Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : July | Volume : 11 | Issue : 7 | Page : UC13 - UC16

Comparison of Continuous Femoral Nerve Block versus Local Infiltration Analgesia as a Postoperative Analgesia in Unilateral Total Knee Arthroplasty

Deepika Chaubey, Hari Krishan Mahajan, Parshu Ram Chauhan, Preeti S Govind, Pushpinder Singh, Ravinder Dhanevar, Abhinav Gupta

1. Resident, Department of Anaesthesia, ISIC Hospital, Vasant Kunj, New Delhi, India. 2. Senior Consultant and Head, Department of Anaesthesia and Critical Care Medicine, ISIC Hospital, Vasant Kunj, New Delhi, India. 3. Senior Consultant, Department of Anaesthesia, ISIC Hospital, Vasant Kunj, New Delhi, India. 4. Senior Consultant, Department of Anaesthesia, ISIC Hospital, Vasant Kunj, Hyderabad, India. 5. Consultant, Department of Anaesthesia, ISIC Hospital, Vasant Kunj, New Delhi, India. 6. Consultant, Department of Anaesthesia, ISIC Hospital, Vasant Kunj, New Delhi, India. 7. Junior Consultant, Department of Anaesthesia, ISIC Hospital, Vasant Kunj, New Delhi, India.

Correspondence Address :
Dr. Deepika Chaubey,
Department of Anaesthesia, Indian Spinal Injuries Centre, Sector-C, Vasant Kunj, New Delhi-110010, India.
E-mail: rinky2320@yahoo.com

Abstract

Introduction: Local infiltration of knee joint in arthroplasty, provide postoperative analgesia and preserves motor power of quadriceps, which helps in early mobilisation, as compared to femoral nerve block which paralyses vastus medialis.

Aim: To compare the quality of postoperative analgesia provided by femoral nerve block and local infiltration in unilateral Total Knee Arthroplasty (TKA).

Materials and Methods: A prospective study was conducted on 60 patients (25-65 years) of ASA I and II, which were randomly(using random number table) divided into two groups – Group 1-femoral nerve block (FNB) and Group 2-Local Infiltration Analgesia (LIA). Patients with chronic pain and on opioids were excluded. Numeric rating scale (primary objective), sedation score, nausea vomiting score and motor power were analysed. The results were analysed by parametric and nonparametric tests using SPSS software version 22. p<0.05 was considered significant.

Results: Pain relief was better in FNB Group (p-value <0.001) with less fentanyl demand (p-value <0.001), low sedation score (0.013, 0.179, 0.018, 0.129, 0.287, 0.432) but associated with low muscle power grading (<0.001).

Conclusion:FNB has better pain relief than LIA Group but range of motion was reduced in FNB Group grossly, effect on mobilisation remained comparable in both group.

Keywords

Anaesthetics, Pain control, Peripheral nerve block

How to cite this article :

Deepika Chaubey, Hari Krishan Mahajan, Parshu Ram Chauhan, Preeti S Govind, Pushpinder Singh, Ravinder Dhanevar, et al.. COMPARISON OF CONTINUOUS FEMORAL NERVE BLOCK VERSUS LOCAL INFILTRATION ANALGESIA AS A POSTOPERATIVE ANALGESIA IN UNILATERAL TOTAL KNEE ARTHROPLASTY. Journal of Clinical and Diagnostic Research [serial online] 2017 July [cited: 2017 Jul 20 ]; 11:UC13-UC16. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=July&volume=11&issue=7&page=UC13-UC16&id=10197

DOI and Others

DOI: 10.7860/JCDR/2017/24398.10197



Date of Submission: Nov 20, 2016
Date of Peer Review: Dec 15, 2016
Date of Acceptance: Jun 17, 2017
Date of Publishing: Jul 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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