进行评估。还评估了副作用和患者满意度。
63例患者入组。连续股神经阻滞有效：术后24小时内，90%的患者疼痛轻微或无疼痛，92%的患者无需使用急救药物。它也被证明是安全的，因为没有明显的副作用。
0.125%布比卡因连续股神经阻滞是门诊前交叉韧带重建术后疼痛管理的一种安全、有效的选择。
