Single shot "3-in-1" femoral nerve blockade with 0.25% or 0.375% levobupivacaine provides similar postoperative analgesia for total knee replacement

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dc.contributor.authorApan, Alpaslan
dc.contributor.authorSari, Filiz
dc.contributor.authorEkmekci, Alp Burak
dc.date.accessioned2020-06-25T17:51:19Z
dc.date.available2020-06-25T17:51:19Z
dc.date.issued2010
dc.departmentKırıkkale Üniversitesi
dc.description.abstractAim: To compare postoperative analgesia provided by single shot "3-in-1" femoral nerve blockade using 0.25% or 0.375% levobupivacaine in preceding with spinal anesthesia for unilateral total knee replacement surgery. Materials and methods: Forty consenting patients undergoing unilateral total knee arthroplasty were included in this prospective randomized study. Spinal anesthesia was achieved with 15 mg plain bupivacaine at the L3-4 or L4-5 interspace. After resolution of the spinal anesthesia, patients were randomized into 2 groups: "3-in-1" femoral nerve blocks were performed using 30 m L of 0.25% levobupivacaine (Group 1, n = 20) or 0.375% levobupivacaine (Group 2, n = 20). Pain was assessed by visual analogue scale (VAS). The total morphine consumption and the side effect profile were compared during the postoperative period. Results: There were no significant differences between the 2 study groups with respect to characteristics or intraoperative variables. Furthermore, sensory block periods and time to first pain sensation, VAS, and morphine consumption for 24 h (Group 1: 19.7 +/- 9.2, Group 2:20.6 +/- 12.1 mg) were similar. Pain scales and range of motion during rehabilitation period and side effects were also comparable. Conclusion: Our results indicate that the augmenting concentration did not influence the clinical outcome when single shot "3-in-1" femoral nerve block was performed with 0.25% or 0.375% levobupivacaine in total knee arthroplasty.en_US
dc.identifier.citationApan, A., Sarı, F. And Ekmekçi, A. B. (2010) "Single shot “3-in-1” femoral nerve blockade with 0.25% or 0.375% levobupivacaine provides similar postoperative analgesia for total knee replacement," Turkish Journal of Medical Sciences: Vol. 40(1), 77-82.en_US
dc.identifier.doi10.3906/sag-0812-39
dc.identifier.endpage82en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-76149139755
dc.identifier.scopusqualityQ1
dc.identifier.startpage77en_US
dc.identifier.trdizinid98261
dc.identifier.urihttps://doi.org/10.3906/sag-0812-39
dc.identifier.urihttps://hdl.handle.net/20.500.12587/4807
dc.identifier.volume40en_US
dc.identifier.wosWOS:000275833900012
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTubitak Scientific & Technical Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal Of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnesthetic techniquesen_US
dc.subjectregionalen_US
dc.subjectfemoral nerve blocken_US
dc.subjectpainen_US
dc.subjectpostoperativeen_US
dc.subjectlevobupivacaineen_US
dc.titleSingle shot "3-in-1" femoral nerve blockade with 0.25% or 0.375% levobupivacaine provides similar postoperative analgesia for total knee replacementen_US
dc.typeArticle

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