passages: 1583
passages: document
passages: A comparison of continuous femoral nerve block ( CFNB ) and continuous epidural infusion ( CEI ) in postoperative analgesia and knee rehabilitation after total knee arthroplasty ( TKA ) . BACKGROUND Postoperative epidural analgesia ( EA ) and femoral nerve block ( FNB ) provided effective pain relief However , EA has common side effects such as nausea , vomiting , pruritus , dizziness , and hypotension . Some investigations found that those side effects were less in FNB than in EA . However the analgesic equivalent of both techniques have not been confirmed . OBJECTIVE The authors compared continuous epidural infusion ( CEI ) with continuous femoral nerve block ( CFNB ) regarding the postoperative analgesic efficacy , side effects , postoperative knee rehabilitation , and hospital length of stay ( LOS ) . MATERIAL AND METHOD In this prospective , randomized controlled study , 61 ASA physical status I-III patients scheduled for elective unilateral total knee arthroplasty ( TKA ) under spinal anesthesia ( SA ) participated . The patients were allocated into two groups . In the ward , patients in Group I ( CEI ) were maintained by continuous infusion of 0.125 % levobupivacaine with morphine 0.0125 mg/ml ( 4 ml/hr ) , Group II ( CFNB ) were maintained by 0.125 % levobupivacaine ( 8 ml/hr ) . RESULTS Patients in the CFNB group , the VAS scores at PO6-12 hr and tramadol IV requirement were significantly greater than the CEI group ( VAS : PO6 hr p-value = 0.001 , PO12 hr p-value = 0.004 ) . Patients in the CEI group experienced dizziness , pruritus , and PONV more than the CFNB group significantly . Patient satisfaction was greater with the CFNB group although postoperative knee rehabilitation and the hospital LOS were not different . CONCLUSION CFNB represents the optimal analgesia with fewer side effects and greater patient , satisfaction . The rehabilitation indices and duration of hospital stay are comparable in both groups .
entities: 1584
entities: Intervention_Surgical
entities: continuous femoral nerve block ( CFNB )
entities: 1585
entities: Intervention_Surgical
entities: continuous epidural infusion ( CEI )
entities: 1586
entities: Intervention_Surgical
entities: femoral nerve block ( FNB )
entities: 1587
entities: Intervention_Surgical
entities: continuous epidural infusion ( CEI )
entities: 1588
entities: Intervention_Surgical
entities: continuous femoral nerve block ( CFNB )
entities: 1589
entities: Intervention_Surgical
entities: ( CEI )
entities: 1590
entities: Intervention_Pharmacological
entities: levobupivacaine
entities: 1591
entities: Intervention_Pharmacological
entities: morphine
entities: 1592
entities: Intervention_Surgical
entities: ( CFNB )
entities: 1593
entities: Intervention_Pharmacological
entities: levobupivacaine
entities: 1594
entities: Intervention_Surgical
entities: CFNB
entities: 1595
entities: Intervention_Surgical
entities: CEI
entities: 1596
entities: Intervention_Surgical
entities: CEI
entities: 1597
entities: Intervention_Surgical
entities: CFNB
entities: 1598
entities: Intervention_Surgical
entities: CFNB
entities: 1599
entities: Intervention_Surgical
entities: CFNB
entities: 1600
entities: Outcome_Physical
entities: postoperative analgesic efficacy
entities: 1601
entities: Outcome_Adverse-effects
entities: side effects
entities: 1602
entities: Outcome_Physical
entities: postoperative knee rehabilitation
entities: 1603
entities: Outcome_Other
entities: hospital length of stay ( LOS )
entities: 1604
entities: Outcome_Pain
entities: VAS scores
entities: 1605
entities: Outcome_Other
entities: tramadol IV requirement
entities: 1606
entities: Outcome_Adverse-effects
entities: dizziness
entities: 1607
entities: Outcome_Adverse-effects
entities: pruritus
entities: 1608
entities: Outcome_Adverse-effects
entities: PONV
entities: 1609
entities: Outcome_Other
entities: Patient satisfaction
entities: 1610
entities: Outcome_Physical
entities: postoperative knee rehabilitation
entities: 1611
entities: Outcome_Other
entities: hospital LOS
entities: 1612
entities: Outcome_Adverse-effects
entities: side effects
entities: 1613
entities: Outcome_Other
entities: patient , satisfaction
entities: 1614
entities: Outcome_Physical
entities: rehabilitation indices
entities: 1615
entities: Outcome_Other
entities: duration of hospital stay
entities: 1616
entities: Participant_Condition
entities: total knee arthroplasty ( TKA ) .
entities: 1617
entities: Participant_Sample-size
entities: 61
entities: 1618
entities: Participant_Condition
entities: ASA physical status I-III patients scheduled for elective unilateral total knee arthroplasty ( TKA ) under spinal anesthesia ( SA )